Revenue Cycle Manager

2 weeks ago


Dubai, United Arab Emirates Doctorsclinic Diagnostic centre Full time

Job Summary**Responsibilities**:

- At least 5 year experience as
- The Revenue Cycle Manager is responsible for overseeing revenue cycle management including coding, billing, collections, and denial management as well as financial reporting within the organization.
- This position is responsible for ensuring medical insurance claims, denials, and appeals are efficiently processed, and resolving billing-related issues.
- The Revenue Cycle Manager will minimize bad debt, improve cash flow, and effectively manage accounts receivables.
- The Revenue Cycle Manager is responsible for increasing contracts with medical insurance providers.
- The Revenue Cycle Manager will be responsible for ensuring that insurance companies are paying invoices on time.
- This role will also manage Provider credentialing.
- The Revenue Cycle Manager will be the main contact for the Practice Management vendor, Medicare contacts, and Clearing House vendor.
- Negotiate terms and conditions of empanelment agreements.
- Identify potential insurance companies for empanelment.
- Maintain comprehensive documentation of all empanelment activities.
- Doing monthly audit and investigate any discrepancies or compliance issues that arise during audits and train the staff about discrepancies and compliance issue.
- Develop strategic plans to expand the network of empaneled insurance companies.
- They will be responsible for setting the annual practice fee schedule.
- This position is to stay apprised of coding and revenue trends; and is responsible for coding education to clinical and coding/billing staff.
- In addition, this position will manage all Revenue Cycle Management staff including billers, coders, team assistants, and the RCM/Admissions supervisor; this will include day to day supervision as well as development opportunities, training, and mentorship to reception, call center, doctors about insurance updates and correcting errors.
- Good relationship with insurance companies and third-party payers to have good tie up for health check up packages for companies or to get direct referrals.
- Coordinate with external auditors to facilitate the smooth flow of the audit process.
- Provide necessary documentation, information, and support to external auditors.
- Act as a liaison between the internal team and external auditors to address queries and issues promptly.
- Review external audit findings and collaborate on implementing recommended improvements.
- Excellent communication and interpersonal skills.
- Certified coder, coding auditor, or coding education experience.

**Education and/or Work Experience Requirements**:
Required Education and Qualifications:
A bachelor’s degree and 5 years of related work experience.

Knowledge of third-party payer requirements including federal, state, and private health care plans and authorization process.

Proven experience in healthcare billing.

Pay: From AED10,000.00 per month



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