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Develop and implement strategies to improve debtor recovery rates and reduce outstanding accounts.
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Monitor key revenue cycle performance indicators and implement corrective actions where required.
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Identify and address gaps in revenue and debtor cycle and adequately mitigate risks across facilities.
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Implement effective debtor management strategies to improve cash flow.
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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.
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Monitor ageing analyses and ensure collection targets are achieved.
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Escalate complex collection matters and negotiate payment arrangements where necessary.
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Identify trends on billing inaccuracy’s and short payments and implement long term solutions.
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Manage provisions for doubtful debts and recommend write-offs in accordance with company policy.
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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
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Ensure timely reconciliation of revenue and billing transactions.
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Monitor scheme reimbursement trends and address payment delays, rejections, and underpayments.
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Analytical work under the guidance and instruction from Executives.
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Ensure compliance with scheme rules, coding requirements, authorization protocols, and contractual agreements.
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Support negotiations and implementation of billing-related changes impacting revenue recovery.
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Prepare and present billing, collections, debtor ageing, and revenue cycle reports to senior management.
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Provide analysis of billing trends, collection rates, denied claims, and revenue performance.
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Develop dashboards and KPIs to support decision-making.
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Matric,
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Related Bachelor’s degree (Accounting, Finance, Business Administration, Healthcare Administration, or related field).
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Relevant healthcare revenue cycle and/or medical billing (ICD 10 coding) certification
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Professionally Qualified Nurse (advantageous)
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At least 8-10 years' experience in billing, accounts receivable, revenue cycle management, or healthcare finance.
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At least 5 years' management experience leading multi-site billing and accounts teams.
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Proven experience within a private healthcare, hospital, medical scheme, or healthcare services environment.
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Experience managing large debtor portfolios and complex reimbursement processes.
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Strong understanding of healthcare funding models and medical aid environments.
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Experience in standardising processes and driving innovation.
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