Collection & Claims Manager

Saint George Medical Center- Ajaltoun

As a Collection & Claims Manager, responsible for leading and overseeing the collection operations to ensure timely and accurate recovery of receivables from third-party payers (TPPs). Manages all aspects of TPP contracts, including renewals, compliance, and follow-up on outstanding invoices, discounts, and annual rebate settlements. Reviews and analyzes monthly delivery and payment reports, identifies discrepancies or delays, and implements effective corrective actions to maintain performance and service quality. Collaborates with senior management to evaluate and enhance collection standards, streamline processes, and ensure alignment with quality and cost-efficiency goals. Prepares comprehensive annual reports on TPP activities, supports budget planning and control, and provides strategic recommendations to optimize cash flow and operational efficiency.

Job Requirements:

Education & Experience:

• Bachelor s degree in Accounting, Finance, Business Administration, or a related field.
• Minimum of 4 years of experience in collections, claims management preferably within the healthcare or insurance sector.
• Proven experience in managing third-party payer (TPP) relationships and contract administration

Skills:

• Strong leadership, supervisory, and team management skills.
• In-depth knowledge of billing, collection, and claims reconciliation processes.
• Excellent analytical, problem-solving, and negotiation abilities.
• Strong understanding of healthcare or insurance billing regulations and compliance requirements.
• Exceptional communication and interpersonal skills for effective collaboration with internal departments and external partners.
• Ability to work under pressure and meet deadlines
• Ability to manage multiple tasks.
• Good Computer Skills
• Good command of both Arabic and English, written and spoken.