Job Responsibilities

Manage and oversee the hospital's end-to-end revenue cycle, covering eligibility verification, billing, medical claim submission, collection, and payment processes.

• Monitor and control revenue collection from cash patients, corporate clients, insurance companies, and government schemes, including NHSO, Social Security Office, and Civil Servant Medical Benefit Scheme.

• Analyze and resolve claim denials and claim rejections, including re-submission and appeals, to maximize revenue collection.

• Oversee accounts receivable management, analyze AR aging, and develop effective collection strategies to ensure outstanding receivables remain within the company's target.

• Establish and monitor credit limits and treatment guarantee limits for corporate clients and insurance companies.

• Manage credit risk, control bad debt, and monitor high-risk or overdue accounts.

• Prepare and analyze revenue, accounts receivable, and key Revenue KPIs, and present performance results and improvement plans to management.

• Lead and manage teams responsible for eligibility verification, billing, claims, and collection, including setting performance targets and developing team capabilities.

• Collaborate with Medical, Nursing, Accounting, Finance, IT, and other relevant departments to improve the overall revenue cycle process.

• Drive the enhancement and utilization of HIS / Billing Systems and related processes to improve efficiency, minimize revenue leakage, and reduce billing errors.

• Participate in negotiations and review credit terms, payment terms, and collection conditions with corporate clients and insurance companies.

Qualifications & RequirementsEducation

• Bachelor's degree or higher in Finance, Accounting, Business Administration, Economics, or a related field.

• A degree in Hospital Administration / Public Health or a certification in Revenue Cycle Management will be considered an advantage.

Experience

• 7–10 years of experience in Finance, Accounting, Credit Management, or Revenue Management.

• 3–5 years of experience in the hospital or healthcare industry.

• At least 3 years of experience in a supervisory or managerial role with team management responsibilities.

Functional Knowledge & Skills

• Strong knowledge and understanding of healthcare reimbursement schemes, including Social Security, Universal Coverage (Gold Card), Civil Servant Medical Benefit Scheme, and private health insurance.

• Good knowledge of Accounts Receivable, Credit Management, and relevant accounting standards.

• Understanding of Medical Coding, including ICD-10/ICD-9-CM, and DRG systems will be highly advantageous.

• Strong analytical and reporting skills, with good proficiency in Microsoft Excel and HIS systems.

• Strong leadership, team management, negotiation, communication, and stakeholder management skills.

• High attention to detail, integrity, and the ability to work effectively under pressure.

Working Conditions

• Full-time position based at the hospital during normal working hours. Overtime may occasionally be required depending on business needs.

• Occasional travel may be required to coordinate with external parties, such as insurance companies and government agencies.