Group Accounts Manager (Southern Suburbs (Cape) at Melomed Private Hospitals

Description

Revenue Cycle Management

• 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. 

Debtor & Cashflow management

• 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.

Medical Aid Schemes and Funder management

•  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.

Reporting and Data Analysis

• 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
• Qualified CA (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.