Credit Controller - Acting Insurance & Revenue Cycle Manager
Neuro Spinal Hospital
Total years of experience :19 years, 1 Months
o Manage oversight operational activities of the Insurance department and related functions of the patient visit from point of entry to accurate adjudication of the patients’ accounts.
o Responsibilities include management of all insurance and corporate clients with a combination of comfort and profitability, involved in the planning and negotiation of tariffs, smooth implementation and handling of new insurance policies after agreement is signed, and management of all related operational issues with a primary focus on growth and profit maximization.
o Specific areas of responsibility include Billing, Collections, Patient Insurance, Data Processing, Integrity of Patient Accounts, Accounts Receivable Management.
o Procuring & handling pre-approvals, claims/e-claims submission processes and ensure timely submission and Re-submission of all invoices as per the agreed submission date with all Insurance and corporate Companies.
o Ensure to close and submit non-batched-non submitted claims regularly
o Monitor Insurance claims rejection percentage and to take measures/develop guidelines and suggestions to control the same.
o Conduct meetings with Insurance Companies at regular intervals to resolve the disputed issues related to rejection and re-conciliations till sign off.
o Function as the central point of contact for all the insurance clients.
o Resolve routine and complex enquiries of the patients, doctors and Insurance Companies.
o Continuous training to front office staff regarding Insurance Companies policies and procedures and ensure adherence to the same
o Ownership and full responsibility of the receivable functions.
o Monitors aged accounts and verifies appropriate collections procedures are being followed, monitor receipt allocation in the system as per payment details provided by the Insurance Companies.
o Ensure customers pay within their agreed payment terms, chasing payments.
o Conduct regular meetings with customers to build a strong relation with management and finance team
o Enforce credit policy and assure adherence to accepted standards
o Follow up on the credit notes/debit when issues are resolved with the customers .
o Perform DSO calculation monthly.
o Ensure monthly statements are prepared and send to customers
o Regularly meet with the finance director to give update on receivables and rejection.
o Post and reconcile all receivable account on System.
o Perform bank reconciliation and ensure all transactions are posted on system.
o Liaise with Company’s internal and external auditors for the periodic audits.
o Prepare and Dispatch Invoices, Statement after auditing and checking.
o Monitor and review rejected forms, invoices and advice for correction and changes.
o Scanning and reconciling the companies accounts and follow up for further settlement.
o Follow-up with customers seeking payment on outstanding invoices and work with them to explain balance due, by phone, mail and personal visits.
o Resolve customer’s problems and keep management informed of collection problems.
o Passing Receipt Entries for customer payments by recording cash, checks, and credit card transactions, and other adjustments.
o Prepare vouchers, invoices, account statements, and other records and review for accuracy.
o Posts Credit Notes and Debit Notes as per approval.
o Perform allocation of advances and co-payment receipt, unapplied cash, credit notes.
o Prepare Accounts Receivable Audit Schedules and reports.
o Reconcile and adjust General Ledger.
o Reviewing, preparing and analyzing accounts receivable aging reports.
o Responsible for all bills matching and receipts allocations.
o Prepare write-off report for rejected claims that will not be paid by insurance pass entries after getting approval.
o Reconcile customer Sub Ledger Account with General ledger Account make analysis report.
o Prepare report for monthly provision and pass provision entry.
o Monthly Closing of accounts.
o Other duties as delegated from time to time by the Finance Manager or any other person designated in their absence
Apply principles of accounting to analyze financial information and prepare financial reports by compiling information, preparing profit and loss statements, and utilizing appropriate accounting control procedures. Managing the reception as follow up and control on reservations, insurance approvals, and patient’s confirmation & follow up.
o Prepare profit and loss statements and monthly closing and cost accounting reports.
o Compile and analyze financial information to prepare entries to accounts, such as general ledger accounts, and document business transactions.
o Establish, maintain, and coordinate the implementation of accounting and accounting control procedures.
o Monitor and review accounting and related system reports.
o Prepare and review, revenue, expense, payroll entries, invoices, inward and outward bank transfers, cheques, company’s Petty Cash and other accounting documents.
o Explain billing invoices and accounting policies to staff, vendors and clients.
o Resolve accounting discrepancies.
o Recommend, develop and maintain financial data bases, computer software systems and manual filing systems.
o Supervise the input and handling of financial data and reports for the company's automated financial systems.
o Prepares the Balance Sheet at the end of the year and Interact with internal and external auditors in completing audits.
o Assist in tasks assigned by the Operations Manager.
o Support other receptionists.
o Additional duties include manage the reception in order to schedule appointments, organizes the facility's calendars, answering phones, entering data for the patient, handling cash, locating and organizing patient records and handling insurance documents.
Work closely with the Head of HR Central Services regarding HR Planning, budgeting, recruitment and HR policies and procedures.
o Assisted in the development and streamlining of HR policy guidelines and procedures for the bank.
o Responsible for compiling monthly, quarterly and annual statistical HR Reports tracking turnover, new hires, on boarding process, recruitment initiatives, etc.
o A member of the clerical recruitment team, responsible for prescreening and organization of new candidates.
o Set up interviews and testing centers for applicants.
o Responsible for drawing up employment contracts, and offer letters for new employees (Grades 1 - 12).
o Responsible for recruitment completion process / entry and update of all new employee information using ORACLE system and HRMS.
o Follow up with all candidates regarding unsigned offer letters or employment contracts, first point of contact for all queries or concerns.
o Excellent knowledge of HRMS (Human Resource Management System).
o Responsible for uploading of all employee job descriptions into HRMS.
o First point of contact for all managers completing performance appraisal, assisted in completion of forms and answering any questions or concerns raised.
o Developed excel spreadsheet to calculate performance appraisal and employee merit increases.
o Achieving accounts payable functions for construction expenses.
o Managed vendor accounts, generated weekly on demand cheques.
o In Control of financial departments responsible for, Payroll, Accounts Payable and Receivable.
o Ensured compliance with accounting deadlines.
o Handled the internal and external mail functions.
o Scheduled client appointments and maintained up-to-date confidential client files.