Membership and Billings Manager

Kaelo's mission is to provide quality and affordable healthcare that significantly improves the lives of all South Africans. We always look for the best talent not only to assist us on this mission but also to develop into tomorrow's leaders. The technology team at Kaelo is key to enabling this mission as we look to leverage the ever-changing technology landscape to deliver both organizational and service efficiency.

The Membership and Billings Manager, will manage the end-to-end membership and billings processes and the management of these operational teams.

They are responsible for the accurate onboarding and member maintenance as well as the reconciliation and maintenance of all Debtor accounts, attending to and resolving all internal and external queries.

The Billing and Membership Manager has the responsibility of ensuring that their teams carry out their responsibilities while keeping the team motivated and efficient.

KEY OUTCOMES (not limited to) Level 4 and 5 process elements

Onboarding and Maintenance of Policy Holders, Clients and Intermediaries

Profile and policy management

Maintenance of all stakeholder details

Manage Offboarding of Clients and associated stakeholders

Manage suspensions , resignations and terminations

Manage Billings Processes and Queries

Process and procedure effectiveness

Resolve billing issues and queries timeously, ensuring appropriate corrective action  

Maintain relationship with Intermediaries and HR department including scheduling for various bill runs and problem resolution

Onsite visits to Human resource departments and brokers from time to time to facilitate smooth operations

Ensure that all processes and procedures implemented are aligned to the set operational framework for the Billing Operations

Ensure that workflow continues without interruption

Prepare and Manage Billing Runs

Prepare, schedule and control bill runs and cycle sizes / migrations

Contribute towards continuous improvement and innovation at process and procedure level

Manage Billing Reconciliations

Manage Debt Outstanding

Manage Intermediary Commissions

Manage Premium Bordereaux

Financials    

Minimise operational and staff costs by controlling overtime

Develop and ensure adherence to work schedules

Ensure that expenditure remains within budget limits, control costs through the appropriate choices of low-cost processes and procedures

People and Team Management

People and team management

Ensuring participative leadership and strong communication within the team

Collaboration with all business areas

Coaching and peer to peer learning

Reporting and Information Management

Ensuring data and information is maintained and accurate for the business unit and its functions. Ensuring that volumes and strategic objective targets are met for the assigned business functions. Maintain data and information relevant to service and operations for the purpose of conducting analyses that influence service specific decision making. Proficiency in financial analysis, being able to identify opportunities and the development of financially viable long-term service and operation plans

Client and Perception Management

Responsible for assessing, clarifying, and validating the client and intermediary needs on an ongoing basis, maintaining high client satisfaction ratings that are up to the business’s standards

• Liaise with Client Relationship Managers regarding progress and updates

• Ensure process is complete by Billing Cycle cut off times

• Respond to queries regarding the membership process with both internal and external stakeholder

Best Practise and Continuous Improvement

Identifying opportunities by evaluating current business trends, best practise research and principles.

Working closely with all business units to enhance and promote positive feedback loops and improvements.

Works closely with all managers and teams coaching and mentoring the team’s development and professional skills.

Strategy

Implement and lead business and campaign strategies that lead to high client, intermediary and team satisfaction. Management of the team’s budgets, targets, performance objectives, standards and projects.

Collaboration and Communication

Improve and drive cross-functional team collaboration through accurate and focused forms of communication

SPECIAL REQUIREMENTS

Accuracy and attention to detail

Operate with integrity (high ethics)

Customer centricity

Ability to take initiative and work both in isolation and be a team player

REQUIRED

4-5 years’ experience in a billing and debt management business area

Credit control and Billing experience

Reconciliation experience

Membership management experience

PREFERRED

3 years + in a team leader role

Healthcare Industry Knowledge

EDUCATION: QUALIFICATIONS: ACCREDITATIONS WITH PROFESSIONAL BODY

REQUIRED

Matric

PREFERRED

Finance Related Qualification

TECHNICAL SKILLS OR KNOWLEDGE

REQUIRED

Computer literate, Microsoft Access

PREFERRED

Advanced Excel Skills

     Accountability

     Action orientated

     Communication

      Business writing and presentation skills

      Problem solving skills

     Creative thinking         

     Strong relationship skills

     Growth and development mind-set     

     Planning and organisation

     Resilient and adaptive     

     Systems thinking and connecting ability     

     Professional and brand conscious