Position Summary:
We are seeking a highly motivated and experienced RCM Manager to lead and oversee all aspects of the Revenue Cycle Management (RCM) function for our hospital in the Northern Emirates. The ideal candidate will possess strong leadership, analytical, and communication skills with a proven track record of success in optimizing revenue cycle operations within a healthcare setting.
Key Responsibilities:
Develop and implement comprehensive RCM strategies to maximize revenue collection and minimize denials.
Oversee all aspects of the revenue cycle, including patient registration, insurance verification, charge entry, coding, billing, collections, and denials management.
Monitor key performance indicators (KPIs) such as days in accounts receivable (AR), collection rates, and denial rates.
Identify and implement process improvements to streamline revenue cycle workflows and enhance efficiency.
Conduct regular audits and reviews to ensure compliance with all relevant regulations and industry best practices.
Train and mentor team members on RCM policies, procedures, and best practices.
Build and maintain strong relationships with payers, clearinghouses, and other stakeholders.
Analyze trends and develop proactive strategies to address potential revenue cycle challenges.
Prepare regular reports on RCM performance and present findings to hospital leadership.
Stay abreast of industry best practices and regulatory changes related to revenue cycle management.
Qualifications:
Bachelor's degree in Healthcare Administration, Finance, or a related field.
5+ years of experience in Revenue Cycle Management within a hospital or healthcare setting.
Proven experience in managing and leading RCM teams.
Strong knowledge of medical coding and billing practices (ICD-10, CPT, HCPCS).
Expertise in insurance verification, claims submission, and appeals processes.
Excellent analytical, problem-solving, and decision-making skills.
Strong leadership, communication, and interpersonal skills
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