Group Accounts Manager

Melomed Private Hospitals · Western Cape

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Description

  • Develop and implement strategies to improve debtor recovery rates and reduce outstanding accounts.
  • Monitor key revenue cycle performance indicators and implement corrective actions where required.
  • Identify and address gaps in revenue and debtor cycle and adequately mitigate risks across facilities.
  • Implement effective debtor management strategies to improve cash flow.
  • Oversee the Group's debtors book and collection activities in conjunction with the Credit control Manager, Group Coding Supervisor and all other relevant departments and persons.
  • Monitor ageing analyses and ensure collection targets are achieved.
  • Escalate complex collection matters and negotiate payment arrangements where necessary.
  • Identify trends on billing inaccuracy's and short payments and implement long term solutions.
  • Manage provisions for doubtful debts and recommend write-offs in accordance with company policy.
  • Ensure processes are in place and that the billings and credit control teams manage the prompt resolution of long outstanding billing disputes and account queries
  • Ensure timely reconciliation of revenue and billing transactions.
  • Monitor scheme reimbursement trends and address payment delays, rejections, and underpayments.
  • Analytical work under the guidance and instruction from Executives.
  • Ensure compliance with scheme rules, coding requirements, authorization protocols, and contractual agreements.
  • Support negotiations and implementation of billing-related changes impacting revenue recovery.
  • Prepare and present billing, collections, debtor ageing, and revenue cycle reports to senior management.
  • Provide analysis of billing trends, collection rates, denied claims, and revenue performance.
  • Develop dashboards and KPIs to support decision-making.

Requirements

  • Matric,
  • Related Bachelor's degree Accounting, Finance, Business Administration, Healthcare Administration, or related field.
  • Relevant healthcare revenue cycle and/or medical billing ICD 10 coding certification
  • Professionally Qualified Nurse advantageous
  • At least 8-10 years' experience in billing, accounts receivable, revenue cycle management, or healthcare finance.
  • At least 5 years' management experience leading multi-site billing and accounts teams.
  • Proven experience within a private healthcare, hospital, medical scheme, or healthcare services environment.
  • Experience managing large debtor portfolios and complex reimbursement processes.
  • Strong understanding of healthcare funding models and medical aid environments.
  • Experience in standardising processes and driving innovation.
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