elegancia healthcare
Manager – Revenue Cycle Management (Healthcare) Jobs in Qatar
Job purpose:
To supervise and oversee staff in duties pertaining to patient billing, communications with health insurance, collections, cash posting, account management, and contract analysis. Assist with strategic planning regarding the clinical enterprise, providing highly specialized, thorough, and complete reviews and reports of the various phases of the clinical revenue cycle. Analyze and present data in various formats and levels to hospital leaders and other leadership and make recommendations for changes to the revenue cycle as deemed appropriate with the goal of maximizing revenue and reducing rejections rates.
Main tasks and responsibilities (the position exist to perform the below tasks and essential activities)
Contribute to the development and execution of the finance departmentโs short to mid-term plans to ensure alignment with the healthcareโs strategic priorities and contribute to the development of annual business plans for the assigned areas of responsibility to support the achievement of financial objectives.
Monitor, control, and report key performance indicators related to the department, to track performance and recommend corrective actions.
Manage the performance management, career progression and activities of direct reports by setting annual objectives, identifying training opportunities, mentoring, coaching, and providing constructive feedback to improve their performance.
Implementing a system to ensure that accurate billing information is entered into the billing system.
Supervising the Revenue Cycle Management Department in various duties, such as account management, communications with insurance providers, collections, cash posting, contract analysis, and billing.
High-level review of monthly clinical activity to include charges, collections, patient mix, and accounts receivables.
Monitor the charge capture and billing activities on a regular basis. Report any significant discrepancies when compared to previous trends and/or expected levels of performance to the Hospital Administration or other senior administrator in the department.
Review the monthly cash analysis spreadsheet.
Provide input into the preparation and consolidation of the departmentโs budget, monitor financial performance during the year and identify areas of unsatisfactory performance (if any), and recommend mitigating actions.
Support the leadership in implementing a system to ensure that accurate billing information is entered into the billing system.
Monitor, Analyze, and maximize reimbursements from third-party payers for accuracy as per contracted rates.
Conduct periodic reviews and analyses of the AR, billing areas, and providers and report to management when issues are identified
Report collections per RVU per financial class for specified periods of time to identify trends and/ or issues.
Prepare forecasts and estimates of clinical revenue by billing area, location, and providers for budget purposes and for new program initiatives
Review financial hardship applications.
Oversee the hiring and training of staff.
Efficiently manage patient complaints in respect of billing and collections.
Contribute to establishing the services price tariff list for cash, insurance, and government patients. With an intention to continuously monitor market trends in price tariffs and ensure beneficial rates for the organization in coordination with the senior leadership.
Plan and structure the department workflow and staffing.
Supervise and monitor the process and procedures of coding diagnoses and procedures.
Communicate and respond to a special project or analysis requests by hospital leadership or corporate group or other senior leadership in a timely manner.
Monitor denials and prepare pertinent reports including but not limited to monthly denials, payer issues affecting reimbursements, and aging report by financial class.
Research and identify trends in healthcare, national and local benchmarks, especially in academic healthcare
Ensure compliance with all relevant HSE&E and QM policies, procedures, and controls across the finance department to guarantee employee safety, legislative compliance, delivery of high-quality service standards and a responsible environmental attitude.
Efficiently managing patient complaints in respect of billing and collections.
Education requirements:
Bachelorโs degree in business, Health administration, Commerce or equivalent (Essential) | Postgraduate degree in Business Administration / Finance (Preferred)
Experience:
Minimum 8 years of experience in Healthcare (required)
3 years at Managerial level (required)
Minimum 3 years in GCC (preferred)
Knowledge and Skills
Proficient in all Microsoft Office applications as well as medical office software.
experience with revenue cycle monitoring and reporting for a medical practice or a billing company, handling billing for a group practice
Proven experience in healthcare billing.
Sound knowledge of health insurance providers.
Strong interpersonal and organizational skills.
Excellent customer service skills.
The ability to work in a fast-paced environment
