SEHA - Abu Dhabi Health Services Co.

Revenue Cycle - Senior Manager

Posted: 5 minutes ago

Job Description

JOB DESCRIPTION:Directing the overall operations of the revenue department/section including managing staff and assigning responsibilitiesEducating and training professional staff on implementation of policies and procedures relating to revenue cycleGathering, interpreting, and using data to identify problems and trends to demonstrate outcomes and cost-effectivenessEvaluating factors related to safety, outcomes, effectiveness, cost, and social impact when developing and implementing practice innovationsUtilizing evidence-based practice to develop and implement standards of practice that guide practice improvement initiativesProviding support to clients through the development of new programs reflecting best global and regional practicesProviding consultative services to the facility's leadership and employees on all revenue related mattersUtilizing participative management principles in planning and coordinating patient complex dischargesMonitoring Accounts Receivable and Billing department/section in all aspects of claims processing and collection effortsWorking closely with registration and admissions department/section to ensure registration of patients follows facility policies, and that appropriate documentation is captured for claim processingMonitoring Utilization Review department/section to ensure patients are provided appropriate care while monitoring the average length of stay for claimsDeveloping and maintaining relationships with insurance carriers to keep the department up to date with all billing and processing requirements from outside payersCoordinating discussions between billing clerks and utilization nurses for insurance denial claims resubmissionSupervising and making recommendations for claim adjustments, bad debt provision, and contractual allowancesManaging billing processes to ensure claim packets are accurate, complete and submitted timely to the insurance payerReviewing and reconciling bank depositsManaging remittance processing and posting miscellaneous cash to general ledger accountsManaging daily entries to the general ledger, reconciling accounts, and ensuring entries completed for timely month end closeProviding accounting staff with accurate and timely reports of monthly revenue and accounts receivable balancesProviding statistical analysis of financial data as needed from a variety of sources; example facility management team/HAAD/SEHAWorking with management, clinical and other departments, and the patient accounting staff to improve processes, increase accuracy, create efficiencies, resolve related issues, and achieve the overall goals of the departmentMaintaining collaborative and effective relationships with other key management personnel and keeping abreast of significant economic, social and technical trends, and regulatory guidelines, which may influence assigned functions and/or the facilityActing as a Senior - manager to the team; checking workload, ensuring performance management, day to day supervision, training and orientation of the staffDelegating responsibilities appropriate to licensure, education, and experience of staffActing as a preceptor/mentor for staff in the revenue cycle departmentIdentifying and developing projects and programs that would benefit the facilityProviding input and guidance on revenue cycle related matters and on operational decisions impacting facility patients/clientsRemaining involved in operational committees and task forces as appropriateComplying consistently with facility policies, procedures and practices and ensuring alignment with SEHA facilities policiesCompleting and maintaining regulatory requirements including: licensure and certification and other mandatory training within established time framesMaintaining confidentiality with regards to any information exchanged or received in the current capacity of role in accordance with facility policyAssuming the role of a brand ambassador for the facility and promoting a customer focused philosophy in dealing with any stakeholdersMaintaining positive and effective working relationships within the department/division and also with other departments/sections within the facilityPerforming any other duties as may be assigned relevant to the basic responsibilities of the roleAdhering to requirements of the Occupational Health and safety guidelines and infection control guidelinesRecognizing the necessity of continuously developing skills and acquiring additional knowledge appropriate to the positionDressing appropriately to meet the expectations of the specific work area and in alignment with the Occupational Health and Safety policiesQUALIFICATIONS Required: Bachelor's degree or equivalent in Accounting/Finance/Commerce/Business Administration or relevant field OR Diploma in relevant field with 3 years of additional experienceDesired: Master's degree or equivalent in Accounting/Finance/Commerce/Business Administration or relevant field Experience Required8-10 years of relevant progressive experience in a similar role with 5 years of supervisory experience

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