Credit Control Lead

About The Role

• We are seeking an experienced, proactive, and results-oriented Credit Control Lead to manage the hospital's credit control and accounts receivable function. The role is responsible for ensuring timely collection of revenue, maintaining healthy cash flows, managing relationships with insurers and corporate clients, and driving continuous improvement in the hospital's revenue cycle processes.

Key Responsibilities

Credit Control & Collections

• Lead the hospital's debt collection and accounts receivable activities to ensure timely recovery of outstanding balances;
• Monitor debtor aging and implement strategies to reduce overdue accounts and improve cash collections;
• Follow up with insurance companies, corporates, and individual patients on outstanding payments;
• Ensure collection targets and key performance indicators are achieved;
• Escalate long, outstanding accounts and recommend appropriate recovery actions;

Insurance & Corporate Account Management

• Manage relationships with insurance companies, medical schemes, TPAs, and corporate clients;
• Coordinate timely submission and follow up of invoices, claims, and supporting documentation;
• Monitor claim rejections, underpayments, and disputes, ensuring prompt resolution;
• Conduct account reconciliations with payers and resolve discrepancies to facilitate payment;

Revenue Cycle Management

• Work closely with Billing, Claims, Admissions, Clinical, and Finance teams to ensure accurate charge capture and billing;
• Identify bottlenecks within the revenue cycle and implement corrective measures to improve collections;
• Support initiatives aimed at reducing claim denials and improving clean claim submission rates;
• Ensure adherence to contractual billing requirements and agreed payment terms;

Reporting & Analysis

• Prepare and present debtor aging reports, collection performance reports, and cash flow forecasts;
• Analyze payment trends and identify collection risks, revenue leakage, and opportunities for improvement;
• Provide management with actionable recommendations to improve debtor management and revenue collection;

Team Leadership

• Supervise, coach, and develop Credit Control Officers and Accounts Receivable staff;
• Set performance objectives and monitor team productivity;
• Foster a culture of accountability, customer service excellence, and continuous improvement;

Compliance & Process Improvement

• Ensure compliance with hospital financial policies, contractual obligations, and regulatory requirements;
• Support internal and external audits relating to receivables and collections;
• Develop and enhance credit control policies, procedures, and workflows to improve operational efficiency;
• Participate in system enhancement and automation projects aimed at strengthening revenue cycle management;

Qualifications & Experience

• Bachelor's Degree in Finance, Accounting, Commerce, Business Administration, or a related field
• CPA(K), ACCA, or equivalent professional qualification
• Minimum of 5 years' experience in credit control, accounts receivable, revenue cycle management, or a similar role
• Experience within a hospital, healthcare provider, or insurance company, is a must – do not apply if you have not worked in the industries specified
• Demonstrated experience managing collections, debtor reconciliations, and payer relationships

Skills & Competencies

• Strong understanding of accounts receivable and credit management principles
• Excellent analytical and financial reporting skills
• Strong negotiation, communication, and stakeholder management abilities
• Proficiency in ERP systems, Hospital Information Systems (HIS), and Microsoft Excel
• Strong leadership and team management skills
• High level of integrity, attention to detail, and results orientation