Group Collections Manager

SUMMARY:
An emerging private hospital group who develop and manage their portfolio hospitals by serving rural and peri-urban clients across three provinces is looking for an experienced Group Collections Manager.

POSITION INFO:
As the Group Collections Manager for their hospital group, you will lead the revenue collection process across multiple healthcare facilities within their organization. Your role will involve overseeing the credit risk management process and the overall management of accounts receivable department. The objective of the department is to maximize revenue collections.

Duties will include but not be limited to:

• Oversee the end-to-end revenue collection cycle process
• Monitor daily billings across all facilities to set weekly collections targets for Credit Controllers
• Develop and implement strategies to optimize revenue collection, reduce accounts receivable days, and minimize revenue leakage
• Prioritize high value accounts aligned to Medical Scheme payment runs
• Analyze claims denials and rejections to identify root causes and implement corrective actions to improve clean claim rates
• Collaborate with Patient Administration Department, and payers to resolve denied claims and expedite payment.
• Escalate unresolved issues to Financial Managers at facilities for resolution where necessary
• Monitor accounts receivable aging reports and follow-up on outstanding balances to ensure timely payment.
• Implement effective collections strategies, including patient payment plans, payment posting, and third-party billing.
• Provide guidance and support to patients regarding insurance coverage, benefits, and financial assistance options
• Develop processes to assist patients in understanding their financial responsibilities and facilitate payment arrangements
• Negotiate and manage contracts with third-party payers to optimize reimbursement rates and ensure contract compliance

• Bachelor's degree in healthcare administration, finance, business, or related field. Master's degree preferred
• Minimum of 5 years of experience in healthcare revenue cycle management, with a focus on collections and accounts receivable
• Strong knowledge of healthcare billing processes, coding systems, and reimbursement methodologies
• Familiarity with healthcare regulations, compliance requirements, and payer policies
• Excellent analytical, problem-solving, and communication skills
• Proficiency in revenue cycle management software and billing systems

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