Company Overview

At Ciala Hospital, we are committed to providing exceptional healthcare services to our patients with compassion, expertise, and the latest medical advancements. With a team of dedicated professionals and state-of-the-art facilities, we strive to be a leading healthcare provider in our community.

Job Summary

The Credit Controller will oversee the hospital’s credit control and claims management function, ensuring timely recovery of outstanding balances and efficient revenue cycle management.

Key Responsibilities

• Oversee the hospital’s credit control and claims management function
• Supervise claims officers and ensure timely submission, follow-up, and resolution of insurance claims
• Monitor and manage hospital debtor accounts, ensuring timely recovery of outstanding balances
• Liaise with SHA and private insurers to resolve claim queries, rejections, and payment delays
• Review and approve claims submissions for accuracy, completeness, and compliance
• Develop and implement credit control policies, procedures, and reporting frameworks
• Prepare regular reports on claims performance, outstanding debts, and revenue cycle efficiency
• Support pre-authorization, billing validation, and insurance verification processes
• Ensure compliance with insurance policies, hospital procedures, and regulatory requirements
• Drive continuous improvement in claims turnaround time and revenue collection efficiency
• Provide leadership, training, and mentorship to the claims and billing team

Qualifications and Requirements

• Diploma or Degree in Clinical Medicine, Business Administration, Finance, Health Records, or any other relevant field
• Minimum of five (5) years’ relevant experience as a Claims Officer or Credit Controller in a busy hospital setting
• Strong and proven knowledge of SHA (Social Health Authority) and private insurance claims processes
• Demonstrated experience in credit control, revenue cycle management, and debt recovery in a healthcare environment
• Strong leadership skills with ability to supervise, guide, and develop a team
• Experience in handling claim escalations, rejections, reconciliations, and insurer negotiations
• Strong analytical, financial, and reporting skills
• Proficiency in hospital management systems and insurance billing workflows will be an added advantage
• High level of accuracy, integrity, accountability, and attention to detail
• Excellent communication, negotiation, and stakeholder management skills
• Ability to work under pressure and meet strict financial and reporting deadlines

• Oversee the hospital’s credit control and claims management function
• Supervise claims officers and ensure timely submission, follow-up, and resolution of insurance claims
• Monitor and manage hospital debtor accounts, ensuring timely recovery of outstanding balances
• Liaise with SHA and private insurers to resolve claim queries, rejections, and payment delays
• Review and approve claims submissions for accuracy, completeness, and compliance
• Develop and implement credit control policies, procedures, and reporting frameworks
• Prepare regular reports on claims performance, outstanding debts, and revenue cycle efficiency
• Support pre-authorization, billing validation, and insurance verification processes
• Ensure compliance with insurance policies, hospital procedures, and regulatory requirements
• Drive continuous improvement in claims turnaround time and revenue collection efficiency
• Provide leadership, training, and mentorship to the claims and billing team

• Strong leadership skills
• Strong analytical, financial, and reporting skills
• Proficiency in hospital management systems and insurance billing workflows
• High level of accuracy, integrity, accountability, and attention to detail
• Excellent communication, negotiation, and stakeholder management skills
• Ability to work under pressure and meet strict financial and reporting deadlines
• Strong and proven knowledge of SHA (Social Health Authority) and private insurance claims processes
• Demonstrated experience in credit control, revenue cycle management, and debt recovery in a healthcare environment
• Experience in handling claim escalations, rejections, reconciliations, and insurer negotiations

• Diploma or Degree in Clinical Medicine, Business Administration, Finance, Health Records, or any other relevant field
• Minimum of five (5) years’ relevant experience as a Claims Officer or Credit Controller in a busy hospital setting