Rcm Manager
2 weeks ago
**About us**:
Fakeeh University Hospital delivers the best possible outcomes for its patients through smart technology and academic strengths. Built on an integrated healthcare model, the hospital brings you the legacy of over four decades of compassionate care - drawn from the renowned Fakeeh Care group based in Saudi Arabia.
Fakeeh University Hospital is made up of like-minded healthcare providers, working towards a common goal, which is, delivering quality healthcare to people all around the world. Our passionate staff members have years of experience within and outside the country.
Fakeeh University Hospital is a digital hospital, having fully integrated electronic medical records, supporting improvements to the quality and efficiency of healthcare services for patients and the community at large. Additionally, we operate an efficient emergency department.
**Job Profile**: RCM Manager
**Position Qualification/ Experience**:
2 years’ experience at an Insurance Company or Third-Party Administrator
3- 5 years of experience at a hospital RCM department which should include minimum 2 years of supervisor or managerial role
Excellent English verbal and written communication skills
Proficient in Microsoft office
Role Overview
Coordinate with Insurance Companies for enhancement of network & contracts.
Coordinate with departments within the hospital to ensure all protocols of authorizations, claims and other contractual arrangement for direct billing agreed with the hospital are met in a timely manner.
Assist the revenue cycle department in resolving revenue cycle problems. Supervise and oversee staff in duties pertaining to patient billing, communications with health insurance, collections, account management & reconciliations.
Reviewing procedures, orientation of the concerned and co-ordination with following appropriate personnel to ensure that all formalities as agreed with the insurance companies are followed to minimize objections from them and delays in clarifications to the insurance companies.
Coordination with Physicians & other personnel to ensure that all the formalities as agreed with the insurance companies along with meeting patient care standards based on evidence based practice.
Ensure timely authorizations, submission, resubmission and reconciliation.
Analyze rejection reasons & trends for appropriate action.
Evaluate trend of Physicians Billing Practices to so discussions can be held with them to improve documentation and reduce rejection and reconciliations.
Work in coordination with the Asst Manager E Claims for E claims submission in line with submission timelines as per contracts with Insurance companies.
Anticipates and sets priorities to support department needs and revise policies and procedures for achieving them.
Inform and influence others by clear, concise expression of ideas and information in verbal and written as appropriate.
Business reports and statistics of the departmental related services.
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