Head - Accounts Receivable "Job Details"
Job Description
JOB SUMMARY:
The Head of Accounts Receivable oversees Sidra's patient revenue collection, systems, and revenue analysis operations. This role is responsible for leading and managing key activities, including pre-authorization, billing, claims submission, reconciliations, and accounts receivable collections and management. Additionally, the position entails oversight of systems, ensuring accurate activity-based, and comprehensive revenue analysis to optimize financial performance.
KEY ROLE ACCOUNTABILITIES:
Develops and executes short- and long-term strategic plans and objectives for the Accounts Receivable Department. Prepares comprehensive revenue and statistical reports to inform decision-making and support financial planning. Effectively communicates financial data to the RCM Manager and upper management, contributing to financial decisions, including new rates, charges, and other key initiatives. Manages and oversees critical revenue cycle functions such as pre-authorization, financial counseling, billing, and insurance claims processing, submission, reconciliation, collection, ensuring processes are efficient and meet quality standards. Strengthens coordination between patient financial services and patient administration to streamline pre-authorization processes and optimize claims submissions. Develops and applies financial models for activity-based costing, supporting integrated income and expenditure analysis for service planning. Provides scenario planning and robust financial analysis to guide management decisions. Partners with Revenue integrity, coding, clinical management and physicians to enhance documentation quality and completeness for claims processing, facilitating accurate coding and billing. Liaise with revenue integrity and ensure the accuracy and integrity of patient billing data, proactively addressing any discrepancies or errors to minimize revenue leakage. Participates in negotiations with insurance companies, advising on optimal contract terms and pricing to maximize revenue opportunities for Sidra. Informs the Accounts Receivable team and relevant stakeholders of changes to insurance contracts, ensuring smooth transitions and compliance. Works closely with the Patient Experience team to maintain high levels of patient satisfaction by addressing billing concerns and improving financial counseling services. Assists the Financial Management team in developing and executing revenue cycle strategies that align with the hospital’s financial goals. Reviews Accounts Receivable aging reports to ensure data accuracy, implementing timely measures to collect overdue balances and reduce the days in Accounts Receivable. Prepares provisions for bad debts and executes write-offs according to established policies, while continuously seeking to improve collection processes. Coordinates with the International Business Office to manage the billing and collection of payments from international patients. Liaises with insurance companies to resolve issues with claims submissions, analyze denials, and ensure timely resubmission of claims within contractual time limits. Delivers detailed activity and revenue analysis reports for internal and external stakeholders, ensuring compliance with regulatory requirements and Board expectations. Prepares reports to meet the Ministry of Public Health (MOPH) standards. Manages the collection and distribution of charity funds, expanding the charity portfolio with strategic input from senior management. Sets work priorities and assigns tasks, including special projects. Monitors the quality and compliance of completed work in alignment with organizational policies. Assists in the selection, training, and evaluation of staff performance, making recommendations for merit increases, promotions, or disciplinary actions as necessary. Promotes a culture of continuous learning, actively identifying training and development needs for the Accounts Receivable team. Provides targeted training for non-financial managers to improve understanding of financial processes. Engages in professional development activities to stay updated with industry trends, tools, and best practices, ensuring that the Accounts Receivable unit remains competitive and innovative. Adheres to Sidra’s standards as they appear in the Code of Conduct and Conflict of Interest policies. Adheres to and promotes Sidra’s Values
QUALIFICATIONS, EXPERIENCE AND SKILLS:
ESSENTIAL PREFERRED Education Bachelor’s degree in Finance, Business Administration or any other relevant field Master’s degree in Finance, Business Administration or any other relevant field Experience 7+ years of experience in a similar or related role inclusive of 2 years’ progressive management experience
Experience working in a large healthcare organization implementing activity-based modelling and analytics. Understanding of health activity in a complex environment. Understanding casemix analytics Intricate knowledge of financial systems and their capabilities.
Certification and Licensure Accounting Certification (such as CIMA, ACCA, CMA, CGA, CPA, or equivalent) Job Specific Skills and Abilities
Demonstrated ability in the timely completion of billing cycle, AR Day and aging, bad debts, relationships - internal and external. Demonstrated healthcare financial accounting and reporting. Demonstrated health data management. Demonstrated costing knowledge. Demonstrated financial management advice. Demonstrated knowledge of writing reports from different systems Ability to communicate highly complex, sensitive & contentious issues at all levels within the organization and with external stakeholders. Communication and presentation skills Advanced skills in ERP Systems Demonstrated supervisory skills. Proficiency with Microsoft Office suite Fluency in written and spoken English
Skill in using cost information to determine rate charges. Skill in analyzing accounting information for management decision making. Skill in identifying and resolving accounting problems. Skill in establishing and maintaining effective working relationships. Ability to evaluate and use various accounting systems and work independently. Ability to communicate information effectively with patients, medical staff, and others,
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