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  • Job Ref#:

    176
  • Job Location:

    Dubai
  • Qualification:

    Honours Bachelor
  • Salary:

    AED 20000
  • Experience:

    2 – 5 years
  • Nationality:

    Any
  • Gender:

    Any
  • Joining Period:

    1-3 Months
  • Posted:

    10/12/2017 03:57:54

Company Details

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Revenue Cycle Manager

at Candidate Full-Time

Job Description

The Revenue Cycle Manager is responsible for processing finance that healthcare facilities use to track patient care episodes from registration and appointment, scheduling to the final payment of balance. Communicating with health insurance, when a patient schedules an appointment the physician office or hospital staff typically checks the patient insurance coverage prior to visit.

The RCM unifies the business and clinical sides of healthcare by coupling administrative data such as a patient’s name, insurance provider and other personal information and the treatment a patient receives.

Job Responsibilities

  • To establish and maintain business relationship with insurance companies and corporate clients with a combination of comfort and profitability, involved in the planning and negotiation of tariffs, smooth implementation and handling of new insurance policies after agreement is signed, and management of all related operational issues with a primary focus on growth and profit maximisation
  • Handling overall insurance management activities across diverse classes and portfolios, envisaging strategic plans and devising strategies for implementation.
  • Resolving complex situations using high service oriented handling methodology, liaising with clients and decision makers on critical bottleneck resolution.
  • Directing the implementation of an effective, consistent service structure and overseeing administration of policies and procedures to augment day-to­-day operations.
  • Comparison of Tariffs for discount negotiation with contracted insurance companies.
  • To design and implement a protocol for insurance practices in the hospital.
  • Managing the screening process of raised insurance invoices and inform concerned department on the discrepancies for quick rectification of the same.
  • Procuring & handling, claims/e-claims submission processes and ensure timely submission and Re-submission of all invoices as per the agreed submission date with all Insurance and corporate Companies.
  • Monitor Insurance claims rejection percentage and take measures-develop guidelines and suggestions to control the same.
  • Responsible for providing reports of rejection rates of insurance claims to the Management based on the complication of the reconciliation records.
  • Responsible for complete analysis of the rejection reports in order to specify and intimate the management on the major as well as minor causes of rejection rates.
  • Work closely with Management as well as other subsidiary departments in rectification of the causes so as to decrease the rejection percentage.
  • Handling customer queries and grievances regarding their insurance policies and other complaints.
  • Developing and deploying a training program on new and old insurance policies from time to time for the hospital front office and back office staff keeping them updated with the Insurance policies to ensure smooth operations.
  • Reconciliation: negotiations and discussions of rejected claims with the various contracted insurance companies.
  • Monitors aged accounts and verifies appropriate collections procedures are being followed, monitor receipt allocation in the system as per payment details provided by the Insurance Companies.
  • Ensure customers pay within their agreed payment terms, chasing payments.
  • Conduct regular meetings with customers to build a strong relation with management and finance team
  • Enforce credit policy and assure adherence to accepted standards
  • Follow up on the credit notes/debit when issues are resolved with the customers 
  • Perform DSO calculation monthly.
  • Ensure monthly statements are prepared and send to customers
  • Regularly meet with the finance director to give update on receivables and rejection.
  • Post and reconcile all receivable account on System.
  • Perform bank reconciliation and ensure all transactions are posted on system.
  • Liaise with Company’s internal and external auditors for the periodic audits.
  • Ensures an equitable distribution of work assignments between subordinates, and gives useful timely feedback to subordinates on work performance.
  • Ensure hospital compliance with DHA regulatory regarding any insurance related issues.
  • Performing any other job-related task assigned by direct manager. 

 

Requirements

OTHERS:

Continuum of Care

  • Ensuring sufficient numbers of qualified and competent persons are available to provide service.
  • Continuous assessment and improvement of the quality of services provided in the department.
  • Focusing self, department and team at large on enhancing patient care and experience.

 

 Improving Performance:

  • Continuously updates and maintains compliance with all JCI policies, procedures and best practice.
  • Performs quality assessment and quality improvement activities in response to opportunities and threats.

 

Information management:

  • Ensuring accurate and effective handling of all information.
  • Applying knowledge to good effect in different situations and scenarios.

 

Safe Practice and Environment:

  • Applies the principles of standard precaution in accordance with current safety guidelines. 

 

Code of Conduct:

  • Adheres to dress code, appearance neat and clean.
  • Maintains and ensure patient confidentially at all times.
  • Reports to work on time and as scheduled.
  • Wears Employee ID/DHA license while on duty.