Job Description

Roles & Responsibilities

Directing the overall operations of the revenue department/section including managing staff and assigning responsibilities

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• Educating and training professional staff on implementation of policies and procedures relating to revenue cycle
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• Gathering, interpreting, and using data to identify problems and trends to demonstrate outcomes and cost-effectiveness
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• Evaluating factors related to safety, outcomes, effectiveness, cost, and social impact when developing and implementing practice innovations
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• Utilizing evidence-based practice to develop and implement standards of practice that guide practice improvement initiatives
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• Providing support to clients through the development of new programs reflecting best global and regional practices
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• Providing consultative services to the facility's leadership and employees on all revenue related matters
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• Utilizing participative management principles in planning and coordinating patient complex discharge
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• Monitoring Accounts Receivable and Billing department/section in all aspects of claims processing and collection efforts
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• 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
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• Monitoring Utilization Review department/section to ensure patients are provided appropriate care while monitoring the average length of stay for claims
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• Developing and maintaining relationships with insurance carriers to keep the department up to date with all billing and processing requirements from outside payers
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• Coordinating discussions between billing clerks and utilization nurses for insurance denial claims resubmission
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• Supervising and making recommendations for claim adjustments, bad debt provision, and contractual allowances
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• Creating and supervising a collection area for collecting balances not received in the ordinary revenue cycle process
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• Monitoring follow-up processes on claims not fully paid, for timely resolution
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• Managing billing processes to ensure claim packets are accurate, complete and submitted timely to the insurance payer
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• Reviewing and reconciling bank deposits
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• Managing remittance processing and posting miscellaneous cash to general ledger accounts
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• Managing daily entries to the general ledger, reconciling accounts, and ensuring entries completed for timely month end close
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• Participating in revenue cycle and denial management work teams
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• Maintaining appropriate internal controls and safeguards over A/R and G/L records; and collection of cash
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• Maintaining compliance standards for providing accurate information on all claims
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• Ensuring compliance with relevant regulations, standards, and directives from regulatory agencies and third-party payers.
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• Providing accounting staff with accurate and timely reports of monthly revenue and accounts receivable balances
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• Providing statistical analysis of financial data as needed from a variety of sources; example facility management team/HAAD/SEHA
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• Acting as a seat on committees, panels and task forces as required
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• Promoting harmonious relations with all staff in and outside the facility on a daily basis
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• 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
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• 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
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• Acting as a manager to the team; checking workload, ensuring performance management, day to day supervision, training and orientation of the staff
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• Delegating responsibilities appropriate to licensure, education, and experience of staff
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• Actively participating in professional development of self and others
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• Acting as a preceptor/mentor for staff in the revenue cycle department
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• Identifying and developing projects and programs that would benefit the facility
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• Providing input and guidance on revenue cycle related matters and on operational decisions impacting facility patients/clients
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• Remaining involved in operational committees and task forces as appropriate
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Desired Candidate Profile

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