Job Summary
Responsible
for managing the credit and collections process, ensuring timely and efficient
collection of receivables, and minimizing financial risk associated with
patient accounts. The role involves working closely with patients, insurance
companies, and internal departments to ensure accurate billing and prompt
payment.
Key Responsibilities:
Credit
Assessment and Approval:
- Assess the creditworthiness of patients and
third-party payers
- Establish credit terms for patients based on
hospital policies and patient financial information
- Accounts Receivable Management:
- Monitor patient accounts to ensure timely
collection of outstanding balances
- Conduct regular reviews of overdue accounts and
take appropriate actions to recover outstanding debts
- Prepare and distribute monthly aging reports to
the finance manager and relevant departments
Patient Billing and Collection:
- Ensure accurate and timely billing of patient
accounts
- Follow up with patients and insurance companies
on unpaid or disputed bills
- Provide clear communication to patients
regarding their financial obligations and available payment options
- Insurance Claims Management:
- Work with insurance companies to resolve denied
or delayed claims
- Ensure proper documentation and submission of
claims to maximize reimbursement
- Follow up on outstanding insurance claims and
appeals
Reporting
and Analysis:
- Prepare and present regular reports on credit
and collection activities
- Analyze trends and provide insights and
recommendations for improvement
- Ensure accurate and up-to-date records of all
credit and collection activities
Compliance
and Risk Management:
- Ensure compliance with relevant laws and
regulations related to healthcare billing and collections
- Identify and mitigate potential credit risks to
the hospital
- Collaborate with the finance team to manage bad
debt provisions and write-offs
- Customer Service and Relationship Management:
- Maintain regular contact with patients to ensure
timely payments and resolve any issues related to billing and collections
- Build and maintain strong relationships with
insurance companies and other third-party payers
- Provide excellent customer service to patients
and their families regarding their financial obligations
Qualifications and Skills:
Education:
- Bachelor’s degree in Finance, Accounting or a
related field
Experience:
- Minimum of 3-5 years of experience in credit
control, accounts receivable, or a similar role, preferably in a
healthcare setting
Technical
Skills:
- Proficiency in healthcare billing software and
Microsoft Office Suite, particularly Excel
- Knowledge of healthcare billing and insurance
claim processes
Soft
Skills:
- Strong analytical and problem-solving skills
- Excellent communication and interpersonal skills
- Ability to work under pressure and manage
multiple tasks simultaneously
- High level of accuracy and attention to detail
- Empathy and understanding when dealing with
patients in financial distress
How to Apply
