Role Purpose
To oversee and take accountability for key Billing functions and as a result ensure that Momentum Health Solutions continues to efficiently and effectively provide leading administrative services to the Scheme and its members.
Requirements
- Matric
- Bachelor degree or equivalent qualification in a relevant field such as Business Administration, Finance, or Healthcare Administration
- Minimum of 8 years’ relevant management experience.
- Experience in the medical scheme financial accounting and reporting.
Duties and Responsibilities
PROCESS
- Strategically manage and lead the Billing Department to optimise operational efficiency and effectiveness.
- Enhance quality initiatives across all operational areas, resulting in improved accuracy and customer satisfaction.
- Liaise with relevant Managers to address major findings that impact service delivery, ensuring timely resolution and improved service performance.
- Implement performance enhancements across all business processes, leading to increased productivity and streamlined operations.
- Review and propose enhancements to current business processes within the department, resulting in improved efficiency and reduced errors.
- Support the planning and development of new system and business processes for the Member Services and Quality Assurance Departments, enabling seamless operations and improved customer experiences.
- Demonstrate leadership and complex organisational management skills, fostering a high-performing team and a positive work culture.
- Provide guidance, coaching, and mentoring to employees within the portfolio, fostering professional growth and development.
- Determine appropriate staffing levels, considering constant growth, to ensure adequate resources and efficient workload distribution.
- Monitor ongoing training and development needs of employees, resulting in a skilled and knowledgeable workforce.
- Achieve succession planning and develop employees to meet objectives and goals, ensuring a talent pipeline for future leadership positions.
- Create clear succession plans for key positions reporting directly to the portfolio, ensuring business continuity and smooth transitions.
- Manage staff performance in alignment with job descriptions, fostering accountability and a culture of high performance.
- Embed performance excellence practices to align team goals with the business scorecard, resulting in improved performance metrics.
- Intervene in areas requiring immediate attention to foster harmonisation and accelerate performance, resolving issues promptly and minimising disruptions.
- Effectively manage and optimise the department budget, ensuring financial resources are allocated efficiently and cost-effectively.
- Explore cost-saving mechanisms in all operational activities, identifying opportunities for cost reduction and improved financial performance.
- Manage relationships with internal and external stakeholders related to the Billing Department, fostering collaborative partnerships.
- Share thoughts and suggestions on performance and quality improvements within the department and the broader business, contributing to a culture of continuous improvement.
- Participate in business-related matters and provide input as required, ensuring effective decision-making and strategic alignment.
- Engage in industry and professional networks/forums to stay aware of standards, trends, and best practices, enhancing organisational knowledge and staying ahead of industry developments.
CLIENT
- Investigate client queries within agreed service levels and provide timely feedback, ensuring prompt resolution and customer satisfaction.
- Escalate client queries to the relevant department or stakeholder, facilitating efficient issue resolution and minimising customer frustration.
- Provide accurate information and advice to clients and stakeholders, ensuring their needs are met and they receive appropriate after-sales services.
- Regularly report on service delivery against agreed service level agreements and customer targets, demonstrating transparency and accountability.
- Provide authoritative expertise and advice to clients and stakeholders, fostering trust and building long-term relationships.
- Build and maintain relationships with clients and internal and external stakeholders, promoting collaboration and effective communication.
- Deliver on service level agreements with clients and stakeholders to manage client expectations and maintain high service standards.
- Make recommendations to improve client service and fair treatment within the scope of responsibility, enhancing overall customer experience.
- Foster a culture that builds rewarding relationships, facilitates feedback, and provides exceptional client service, ensuring customer loyalty and satisfaction.
PEOPLE
- Develop and maintain productive and collaborative working relationships with peers and stakeholders, fostering teamwork and effective collaboration.
- Positively influence and actively participate in change initiatives, promoting a culture of adaptability and continuous improvement.
- Continuously develop expertise in professional, industry, and legislative knowledge, enhancing personal and team capabilities.
- Contribute to continuous innovation by developing, sharing, and implementing new ideas, driving process improvements and operational efficiencies.
- Take ownership of driving career development, fostering personal growth and advancement opportunities for oneself and team members.
FINANCE
- Contribute to the financial planning process within the area, ensuring accurate budgeting and resource allocation.
- Identify opportunities to enhance cost-effectiveness and increase operational efficiency, resulting in improved financial performance.
- Manage financial and other company resources under your control responsibly, ensuring compliance with financial policies and regulations.
- Provide input into risk identification processes and communicate recommendations in the appropriate forum, mitigating potential financial risks and promoting sound decision-making.
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