Job Description

Revenue Cycle Manager

POSITION OVERVIEW:

The Revenue Cycle Manager's ('RCM') overall responsibility is to manage the Account Services, Revenue and Payments of medical and accident insurance claims for all hospitals, polyclinics and health centers under the aegis of Ministry Of Health, Oman. This includes but is not limited to, registration, coding, estimates. collections for self-pay services, account initiation and coordination, claims submission, fee schedule maintenance, denials and customer service for hospitals and professional billing.

DUTIES & RESPONSIBILITIES:

Overseeing a team to ensure outstanding and efficient performance in all aspects of the health insurance revenue cycle, including billing, claims submission, payment, denial management, accounts receivables, and patient statements and collections and resolving all issues efficiently.

. Providing strategy guidance to senior management and DGIT on the project. Manage the pricing of services in as per the financial rules and regulations defined.

Work to minimize debt, improve cash flow, and effectively manage the account receivable process.

Work with clinical leadership as needed to coordinate client accounts and services. Communicate with clinical and revenue leadership regarding analysis of services and discovered issues

resulting in denials, or process improvements needed for workflow. Be the primary contact for all matters relating to RCM.

Stay up to date with coding and hospital revenue trends and will manage all revenue cycle personnel.

. Responsible for day-to-day supervision and development activities, including training.

. Liaison with DGIT for all IT related issues.

Provide well-defined project documentation, workflows and presentations required to build and implement RCM by DGIT.

Also responsible for the coordination on proposed project plans, requirements engineering, change management and User Acceptance Testing and Sign off with DGIT.

Managing interactions with internal and external stake holders to document business and systems functional requirements Performs other tasks and activities as needed or directed.

. Managing and delivering KPIs dashboards to senior management and analyzing billing, reimbursement, and

accounts receivable trends and identifying opportunities for ongoing performance improvement

. Establishing, implementing, and maintaining formalized review process for coding compliance, including formal review (audit) process; working closely with revenue cycle teams and others to ensure complete and

accurate information and optimal reimbursement based on coding and abstracting of medical records . Managing all aspects of revenue cycle process, including management of accounts receivable operations, workflow improvement projects, and deployment planning of system enhancement in conjunction with organizational strategic goals and initiatives

Full time