Job Description

Job Category: Administration
:
The Billing Manager is responsible for leading, managing, and optimizing the billing department, including supervising billing supervisors and coordinators. This role ensures accurate charge posting, compliance with insurance guidelines, efficient claim preparation, and successful revenue realization. The manager coordinates with the clinical, insurance, and finance departments to reduce claim rejections, improve cash flow, and enhance patient satisfaction.
Responsibilities:

• Ensure complete and accurate billing processes across OP and IP services in compliance with insurance guidelines and hospital policies.
• Develop and monitor KPIs related to billing, including billing TAT, AR days, denial rates, and collection ratios.
• Guide the billing team in resolving billing discrepancies, claim denials, and escalated patient concerns.
• Coordinate closely with the insurance and clinical audit teams to ensure smooth pre-authorization and discharge processes.
• Review, audit, and approve high-value or complex bills before finalization.
• Maintain and update the billing system for correct service mappings, rate plans, and packages.
• Liaise with Finance and IT for system upgrades, automation, and integration improvements.
• Provide strategic input to improve operational efficiency and revenue cycle performance.
• Support management in budget planning, policy formulation, and compliance reporting.
• Oversee day-to-day billing operations through billing supervisors and ensure alignment with hospital goals.
• Validate billing workflows and ensure daily charge entry accuracy from all clinical departments.
• Approve application of special discounts, packages, or promotions as per DOA and revenue strategy.
• Supervise audit readiness of claims submitted to insurance companies.
• conduct monthly reviews of denied/rejected claims and implement corrective actions.
• Ensure real-time collaboration between billing, admissions, clinical, and discharge teams.
• Lead regular training and performance reviews for billing staff to enhance knowledge and productivity.
• Prepare monthly billing and revenue reports for leadership and finance departments.
• Resolve escalated issues from patients, insurance companies, or internal stakeholders related to billing and revenue.

Qualifications:
Bachelor's Degree in Commerce, Accounting, Business Administration, or equivalent (MBA preferred).
6-8 years of experience in healthcare billing or RCM, with at least 3 years in a managerial role in UAE.
In-depth knowledge of UAE insurance regulations, TPA processes, and EMR/billing software.
Experience in team leadership, financial reporting, and interdepartmental coordination.

Skills Required