Senior / Assistant Director (Billing Adjustment and Claims Management)

Do you thrive on the challenge of leading a high performing team at the intersection of finance, interface with patients and human compassion We are seeking a visionary, dynamic and strategic Assistant Director / Senior Assistant Director to shape the future of Healthcare Finance and lead our Billing Adjustment and Claims Management team. The role is critical in ensuring the accuracy, integrity, and timeliness of all billing adjustments and claims processing activities. This is not just a management position; it is a critical leadership role with the mandate to architect, influence and execute the financial experience for SGH patients. You will be the strategic force behind SGH revenue cycle, ensuring financial integrity while championing a seamless, emphatic and transparent journey for patients and their families.

You will lead a high-performing team responsible for the end-to end review, validation, and resolution of billing discrepancies, and also drives operational excellence by leveraging data-driven insights to enhance process efficiency, ensure regulatory compliance, and optimize performance tracking. You will oversee accurate and timely processing of claims, from submission through to approval, ensuring adherence to service standards and minimizing errors.

The role is ideal for a result-driven professional with strong analytical, operational, and leadership skills. Design and implement KPIs and performance analytics frameworks to monitor team productivity, enhance service quality, and drive continuous improvement

Key Responsibilities

• Lead, motivate and manage the end-to-end bill adjustment process, including the review of billing discrepancies, validation of supporting documents, and implementation of accurate corrections in the system.
• Oversee the monitoring, processing, and resolution of claims to ensure accurate approval and timely management of rejections or discrepancies.
• Develop and implement KPIs and performance analytics framework to monitor team productivity, enhance service quality and drive continuous improvement.
• Identify process gaps, implement improvements, and drive automation and quality initiatives to enhance accuracy, efficiency, and patients satisfaction
• Collaborate with internal departments / teams to ensure compliance with policies, governance requirements, and service-level agreements
• Prepare management reports and develop data dashboards for performance review or strategic decision-making

Qualifications

• Bachelor's degree in business administration, Finance, Healthcare management or related field(s)
• Minimum 8 years experience in claims management, billing operations or related leadership role
• Ability to manage teams and deliver measurable performance / improvements
• Possess strong analytical mindset with proficiency in data tools and performance dashboards
• Excellent communication, problem solving, and decision-making skills