Revenue and Contracts Manager (Hospital)

Akessa Healthcare Group is looking for an experienced, dynamic and organised Revenue and Contracts Manager to join our finance team. This is an exciting time to join a highly reputable organisation and support the highest standards of care. The role has arisen from the expansion of our clinical services and revenues.

The appointee reports to the Chief Finance Officer.

Please note

• This appointment is for a motivated and ambitious individual.
• Our colleagues lead by example.
• Akessa Healthcare does not support hybrid working.
• Akessa Healthcare is expanding, and there are ample opportunities for personal and career development in this role.

Above all else, we’re committed to the care and improvement of human life. This guiding vision influences everything we do at Akessa Healthcare. From the CEO to colleagues on the wards, we all have a part to play in delivering exceptional care to our patients. Others may see this as just a finance role, but to us you’ll be part of a wider team with a unique sense of purpose, one that helps improve lives every day. We are looking for candidates who want a long-term position and have clear career development goals.

About us

Akessa Healthcare Group owns and operates several boutique independent hospitals, including The New Foscote Hospital, The Royal Buckinghamshire Hospital and 107 Harley Street.

The New Foscote Hospital has been established in Banbury for over 40 years and has provided services and treatments to thousands of people from across the region. We have over [number] consultants, all leaders in their specialist fields, who choose to hold their private practices here. They work alongside our friendly, highly qualified and experienced nursing and support teams.

The Royal Buckinghamshire Hospital was established in Aylesbury in 1832. Ownership transferred to our management team in January 2023, and the hospital now provides clinical care to private, insured and NHS patients, with a strong ethos of caring for our staff. Since 2023 it has undergone a multimillion-pound refurbishment.

107 Harley Street is an outpatient, diagnostic and day-case facility. The Group has had a presence in the Harley Street area since 2010. Treatments offered there include oral and maxillofacial surgery, dermatology, orthodontics and specialist dentistry, plastic and cosmetic surgery, general surgery and rheumatology.

Akessa Healthcare is managed and run by clinicians. Our organisation has strong IT, operational, clinical governance and accountancy support, and all colleagues are encouraged to feel empowered and to have an active voice in the management of their services.

The team takes great pride in what we do. The clinical outcomes at The New Foscote Hospital are among the best in the world, and the latest CQC report rated the hospital “Good” across all areas. The hospital has been rated among the top 10 hospitals in the UK, private and NHS, for patient experience.

Core responsibilities

• Full management of, and accountability for, the entire billing cycle across the hospital group
• Accurate billing of all charges relating to hospital activity
• Acting as the escalation point for the billing team
• Continuously improving processes to maximise revenue capture and prevent revenue leakage
• Leading / supporting the COO on contract negotiations with private medical insurers (PMIs)

What you will be doing

• Billing and credit control
• Manage the billing team
• Own full-cycle billing of all charges, including credit control and rebilling (B2B and B2C)
• Raise charges for all patient and non-patient accounts on the Compucare system
• Calculate and issue quotations for self-pay patients
• Ensure all accounts are raised and billed within the required timeframe
• Ensure all invoices are successfully submitted via EDI, and investigate and correct failed invoices in line with KPI targets
• Process, receipt and post all payments to the relevant accounts
• Process and pay supplier accounts when required
• Complete monthly reporting and reconciliations
• Analyse revenue monthly to identify gaps and leakage, and carry out ad hoc analysis
• Assist patients, consultants and medical secretaries with billing and PMI queries

Contracts and commercial

• Develop, negotiate and maintain contracts with all private medical insurers (PMIs)
• Act as the primary transactional contact between PMIs and Akessa Healthcare
• Support the COO in contract negotiations, including renewals and new agreements
• Assist in developing innovative commercial proposals and product offerings
• Ensure funder agreements are delivered successfully, both transactionally and operationally
• Manage the resolution of issues arising from hospital–funder relationships
• Ensure contractual arrangements meet financial targets and legal and regulatory requirements, with an emphasis on analysing cost and utilisation data
• Take part in approving all contract documents, from pre-contract to post-signature
• Ensure contract documents and supporting documentation are completed accurately
• Develop and maintain processes that give timely notice of key contract events, such as renewals, terminations and due dates
• Maintain relationships with PMIs and other funders, keep contracts current, and review fee schedules annually to identify opportunities for additional services, policy changes and improved tariffs
• Communicate contractual terms to the billing and bookings teams, and keep staff informed of changes to insurer and billing policies
• Produce regular reports on the status of all contracts
• Ensure contract terms are entered accurately into the database and all contracting processes are complete
• Identify and promote improvements to existing contracts
• Maximise value from our existing commercial relationships and from new opportunities
• Actively seek new contract opportunities, pursuing them through in-house bids or with external bid-writing partners
• Act as the lead point of contact for contract management, ensuring all issues are addressed
• Assist with contracting administration and projects as needed

Working with others

• Be an integral member of the Finance team
• Work in close partnership with other departmental managers and operational teams
• Maintain excellent written and verbal communication with all internal and external customers
• Help set strategic business goals with the CFO and wider leadership team

Who we are looking for

Essential

• Proven experience managing billing, revenue or credit control in a UK private hospital or independent healthcare setting
• Thorough working knowledge of private medical insurer (PMI) billing, including Bupa, AXA Health, Aviva, Vitality and WPA
• Experience of electronic billing via Healthcode, including EDI submission and resolving failed or rejected invoices
• Experience of self-pay pricing and patient quotations
• Experience of managing and developing a billing or finance team
• Experience of negotiating, managing or renewing contracts with insurers or other funders
• Strong analytical skills, with the ability to identify revenue leakage and present findings clearly to senior management
• Advanced Excel skills, including pivot tables and lookups
• Experience of month-end reporting and reconciliations
• Excellent written and verbal communication skills, with the confidence to deal with insurers, consultants, medical secretaries and patients
• Strong organisational and time management skills, with the ability to work to deadlines and KPIs
• High standards of accuracy and attention to detail
• Commitment to our Core Values: Professional Service, Clinical Excellence, Quality Care
• Demonstration of our Five CIVIC Duties: Community, Integrity, Vigour, Innovation, Compassion

Desirable:

• Experience of the Compucare patient administration and billing system
• Working knowledge of CCSD schedule codes and clinical coding (OPCS-4 and ICD-10) as they apply to billing
• AAT qualification, or part-qualified CIMA/ACCA
• Experience of NHS-funded activity in an independent hospital, including invoicing via the relevant contracts
• Experience of preparing commercial proposals, tenders or bids
• Knowledge of the CMA Private Healthcare Market Investigation Order and the PHIN requirements on fee transparency
• Experience of working across more than one hospital site

Pay: From £65,500.00 per year

Benefits:

• Company pension
• Cycle to work scheme
• Discounted or free food
• Employee discount
• Employee mentoring programme
• Free flu jabs
• Free parking
• On-site parking
• Private medical insurance
• Sick pay
• Store discount

Ability to commute/relocate:

• Aylesbury HP19 9AB: reliably commute or plan to relocate before starting work (required)

Experience:

• UK health care: 1 year (required)

Location:

• Aylesbury HP19 9AB (preferred)

Work Location: In person