Collections Manager – Africa Health Care Head Office

Critical Outputs

• Manage and lead patient administration processes with specific oversight of collections that affect the overall financial stability of the group.
• Coordinate activities of staff members to ensure a smooth and efficient department that reduces the number of cases unpaid by the scheme.
• Oversee the collection of outstanding debt to reduce profit loss while ensuring it is handled appropriately and per company policy.
• Create and implement strategies to increase the number of successful collections on outstanding debt and reach a 95% collection target according to company policy and procedures.
• Develop goals that complement the overarching business goals of the company and coordinate staff to continually meet and exceed goals.
• Run reports and analyze data pertaining to the department and share with executive staff and managers of department staff as needed.
• Ensure policies and procedures that retain a smooth running of the department and avoid excessive credit limits.
• Work in conjunction with the Billing Manager at group level to drive efficiency and ensure accurate information is submitted to the schemes.
• Adequate follow-up is done at hospital levels and Discharge Not Yet Final Billed reports are reviewed.
• Attend Weekly update meetings and present information from different hospitals as part of group consolidation.

Requirements

• Relevant NQF level 7 qualification.
• Professional registration as a Registered Nurse, Enrolled Nurse, BLS, ALS, Pharmacists will be an added advantage.
• 2-3 years’ experience in a similar position within the Private Health Care sector
• Proven leadership and/or people management experience within healthcare
• Should have excellent knowledge of relevant policies and procedures within Patient Administration.
• Relevant working knowledge of Private Hospital billing and claims processes.
• Relevant working knowledge of Private Hospital tariff structures (NHN) and private packages would be an added advantage.
• Knowledge and experience in Case Management processes.
• Relevant completed course in ICD and CPT coding and practical experience in these areas
• Working knowledge of COID and understanding the Medical Scheme rules, regulations, and protocols.
• Relevant working knowledge of Debtors and Collections processes in private healthcare
• Computer proficiency (MS office, Excel, etc.)