Credit Controller at Ciala Hospital

Qualifications & Requirements

Applicants must meet the following 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

Key Responsibilities

The successful candidate will be expected to:

• 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