Recovery & Billing Manager Sheikh Shakhbout Medical City Abu Dhabi

A job opportunity has arisen at Sheikh Shakhbout Medical City (SSMC) for eligible candidate for position of Billing & Recovery Manager (revenue management) in Abu Dhabi, UAE. SSMC one of the UAE’s largest hospitals, was founded as part of the Abu Dhabi Economic Vision 2030 to elevate health care services in the Emirate. SSMC works on mission to “Deliver holistic, transformational healthcare solutions that exceed expectations and generate loyalty in the Emirates & beyond”. It delivers world class health services to patients, supported by the latest medical equipment & internationally trained care givers. Conclusively, it is a corner stone of Abu Dhabi’s health care services which are aligned with global quality and safety standards to consolidate a new meaning for excellence.

Job Purpose of A Recovery & Billing Manager

• Achieve annual net revenue improvement targets as well as top performance to industry bench marks through industry leading practices and technology.
• Providing technical & change management expertise to improve various revenue management processes at business entity along with monitoring all billing activities related to submission, resubmission and recovery.

Your Job Duties As A Recovery & Billing Manager (Revenue Management) At SSMC Abu Dhabi UAE

• Manages the continuum of revenue cycle best practices and processes from patient access to collections & revenue recognition.
• Communicates with all constituents, including physicians, third party payers, colleagues and other management and executive team members.
• Monitors established goals for quality and production levels, leads the allocation of staff resources assigned to achieve optimal outcomes.
• Facilitates provision of process & technology training to fellows to achieve KPI goals.
• Maintains positive relations with leadership at the business entity to ensure communication regarding service level performance and timely issue resolution.
• Collaborates with clinical and revenue cycle leadership in defining and implementing leading best practices.
• Identifies opportunities for improvement utilizing an integrated approach between people, process and technology.
• Implements standards, programs, policies, and procedures that guide and support the provision of services within the revenue cycle.
• Reconciles the outstanding accounts and preparing follow up for past due accounts.
• Enables financial recovery reporting for SSMC leaders and support for contract negotiation with payers, especially DAMAN.
• Oversees daily, weekly & Monthly general revenue & Denial reports.
• Ensures that Insurance documents are properly filled and claiming the related amount.
• Serves to negotiate and communicate clinical claim denials with internal clinical staff and the financial services department, as well as external claims representatives of a variety of insurers.
• Provides technical training to junior staff.
• Provides all kinds of information and training needed by cashiers and clerk regarding the insurance and billing system.
• Maintains a working knowledge of UAE laws with regards to billing.
• Participates in cross functional teams and committees as appropriate.
• Keep correct records of client accounts and outstanding balances.
• Reconciles processed work by verifying entries and compare system reports to balances.
• Maintains records.

Qualification & Experience?

Qualification Required

• Bachelors degree in Business Administration / Accounting (Billing) / Finance / Commerce.

Or

• Diploma in relevant field with 3 years of experience.

Qualification Desired

• Master’s degree in Business Administration / Accounting (billing) / Finance / Commerce.

Certification

• Recognized accountancy qualification such as CMA, CPA, ACCA, ACA, CA,CFA.

Experience

• 4-6 years of experience in a similar role.
• Experience in a large health care facility is a plus.

Skills Desired

• Proficiency in the English & Arabic.
• MS office and computer know how.
• Ability to meet goals.
• Good communication skills.
• Ability to deal with multiple issues.

Manager Upselling and Cross Selling Jumeirah Group