Job Description

The Assistant Manager - RCM is responsible for facilitating and coordinating the entire revenue cycle process at the facility.

Also responsible for managing departmental staff and fostering teamwork while ensuring maximum efficiencies are implemented to improve employee compliance and revenue generation for the facility.

• Directing 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 clients 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 discharge
• Monitoring Accounts Receivable and Billing department/section in all aspects of claims processing and collection efforts
• Working closely with registration and admissions department/section to ensure registration of patients follows facility policies, and that appropriate documentation is captured for claim processing
• 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
• Coordinating discussions between billing clerks and utilization nurses for insurance denial claims resubmission
• Supervising and making recommendations for claim adjustments, bad debt provision, and contractual allowances
• Creating and supervising a collection area for collecting balances not received in the ordinary revenue cycle process
• Monitoring follow-up processes on claims not fully paid, for timely resolution
• Managing billing processes to ensure claim packets are accurate, complete and submitted timely to the insurance payer
• Reviewing and reconciling bank deposits
• Managing remittance processing and posting miscellaneous cash to general ledger accounts
• Managing daily entries to the general ledger, reconciling accounts, and ensuring entries completed for timely month end close
• Participating in revenue cycle and denial management work teams
• Maintaining appropriate internal controls and safeguards over A/R and G/L records; and collection of cash
• Maintaining compliance standards for providing accurate information on all claims
• Ensuring compliance with relevant regulations, standards, and directives from regulatory agencies and third-party payers.
• Providing accounting staff with accurate and timely reports of monthly revenue and accounts receivable balances
• Providing statistical analysis of financial data as needed from a variety of sources; example facility management team/HAAD/SEHA
• Acting as a seat on committees, panels and task forces as required
• Promoting harmonious relations with all staff in and outside the facility on a daily basis
• Working 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 department
• Maintaining 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 facility
• Acting as a manager to the team; checking workload, ensuring performance management, day to day supervision, training and orientation of the staff
• Delegating responsibilities appropriate to licensure, education, and experience of staff
• Actively participating in professional development of self and others
• Acting as a preceptor/mentor for staff in the revenue cycle department
• Identifying and developing projects and programs that would benefit the facility
• Providing input and guidance on revenue cycle related matters and on operational decisions impacting facility patients/clients
• Remaining involved in operational committees and task forces as appropriate

Qualification: Bachelor's Degree in any related field

Experience: 8-10 years of relevant progressive experience in a similar role with 5 years of supervisory experience

Desired: Experience in a Fertility Center / IVF clinic within Abu Dhabi Region