Assistant Manager - RCM (Sakina)

Corresponding Key Activities performed by the role

Assisting in ensuring the smooth working of the department/section

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

Educating and training professional staff on implementation of policies and procedures relating to revenue cycle

Gathering, interpreting, and using data to identify problems and trends to demonstrate outcomes and cost-effectiveness

Evaluating factors related to safety, outcomes, effectiveness, cost, and social impact when developing and implementing practice innovations

Utilizing evidence-based practice to develop and implement standards of practice that guide practice improvement initiatives

Maintaining patient service standards

Providing support to patients through the development of new programs reflecting best global and regional practices

Providing consultative services to the facility's leadership and employees on all revenue related matters

Utilizing participative management principles in planning and coordinating patient complex discharges

Monitoring processing of claims

Monitoring Accounts Receivable and Billing department/section in all aspects of claims processing and collection efforts

Working closely with registration, admissions and clincians department/section to ensure registration and docuemtaion of patients’ visits follows facility, payer and regulator policies, and that appropriate documentation is captured for claim processing.

Monitoring Utilization Review department/section to ensure patients are provided appropriate care while monitoring the average length of stay for claims

Developing and maintaining relationships with insurance carriers to keep the department up to date with all billing and processing requirements from outside payers

Facilitating communication between billing clerks in Sakina Departmnet and utilization review of clinicians to support resubmission of denied insurance claims

Supervising and making recommendations for claim adjustments, bad debt provision, and contractual allowances

Monitoring follow-up processes on claims not fully paid, for timely resolution

Managing billing processes to ensure claim packets are accurate, complete and submitted timely to the insurance payer

Ensuring compliance

Maintaining compliance standards for providing accurate information on all claims

Ensuring compliance with relevant regulations, standards, and directives from regulatory agencies and third-party payers

Providing management with accurate and timely reports of monthly revenue and accounts receivable balances

Providing statistical analysis of financial data as needed from a variety of sources; example facility management team/DOH/SEHA

Acting as a seat on committees, panels and task forces as required

Managing relationships

Promoting harmonious relations with all staff in and outside the facility on a daily basis

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

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

Managing the team

Acting as an assisstant manager to the team; checking workload, ensuring performance management, day to day supervision, training and orientation of the staff

Delegating responsibilities appropriate to licensure, education, and experience of staff

Actively participating in professional development of self and others

Acting as a preceptor/mentor for staff in the revenue cycle department

Advising on special projects

Identifying and developing projects and programs that would benefit the facility

Providing input and guidance on revenue cycle related matters and on operational decisions impacting facility patients/clients

Remaining involved in operational committees and task forces as appropriate

Bachelor's degree or equivalent in Accounting/Finance/Commerce/Business Administration or relevant field OR Diploma in relevant field with 3 years of additional experience

Master's degree or equivalent in Accounting/Finance/Commerce/Business Administration or relevant field