Corporate Revenue Cycle Manager

Michael Page

Saudi Arabia

Posted on: 2 Apr 2024

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JOB DESCRIPTION / ROLE

Employment: Full Time

The Revenue Cycle Manager is responsible for leading the Healthcare group business units (hospitals, clinics, & pharmacies) revenue cycle management including coding, Pricing, collections, and Rejections management, Upgrading & conducting contracts with Insurance companies & third party (Private & Public).

Client Details

The company is a leading company specilised in healthcare.

Description

* The Revenue Cycle Manager is responsible for leading the Healthcare group business units (hospitals, clinics, & pharmacies) revenue cycle management including coding, Pricing, collections, and Rejections management, Upgrading & conducting contracts with Insurance companies & third party payers (Private & Public). This position is responsible for ensuring claims, denials, and appeals are efficiently processed, and resolving Pricing g-related issues. The Revenue Cycle Manager will minimize bad debt, improve cash flow, and effectively manage accounts receivables.
* Evaluate and report on KPIs
* Provide up to date education for Doctors, clinical staff , billing, and coding staff on coding & Insurance claiming trends
* Develops, evaluates, implements, and revises policies and procedures related to coding, reimbursement activities and Revenue improvement strategies
* Reconcile all receivables and revenue reports and work closely with the finance department in the development of the monthly financial statements
* Conduct monthly analysis of Third Party Payers
* Responsible for the generation and management of revenue, admissions, and credentialing metric reports
* Review and resolve issues related to claim generation and rejected/denied billings
* Keeps abreast of all reimbursement billing procedures of third party and private insurance payers and government regulations
* Maintains appropriate internal controls over accounts receivable, RCM process
* Monitors accounts sent for collection and reimbursements from insurance companies and other third-party payers
* Reviews, monitors, and evaluates third party reimbursement and researches variances
* Participates in the development of coding and billing strategies, evaluating process relative to revenue cycle, and making recommendations while ensuring compliance with any relevant rules or regulations .
* other duties as assigned

Job Offer

Join a highly dynamic environment and opportunities to grow.

Requirements:
* 15 years of experience (At least 5 years in same position in KSA ).
* Experience in hospital & Pharmaceutical Industries
* Experience in JCIA organizations is preferred

ABOUT THE COMPANY

Michael Page is one of the world's leading professional recruitment consultancies, specializing in the placement of candidates in permanent, contract, temporary and interim positions with clients around the world.

The Group has operations in the UK, Continental Europe, Asia-Pacific and the Americas. In the Middle East we focus on the areas of:

Finance & Accounting Banking & Financial Services Procurement Property & Construction Engineering & Supply Chain Oil & Gas Technical and Engineering Human Resources Sales Marketing Technology Secretarial Executive Search Legal

The Group operates through 161 offices in 33 countries and employs over 5,000 employees worldwide.

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