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.