Position Summary: The Lead, Billing plays a pivotal role in overseeing the billing operations, ensuring accurate and timely processing of patient invoices, and optimising revenue cycle management practices.

This position is responsible for driving revenue performance, ensuring compliance with healthcare regulations, and leading a team to support the hospital’s financial health. It requires strong leadership and strategic planning to achieve operational efficiency and maintain high levels of patient satisfaction.

Core Working Relationships/Key Stakeholders

Internal on-site

• Clinical Staff, Medical Records Department, Front Desk Staff, Finance and Accounting Team, Management, All Department Heads

External

• Patients, Insurance  Providers,  Regulatory  Authorities,  Locum  Surgeons,  Third-Party

Accountabilities:

Shall work with and under the supervision of the Group Head, Billing, Transaction Services, and Settlement.

Key Responsibilities

• Lead and manage the billing team, fostering collaboration and
• Assign responsibilities, set performance targets, and conduct regular
• Provide training to team members to enhance their skills and
• Oversee the preparation and submission of patient invoices, ensuring accuracy and
• Supervise the submission of insurance claims, monitoring for prompt
• Ensure that billing procedures align with the hospital’s financial goals and compliance standards.
• Optimize the hospital’s revenue cycle by reducing claim denials and identifying areas for
• Monitor key performance indicators (KPIs) such as accounts receivable ageing and denial rates, and implement corrective actions to maximise revenue.
• Collaborate with clinical and finance departments to ensure proper coding and documentation for billing.
• Conduct regular audits of billing records to ensure compliance with regulations and minimize
• Stay informed of the latest healthcare billing regulations and implement necessary adjustments to ensure
• Ensure that patient information and billing records are secure and confidential, adhering to all legal
• Identify and implement process improvements to streamline billing operations and enhance
• Leverage technology to automate billing workflows and increase
• Monitor trends in billing practices and recommend strategies for continuous
• Address patient inquiries and concerns regarding billing with professionalism and
• Ensure that the billing team provides clear and accurate information to patients about their bills, insurance claims, and payment options.
• Foster positive relationships with insurance companies to ensure efficient claims processing and dispute resolution.

Qualifications and Competencies

• HND/Bachelor’s degree in social sciences, accounting, or a related field (preferred).
• Additional certification in healthcare billing or revenue cycle management is an

Experience

• A minimum of 5 years of experience in healthcare billing, revenue cycle management, or healthcare finance.
• At least 2 years of experience in a leadership or supervisory
• Experience with healthcare billing software and Electronic Medical Records (EMR)

Key Skills

• Strong leadership and team management
• Proficiency in healthcare billing processes, insurance claim management, and regulatory
• Analytical skills for revenue cycle optimization and problem
• Excellent communication and interpersonal skills, with the ability to handle patient inquiries
• Attention to detail and the ability to manage multiple tasks

Personal Qualities

• Dependable and responsible in overseeing billing operations and team
• Strong commitment to patient confidentiality and data
• Ability to remain calm and focused under pressure, especially when dealing with complex billing issues.
• Willingness to embrace continuous learning and stay updated on industry trends and regulatory changes.