Revenue Cycle Manager

Job Summary

Revenue Cycle Manager facilitate and assist the department in complying with revenue cycle operations and procedures to maximize cash flow while maintaining and improving internal and external customer relations. Supervise and oversee staff in duties pertaining to patient billing, communications with Payers, account management, and contract analysis.

Major Duties and Responsibilities

• Ensures through his / her actions, either directly or indirectly that a superior quality of medical treatment, compassion and understanding is given to every patient served at the NMC Hospitals and Clinics.
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• Continually seek to improve operations, decrease turnaround times, streamline work processes and works cooperatively and jointly to provide a quality service for our clients.
• Drive front-end process changes that lead to more successful revenue cycle outcomes and improve client satisfaction and ensures that all information provided to Payers is accurate and timely across all locations. This may include registration, scheduling, referral management, co‐pay collection, self-pay collection, systems set up and issues.
• Responsible for entire flow of charge capture activities from encounter form development and review to correct coding and oversight for ensuring accurate reimbursement for services billed.
• Identify and implement consistent policies and procedures. Responsible for driving process improvement initiatives related to revenue cycle functions, in collaboration with the operations leadership and departmental managers.
• Assist with determining appropriate internal staffing levels; recruit, hire, and onboard new staff.
• Monitor staff productivity to ensure timely and accurate work completion.
• Ensures that accurate and up-to date instructions surrounding the RCM processes are maintained and clearly communicated in a timely manner.
• Performs routine audits and holds monthly/quarterly one-on-one reviews with RCM team members.
• Reviews, coordinates, documents and updates the team on all billing compliance issues.
• Detailed knowledge of outgoing and incoming insurance and MOH processes and follow-up.
• Expertise in designing and documenting business processes from execution of project
• Follow up with insurance carriers on special insurance billings and claims
• Oversee new conversions insurance setup.
• Understanding of general business operations. 
• Responsible for key client assignment and on on boarding.

Reporting to

• Business Center Director

Qualifications:

    Education:

• Bachelor’s degree in business administration or related, MBA Preferred. 

   Experience:

•   A minimum of: 
• Five Years of Revenue Cycle Management Experience is required in large scale hospital setting.

  Competencies & skills:

• Ability to execute work plans independently and with flexibility
• Ability to multitask, prioritize work and meet deadlines.
• Creative and positive approach to communication and problem solving
• Fluent in English and Arabic Language
• Computer literate (MS Office)
• Good communication skill