Group Head of Claims & Billing

Mater Private Network is seeking a highly motivated and experienced Group Head of Claims & Billing to join our executive team.

Purpose of the role

The Group Head of Claims & Billing is a pivotal role responsible for the end-to-end management of financial transactions related to patient billing and insurance claims. This position ensures the accurate processing of financial data from the hospital to health insurers, optimizing revenue capture, minimizing claim denials, and driving operational efficiencies across a large and complex team.

The Group Head of Claims & Billing plays a critical role in managing relationships between the hospital network, patients, consultants, and insurers. This role is also accountable for leading a large team and delivering a strategic transformation of the claims function, leveraging digital tools, automation, and lean process improvements to drive efficiency, reduce denials, and improve cash flow and margin assurance.

Scope of the role

The Group Head of Claims & Billing will lead a best-in-class billing and claims function that ensures timely, accurate, and compliant financial transactions, supporting the sustainability of Mater Private Network while delivering a seamless financial experience for patients and insurers. This role spans the full claims and billing lifecycle, from patient registration and verification to claim submission, insurer reimbursement, and financial reconciliation.

Skills & qualifications

• Minimum 5 years of successful experience as Head of Claims & Billing or similar in businesses of sufficient scale and complexity.
• Advanced financial modeling and Excel skills are essential.
• Ability to influence others and work across the organization to deliver financial budgets and reporting with appropriate market insights and commercial analytics.
• Ability to distill complex information into a clear and concise narrative and create effective financial presentations.
• Successful experience in driving performance improvement initiatives.
• Proven people leadership skills.
• Industry knowledge is an advantage.
• Excellent analytical and organizational skills.
• Strong project management skills with a record of developing and strengthening systems and processes.

 A full job description is available by request.

Apply now

MATER PRIVATE NETWORK IS AN EQUAL OPPORTUNITIES EMPLOYER