RCM Manager - Level 2

Closing date:  
Number of positions: 1
Recruiter name: Calum Burrows 
Reference number: 54524 
Workplace Type: 

Mediclinic Parkview Hospital | Dubai | United Arab Emirates

The Manager, Revenue Cycle, is responsible to manage all aspects of claims processing throughout the claims cycle including Onsite operations and back-end processing. Manage overall activities of the onsite operation including compliance of hospital staff with using BMS real time and compliance with notification of IP admissions and discharges. Ensures that timely submission of approvals and timely detection and obtaining of approval extension, daily IP coding, timely closing of IP and OP encounters and forward to billing system at the back office.

Responsibilities:

• Assists with the development and implementation of revenue cycle strategies, processes and improvements initiative to continuously improve the RCM process to maximize billing and collections
• Coordinate with Revenue Cycle supervisors and managers to ensure efficient claims submission and payment processes
• Internal Audit of specified High value and High Risk claims with focus on Compliance and Revenue Optimization
• Update staff and the client on Regulator guidelines related to RCM billing activities and protocols to be followed.

• Ensures the implementation of Key Performance Indicators (KPIs) with focus on reducing turnaround times and increasing productivity with Quality metrics achieved

• Ensure communication to respective doctors all medical necessity related denials and prepare effective plans to prevent such denials in future.
• Conducts RCM training to onsite staff in various RCM functions as and when required.

• Actively monitors operational performance to anticipate and meet the needs of leadership. Ensure KPI's within the team is established and instills accountability and ownership at the appropriate level

• Develop audit reports on productivity to ensure all processors are able to meet and exceed their productivity targets

Requirements:

• CPMA/ CCS/ CPC/COC certified (Coding certification) Proficient in coding all out patient type charts
• ICD 10 CM/CPT experience and knowledge is a must
• Ability to take direction from all levels
• Exhibit a high level of individual initiative.
• Effectively lead a team environment.
• Candidates must also have good problem-solving skills and excellent oral &written communication skills
• Prior leadership experience

All applicants will be considered, with the understanding that preference will be given to the designated groups in accordance with the United Arab Emirates Emiratization Program. If you wish to grow with us, apply now and become a part of the Mediclinic Middle East Family