
Healthcare Billing Operations Manager
1 day ago
The Healthcare Billing Operations Manager plays a pivotal role in leading billing excellence while driving the transformative implementation of healthcare systems. This position offers the opportunity to shape processes, develop teams, and make a direct impact on finance operations.
Key Responsibilities- Billing & Charging Roles:
- Administer charging and billing rules in SAP-ISH & eCCAP systems to ensure compliance with established policies and procedures.
- Maintain master records in SAP-ISH & eCCAP that control billing system configurations.
- Ensure timely and accurate charging to patient accounts and oversee third-party payor claim submissions (e.g., CPF Board, private medical insurers, MCPS, etc.).
- Represent billing operations in inter-department meetings and collaborate on issues affecting patient billing.
- Team Leadership & Supervision:
- Lead a team of billing staff to achieve departmental KPIs and operational targets.
- Schedule work assignments and allocate resources for adequate coverage.
- Set clear expectations, manage staff career development, and foster a positive team culture.
- Customer Service:
- Handle public enquiries and complaints efficiently, courteously, and professionally.
- Provide clear explanations for billing enquiries from patients and family members.
- Escalate complex situations and collaborate with other departments for prompt service recovery and patient satisfaction.
- Purchased Services Management:
- Oversee purchased services from external parties for accurate and timely charging to patient bills.
- Administer purchase and charging of specialized nursing non-stocked items consumed or used by the wards.
- Conduct regular compliance audits.
- System Enhancement & Roll-Outs, National Billing System (NBS):
- Represent billing operations in user requirement gathering and User Acceptance Testing for system enhancements.
- Establish SOPs and train staff for system implementations and new service roll-outs.
- Support the implementation of NBS as the designated expert user and/or primary trainer.
- Analyze, identify, and report gaps between existing business requirements and NBS functionalities and establish new SOPs and work instructions.
- Represent billing operations in discussions with vendors and external stakeholders regarding billing and finance systems.
- Others:
- Provide management decision support through data extraction, collation, and business analysis as required.
- Ensure timely reporting to stakeholders.
- Facilitate external audits and respond to auditor requirements and queries.
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