Summary
Date Posted: Thursday, September 26 2024, Base Salary: Not Disclosed

JOB DETAILS:
Leadership and team management:
- Lead, mentor and manage patient services unit, billing and recovery and revenue unit
- Develop and maintain a high performing team by setting clear goals, providing regular feedback and fostering a culture of collaboration and accountability
- Provide ongoing coaching, mentorship and performance evaluations to ensure staff effectiveness and productivity
- Foster a collaborative and productive work environment.
Strategic revenue assurance:
- Develop and implement a comprehensive revenue assurance strategy to maximize revenue while ensuring compliance with relevant regulations
- Analyze revenue trends, identify potential revenue leakage points and create strategies to address them
- Collaborate with hospital management to align revenue assurance efforts with the hospital strategic goals
Billing and recovery oversight:
- Oversee the billing and recovery unit in managing billing processes, claims submission and revenue recovery efforts
- Ensure the timely and accurate submission of claims to insurance companies, local government and other third party payers
- Implement strategies to reduce denials and underpayments
- Ensure all billing and coding practices adhere to relevant laws and regulations
- Develop and implement strategies to optimize the hospital revenue cycle, including reducing denials and improving collections
Compliance and regulatory adherence:
- Stay updated on healthcare regulations and payer requirements to ensure compliance with the hospital billing practices
- Collaborate with the hospital to develop and implement policies and procedures that adhere to regulatory standards
- Conduct periodic audits to identify compliance issues and implement corrective actions
Financial analysis and reporting:
- Monitor and analyze key revenue performance indicators, such as accounts receivable, charge capture and revenue recovery rates
- Prepare and present regular reports to hospital management on revenue assurance performance and recommendations for improvement
Process optimization:
- Identify opportunities to streamline and optimize revenue assurance processes for greater efficiency and accuracy
- Collaborate with ICT Team to leverage technology solutions that enhance billing accuracy and reduce revenue leakage
- Continuously assess and improve revenue cycle processes to enhance efficiency and accuracy, reducing denials and write-offs
- Identify and implement technology solutions and software tools to streamline revenue cycle operations
- Identify areas where staff may require additional training or support for enhanced billing processes
- Monitor and follow up on outstanding payments, devising strategies to minimize overdue accounts
- Optimize cash flow by ensuring timely invoicing and efficient collection processes
- Collaborate with finance departments to analyze billing data and contribute to financial planning strategies
Patient billing services management:
- Lead the patient billing services team to ensure smooth and efficient patient billing processes
- Address patient inquiries and concerns related to billing and insurance matters
Customers management:
- Oversee relationships with external customers and third party partners involved in revenue cycle management
- Evaluate customer performance and negotiate contracts to ensure cost effectiveness and service quality
Contract management:
- Ensure that all partners have valid contracts
- Ensure that expired contracts are renewed to the existing policies, laws and regulations of the hospital
- Lead the discussion with new partners
Tariff management:
- Lead the discussion for establishing and reviewing hospital tariffs for new and existing services
- Ensure the accuracy and implementation of the hospital tariff


Work Hours: 8

Experience in Months: 36

Level of Education: Bachelor Degree

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