Assistant Manager - RCM (Sakina)
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Key skills for this role
About the Role
Seeking an Assistant Manager for Revenue Cycle Management (RCM) to oversee billing, claims processing, and revenue operations in a healthcare setting. Requires a Bachelor's degree in Accounting/Finance/Business Administration or relevant field, with experience in revenue cycle management and team supervision.
Key Skills for This Role
Responsibilities
- Supervise overall operations of the revenue department/section including managing staff and assigning responsibilities
- Educate and train professional staff on implementation of policies and procedures relating to revenue cycle
- Gather, interpret, and use data to identify problems and trends to demonstrate outcomes and cost effectiveness
- Monitor Accounts Receivable and Billing department in all aspects of claims processing and collection efforts
- Work closely with registration, admissions, and clinicians to ensure proper documentation for claim processing
- Monitor Utilization Review to ensure appropriate care and average length of stay for claims
- Develop and maintain relationships with insurance carriers to stay updated on billing requirements
- Facilitate communication between billing clerks and clinicians for resubmission of denied claims
- Supervise and make recommendations for claim adjustments, bad debt provision, and contractual allowances
- Monitor follow up processes on claims not fully paid for timely resolution
- Manage billing processes to ensure claim packets are accurate, complete, and submitted timely
- Maintain compliance standards for providing accurate information on all claims
Requirements
- Bachelor's degree or equivalent in Accounting/Finance/Commerce/Business Administration or relevant field
- Master's degree or equivalent in relevant field (desired)
- Healthcare certifications preferred
- Billing and coding certifications preferred
Full Job Posting
Key Responsibilities
- Supervising the overall operations of the revenue department/section including managing staff and assigning responsibilities.
- Educating and training professional staff on implementation of policies and procedures relating to revenue cycle.
- Gathering, interpreting, and using data to identify problems and trends to demonstrate outcomes and cost effectiveness.
- Evaluating factors related to safety, outcomes, effectiveness, cost, and social impact when developing and implementing practice innovations.
- Utilizing evidence based practice to develop and implement standards of practice that guide practice improvement initiatives.
- Providing support to patients through the development of new programs reflecting best global and regional practices.
- Providing consultative services to the facility's leadership and employees on all revenue related matters.
- Utilizing participative management principles in planning and coordinating patient complex discharges.
- Monitoring Accounts Receivable and Billing department/section in all aspects of claims processing and collection efforts.
- Working closely with registration, admissions and clinicians department/section to ensure registration and documentation of patients’ visits follows facility, payer and regulator policies.
- Monitoring Utilization Review department/section to ensure patients are provided appropriate care while monitoring the average length of stay for claims.
- Developing and maintaining relationships with insurance carriers to keep the department up to date with all billing and processing requirements from outside payers.
Qualifications
- BS in Accounting, Finance, Economics, Business Administration or Healthcare (Preferred).
- Healthcare certifications (Preferred).
- Billing and coding certifications (Preferred).
- Bachelor's degree or equivalent in Accounting/Finance/Commerce/Business Administration or relevant field (Required).
- Diploma in relevant field with 3 years of additional experience (Alternative).
- Master's degree or equivalent in Accounting/Finance/Commerce/Business Administration or relevant field (Desired).
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