Director, Patient Billing Services

Company description:

In September 2020, WH introduced the GPFirst Programme in the North and opened the first community-based Urgent Care Centre at Kampung Admiralty making urgent care more accessible to residents living nearby.

Job description:

• Oversee the overall management of the billing and claims office, ensuring accurate and timely bill generation and claims submission.
• Lead and optimise the Financial Counselling (FC) process and system.
• Supervise a team responsible for financial counselling, billing, collections, and patient billing and claims queries, ensuring smooth daily operations.
• Drive continuous improvements in operational efficiency across FC, billing, collections, and refund processes.
• Liaise with MOH, CPF Board, and other relevant authorities on healthcare finance policies, ensuring compliance and timely communication of changes to ground operations.
• Lead enhancements to billing systems in response to Medisave, MediShield, and MediFund policy changes, ensuring compliance with hospital standards and government regulations.
• Administer and track MediFund applications, ensuring timely reporting to the Hospital MediFund Committee and MOH.
• Optimize patient receivables collection and manage financial risk exposure in collaboration with 1FSS.
• Coordinate MediFund and Medisave audits, liaising with auditors to ensure compliance.
• Analyse and interpret billing and claim data to identify trends and drive process improvements.
• Review and maintain policies, SOPs, IT systems, and manpower resourcing to support operational efficiency.
• Drive process automation, digital transformation, and AI-driven enhancements in billing and claims operations.
• Lead change management initiatives, ensuring smooth implementation of new policies and system upgrades.
• Contribute to hospital-wide projects, including IT enhancements and operational improvement initiatives.

• Bachelor's degree in business administration, Healthcare Administration, Finance, or a related field.
• At least 15 years of experience in a senior leadership, with a strong track record in hospital billing, claims management, or healthcare finance operations.
• Strong familiarity with hospital information systems, billing and claims software, and electronic health records.
• Excellent leadership and stakeholder management skills, with experience engaging regulatory bodies (e.g., MOH, CPF Board, 1FSS) and senior leadership.
• In-depth knowledge of Medisave, MediShield, MediFund, and other national healthcare financing schemes, including audit and compliance requirements.
• Proven ability to drive process improvements, system enhancements, and technology adoption, including AI-driven solutions.
• Strong change management skills, ensuring smooth policy implementation and system integration.
• Analytical and problem-solving mindset, with the ability to interpret data and drive operational improvements.
• Excellent communication and interpersonal skills, with the ability to work effectively across diverse teams.