director of revenue cycle management

Circle Medical

<div><div><b>ABOUT US</b></div><div>
Circle Medical is a venture-backed Y-Combinator healthcare startup on a mission to bring quality, delightful primary care to everyone on the planet. Built by top-tier physicians, engineers, and designers, our medical practice and underlying technology have pioneered how people find and receive care. More about us can be found on our website.</div><div></div><div><b><br>
DESCRIPTION</b></div><div>
We are seeking a Director of Revenue Cycle Management to lead all aspects of the revenue cycle for a high-volume, telehealth-first healthcare practice. This role is responsible for ensuring accurate, compliant, and efficient billing processes across the full claim lifecycle inclusive of charge capture and coding to claim submission, payment posting, and denial management. You&rsquo;ll report to the VP of Operations and partner cross-functionally with, Clinical, Product, Patient Support and Finance to drive KPI performance, automation, and accountability. The ideal candidate is analytical, process-oriented, and thrives in a fast-scaling environment where technology, data, and operational excellence intersect.</div><div></div><div><b><br>
KEY RESPONSIBILITIES</b></div><div><b>
Leadership &amp; Strategy</b></div><ul><li>Lead the end-to-end revenue cycle function across coding, billing, and collections, ensuring operational efficiency and compliance with payer and regulatory standards.</li><li>Manage and develop two direct reports, fostering a culture of accountability, transparency, and continuous improvement.</li><li>Partner with the VP of Operations, and Senior Product Manager and Leadership Team to define short and long-term RCM strategies aligned to company objectives.</li></ul><div></div><div><b><br>
Operational Excellence</b></div><ul><li>Oversee daily RCM operations for a high-volume telehealth practice with extensive payer contracts and multi-state presence.</li><li>Ensure accurate charge capture and coding practices that support compliant reimbursement and appropriate provider documentation.</li><li>Own key workflows and process maps for claim submission, follow-up, denials, and appeals; identify and resolve friction points quickly.</li><li>Collaborate with Product and Engineering teams to improve automation, EDI connectivity, and billing system integrations.</li></ul><div></div><div><b><br>
Analytics &amp; Performance Management</b></div><ul><li>Enhance, track, and report on KPIs to identify areas for improvement and drive performance.</li><li>Partner with Business Intelligence to develop automated dashboards and monthly reporting packages.</li><li>Drive data-driven performance reviews with sub-teams to identify trends, root causes, and opportunities for process improvement.</li></ul><div></div><div><b><br>
Cross-Functional Collaboration</b></div><ul><li>Serve as the operational liaison between RCM, Clinical, Telehealth Operations and Patient Support to ensure documentation and billing alignment.</li><li>Partner with Contracting and Credentialing to ensure accurate payer setup, EDI enrollment, and fee schedule updates.</li><li>Collaborate with Finance on cash forecasting, revenue recognition, and variance analysis.</li></ul><div></div><div><b><br>
Compliance &amp; Continuous Improvement</b></div><ul><li>Maintain compliance with payer and state telehealth billing requirements.</li><li>Lead initiatives to improve claim accuracy, reduce denials, and accelerate cash collections.</li><li>Proactively identify automation and system enhancement opportunities to improve efficiency and scalability.</li></ul><div></div><div><b><br>
WHAT YOU'LL BRING</b></div><ul><li>5+ years of experience in roles with increasing responsibility, scaling high-growth, or technology-enabled services organizations with at least 3 years in a leadership role</li><li>Bachelor&rsquo;s or Master&rsquo;s degree in Healthcare Administration, Business, Finance, or a related field</li><li>Strong communication, and stakeholder management skills with the ability to translate strategy into a clear execution plan</li><li>Deep understanding of healthcare operations, including revenue cycle management, payer contracting, provider onboarding, and patient engagement.</li><li>Experienced data-driven operator with experience building KPIs, dashboards, and performance management frameworks.</li><li>Exceptional leadership skills with the ability to inspire teams, build consensus, and influence across functions.</li><li>Demonstrated ability to thrive in fast-paced, ambiguous, and rapidly evolving environments.</li></ul><div></div><div><b><br>
COMPENSATION</b></div><div>
In alignment with our values, Circle Medical has transparent salaries based on output levels, and options to trade cash for stock.</div><div></div><div><br>
This is a full-time, salaried position with an annual salary range of <b>$140,000 to $170,000 </b>plus, generous benefits.</div><div></div><div><b><br>
Benefits</b></div><ul><li>Flexible vacation &amp; sick leave (eligibility after 90-days)</li><li>10 paid holidays</li><li>$500 annual education and development reimbursement</li><li>Medical, Dental, Vision benefits, Life &amp; additional supplemental coverage options</li><li>401K + Company Matching Program per eligibility</li></ul><div><br>
</div><div><i>
Circle Medical is an equal-opportunity employer and affirmatively seeks diversity in its workforce. Circle Medical recruits qualified applicants and advances in the employment of its employees without regard to race, color, religion, gender, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, ethnic or national origin, marital status, veteran status, or any other status protected by law.</i></div>
<p>
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.</p></div>

Director, Revenue Cycle Management

New View Alliance

<div><div><b>Job Title</b>: Revenue Cycle Manager</div>
<div>Department: Finance</div>
<div></div><div><b>Position Summary: </b>The Revenue Cycle Manager plays a critical role in ensuring the financial health of New View Alliance, which includes Gateway-Longview and New Directions, by overseeing the day-to-day operations of the revenue cycle. This includes billing, coding, credentialing, accounts receivable, and payer relations. The Revenue Cycle Manager will serve as a key liaison between internal teams, third-party billing organizations, and payers, ensuring timely and accurate processing of claims while driving continuous improvement in revenue cycle processes.</div>
<div></div><div><div><b>Agency: </b>New View Alliance is the parent company of Gateway-Longview, Inc. and New Directions Youth &amp; Family Services, Inc. providing both agencies with strategic planning, advocacy, and shared administrative support for Finance, Human Resources, Information Technology, Corporate Integrity, Performance Improvement, and Diversity, Equity, and Inclusion.</div>
<div></div><div>NVA is an equal-opportunity employer committed to championing the principles of anti-racism, justice, and equity. We welcome prospective employees from diverse cultures and backgrounds who will uphold our values and contribute to our mission. We aim to have a leadership and workforce that is reflective of the communities we serve.</div>
<div></div><div><div><b>Compensation</b></div>
<div>$60,000 - $75,000 per year</div>
<ul><li>Offers based on education and years of relevant experience</li></ul>
<div></div><div><div><b>Hours/Schedule</b></div>
<div>Full-Time, 35 hour work week</div>
<div>Monday - Friday</div>
</div>
</div></div><div></div><div><b>Responsibilities:</b></div>
<ul><li>Oversee all components of the revenue cycle, including registration, billing, coding, collections, credentialing, and accounts receivable.</li>
<li>Manage day-to-day operations of revenue cycle staff, providing training, guidance, and performance management.</li>
<li>Serve as the primary liaison with third-party billing organizations to ensure proper claim processing, reconciliation, and follow-up.</li>
<li>Monitor, analyze, and report on key revenue cycle metrics, identifying trends, risks, and opportunities for improvement.</li>
<li>Conduct audits to ensure compliance with coding, billing, payer regulations, and internal policies.</li>
<li>Develop and implement policies and procedures to optimize efficiency, accuracy, and compliance across the revenue cycle.</li>
<li>Oversee credentialing and privileging processes for licensed staff to ensure accuracy and compliance with payer requirements.</li>
<li>Oversee payer contracts and regulatory rules related to OMH, OCFS and DOH.</li>
<li>Collaborate with finance, clinical, and administrative teams to resolve billing and revenue cycle issues.</li>
<li>Review and approve patient statements, payment arrangements, and sliding fee schedules.</li>
<li>Maintain strong working relationships with payers and regulatory agencies to resolve denials and minimize bad debt.</li>
<li>Ensure timely resubmission of claims and oversee denial management processes.</li>
<li>Use data analytics and dashboards to drive decision-making and continuous process improvement.</li>
</ul>
<div></div><div><b>Qualifications:</b></div>
<ul><li>Bachelor&rsquo;s degree in Business, Finance, Accounting, Health Care Administration, or related field preferred with 3 years of experience in a leadership role.</li>
<li>Strong knowledge of Medicaid, Medicare, Managed Care, and commercial insurance billing practices.</li>
<li>Proficiency in MS Office, particularly Excel, and familiarity with healthcare revenue cycle technologies and data analytics tools.</li>
<li>Demonstrated ability to lead teams, manage projects, and foster collaboration across departments.</li>
</ul><div><div><i>An EEO/AA Agency</i></div>
<div><i>We want to emphasize that the preferred qualifications are not required and that we are committed to helping our future colleagues develop these preferred skills. We strongly encourage those who are passionate about fostering a diverse, inclusive and equitable human service organization to apply.</i></div></div></div>

Revenue Cycle Manager

BC Careers

<p><b>Role Summary:</b></p><p>The Revenue Cycle Manager ensures the efficient and smooth processing of patient billing, pre-authorization, insurance claims and recovery through effective liaising with insurance companies while maximizing patient satisfaction by leading the insurance operations with the objective of streamlining the process.</p><p>Responsible for timely insurance claims and pre-authorization processing, overseeing the insurance operations and designing, implementing and training staff on insurance protocols.</p><p><b>Qualifications:</b></p><ul><li>Bachelor's degree in Finance or related discipline and master&rsquo;s degree in RCM/MBA/MHA is desirable.</li><li>Minimum for 3 to 5 years of Qatar experience in a Hospital setting in a similar role (Payer/Provider Experience will be added value).</li><li>Knowledge on insurance claims and billing process.</li><li>Knowledge on Qatar laws applicable to insurance legislations.</li><li>Experience in revenue cycle management.</li></ul><p>Job Types: Full-time, Permanent</p><p>Ability to commute/relocate:</p><ul><li>Doha: Reliably commute or willing to relocate with an employer-provided relocation package (Required)</li></ul><p>Application Question(s):</p><ul><li>What is your salary expectation?</li></ul><p>Education:</p><ul><li>Bachelor's (Required)</li></ul><p>Experience:</p><ul><li>RCM Manager: 8 years (Required)</li></ul><p>Location:</p><ul><li>Doha (Preferred)</li></ul>

HEI Hotels & Resorts

<div><p><b>About Us</b></p><p></p>
The Westin at The Woodlands is perfectly located in The Woodlands Waterway Square. Walking distance to Market Street and Cynthia Woods Mitchell Pavilion, this hotel is the ideal destination for business guests and weekend leisure travelers. At HEI, we recognize that our enormous success is solely the result of our greatest asset: Our People. Where people work is a choice. Against that choice, our greatest obligation is to ensure day in and day out that our associates have the compensation and benefits they deserve and industry leading tools, training and support that they need to excel. At HEI, simply said, we honor the privilege of our associates choosing us by investing in and making them more valuable.<p></p><p>
Don't meet every single requirement of this job? At HEI we are dedicated to building a diverse and inclusive workplace, so if you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, we encourage you to still send in your information. You may be the perfect candidate for this or for other roles within our organization!<br>
<br>
We value U.S. military experience and invite all qualified military candidates to apply.</p><p></p><p><b>
Overview</b></p><p></p>
The Complex Director of Revenue Management will support the Westin at the Woodlands and the Embassy Suites at the Woodlands. The position is responsible for optimizing room and catering revenue through the development and implementation of effective inventory management and pricing strategies. Monitor all distribution channels to ensure effective selling. Analyze reports to understand future demand forecast and past trends and translate this information to set/adjust strategies leading to increased market share.<p></p><p><b>
Essential Duties and Responsibilities</b></p><ul><li><p>
Optimize RevPAR by analyzing/forecasting demand and establishing effective selling strategies, oversell strategies, and optimal market mix, including group, transient, wholesale catering revenues etc.</p></li><li><p>
Manage and update current selling strategies and product information in all available distribution channels/reservation sources (onsite, third-party reservation providers, call centers, websites, GDS, etc.)</p></li><li><p>
Facilitate Daily and Weekly Sales and Revenue Strategy meetings.</p></li><li><p>
Conduct ongoing competitor price and product analyses to ensure proper rate positioning and product offering relative to competition.</p></li><li><p>
Actively participate in budgeting and business planning for the Food and Beverage department including Catering, and any other revenue generating department.</p></li><li><p>
Work with the Regional Director of Revenue Management in recommending and implementing of Revenue Management programs and new initiatives at the hotel.</p></li><li><p>
Active participant in all pricing decisions for transient, group, and wholesale segments.</p></li><li><p>
Work with the hotel DOSM and hotel team to establish strategies to increase revenue of both rooms and catering.</p></li><li><p>
Contribute to the financial success of the hotel via participation in annual budgeting and sales and marketing plan process.</p></li><li><p>
Generate and distribute daily, weekly, and monthly revenue management reports and present results from all segments including internet channels.</p></li><li><p>
Maintain historical statistical data from all distribution channels, in all market segments.</p></li><li><p>
Continually monitor all pertinent travel related websites to ensure competitiveness in both availability and price.</p></li><li><p>
Comply with attendance rules and be available to work on a regular basis.</p></li><li><p>
Perform any other job-related duties as assigned.</p></li></ul><p></p><p><b>
Qualifications and Skills
</b></p><ul><li><p>At least five years revenue management experience, sales experience preferred.</p></li><li><p>
Bachelor's Degree in Hotel Administration, Business, Statistics, Marketing, Finance or relevant field of work preferred.</p></li><li><p>
Strong analytical skills, ability to identify relevant data and use it to draw inferences with reference to impact on hotels revenues.</p></li><li><p>
Ability to quickly adapt to a constantly changing market with a revenue positive effect.</p></li><li><p>
Ability to use PMS, reservation and revenue management systems and Delphi systems to implement optimal strategies. Proficiency in Microsoft Office, strength in Word and Excel.</p></li><li><p>
Effective verbal and written communication skills. Ability to adapt communication style to suit different audiences, such as effectively communicating with supervisors, coworkers, public etc.</p></li></ul><p></p><p><b>
Compensation</b></p><p></p>
Tipped/Service Charge Eligible? No<p></p>
Discretionary Performance Bonus Eligible? Yes<p></p><p><b>
Benefits</b></p><p></p><div><div><div><p>
HEI Hotels and Resorts is committed to providing a comprehensive benefit program that offers you choices for your physical, mental and financial wellness, creating value in your most important investment - you!<br>
<br>
For your physical and mental wellness we offer competitive Medical and Dental programs through Anthem Blue Cross Blue Shield as well as Vision insurance programs through EyeMed. Our Vacation, Sick and Holiday programs are available for you to rejuvenate with time off. HEI also provides pet insurance through the ASPCA. For your financial wellness, HEI provides a wide array of coverage, including Supplemental, Spousal and Child Life insurance as well as Short and Long-Term Disability plans. Our 401(k) Savings Plan with matching funds, and discounts through our 'YouDecide' and Hotel Room Discount programs provide additional incentives for choosing HEI as the employer of your future. Specific details and eligibility of these programs vary by location and employment status.</p></div></div></div><p></p><p>
HEI Hotels and Resorts is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.</p></div><p></p>

Complex Director of Revenue Management

<div><p><b>About Us</b></p><p></p>
The Woodlands Resort, Curio Collection is the perfect retreat in the Houston Area, and only 2 miles away from The Woodlands Waterway. The resort is celebrating 50 years along with The Woodlands township. At HEI, we recognize that our enormous success is solely the result of our greatest asset: Our People. Where people work is a choice. Against that choice, our greatest obligation is to ensure day in and day out that our associates have the compensation and benefits they deserve and industry leading tools, training and support that they need to excel. At HEI, simply said, we honor the privilege of our associates choosing us by investing in and making them more valuable.<p></p><p>
Don't meet every single requirement of this job? At HEI we are dedicated to building a diverse and inclusive workplace, so if you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, we encourage you to still send in your information. You may be the perfect candidate for this or for other roles within our organization!<br>
<br>
We value U.S. military experience and invite all qualified military candidates to apply.</p><p></p><p><b>
Overview</b></p><p></p>
Optimize room and catering revenue through the development and implementation of effective inventory management and pricing strategies. Monitor all distribution channels to ensure effective selling. Analyze reports to understand future demand forecast and past trends and translate this information to set/adjust strategies leading to increased market share.<p></p><p><b>
Essential Duties and Responsibilities</b></p><ul><li><p>
Optimize RevPAR by analyzing/forecasting demand and establishing effective selling strategies, oversell strategies, and optimal market mix, including group, transient, wholesale catering revenues etc.</p></li><li><p>
Manage and update current selling strategies and product information in all available distribution channels/reservation sources (onsite, third-party reservation providers, call centers, websites, GDS, etc.)</p></li><li><p>
Facilitate Daily and Weekly Sales and Revenue Strategy meetings.</p></li><li><p>
Conduct ongoing competitor price and product analyses to ensure proper rate positioning and product offering relative to competition.</p></li><li><p>
Actively participate in budgeting and business planning for the Food and Beverage department including Catering, and any other revenue generating department.</p></li><li><p>
Work with the Regional Director of Revenue Management in recommending and implementing of Revenue Management programs and new initiatives at the hotel.</p></li><li><p>
Active participant in all pricing decisions for transient, group, and wholesale segments.</p></li><li><p>
Work with the hotel DOSM and hotel team to establish strategies to increase revenue of both rooms and catering.</p></li><li><p>
Contribute to the financial success of the hotel via participation in annual budgeting and sales and marketing plan process.</p></li><li><p>
Generate and distribute daily, weekly, and monthly revenue management reports and present results from all segments including internet channels.</p></li><li><p>
Maintain historical statistical data from all distribution channels, in all market segments.</p></li><li><p>
Continually monitor all pertinent travel related websites to ensure competitiveness in both availability and price.</p></li><li><p>
Comply with attendance rules and be available to work on a regular basis.</p></li><li><p>
Perform any other job-related duties as assigned.</p></li></ul><p></p><p><b>
Qualifications and Skills
</b></p><ul><li><p>At least five years revenue management experience, sales experience preferred.</p></li><li><p>
Bachelor's Degree in Hotel Administration, Business, Statistics, Marketing, Finance or relevant field of work preferred.</p></li><li><p>
Strong analytical skills, ability to identify relevant data and use it to draw inferences with reference to impact on hotels revenues.</p></li><li><p>
Ability to quickly adapt to a constantly changing market with a revenue positive effect.</p></li><li><p>
Ability to use PMS, reservation and revenue management systems and Delphi systems to implement optimal strategies. Proficiency in Microsoft Office, strength in Word and Excel.</p></li><li><p>
Effective verbal and written communication skills. Ability to adapt communication style to suit different audiences, such as effectively communicating with supervisors, coworkers, public etc.</p></li></ul><p></p><p><b>
Compensation</b></p><p></p>
Tipped/Service Charge Eligible? No<p></p>
Discretionary Performance Bonus Eligible? Yes<p></p><p><b>
Benefits</b></p><p></p><div><div><div><p>
HEI Hotels and Resorts is committed to providing a comprehensive benefit program that offers you choices for your physical, mental and financial wellness, creating value in your most important investment - you!<br>
<br>
For your physical and mental wellness we offer competitive Medical and Dental programs through Anthem Blue Cross Blue Shield as well as Vision insurance programs through EyeMed. Our Vacation, Sick and Holiday programs are available for you to rejuvenate with time off. HEI also provides pet insurance through the ASPCA. For your financial wellness, HEI provides a wide array of coverage, including Supplemental, Spousal and Child Life insurance as well as Short and Long-Term Disability plans. Our 401(k) Savings Plan with matching funds, and discounts through our 'YouDecide' and Hotel Room Discount programs provide additional incentives for choosing HEI as the employer of your future. Specific details and eligibility of these programs vary by location and employment status.</p></div></div></div><p></p><p>
HEI Hotels and Resorts is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.</p></div><p></p>

Director of Revenue Management

Texas Oncology

<div>Overview:<div></div><p><b><br>
The US Oncology Network</b> is looking for a <b>Revenue Cycle Trainer</b> to join our team at <b>Texas Oncology</b>. This remote position will support our Central Business Office location at 3001 East President George Bush Highway.</p><p></p><p><b><br>
Texas Oncology </b>is the largest community oncology provider in the country and has approximately 600+ providers in 220+ sites across Texas and southeastern Oklahoma. Our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today&mdash;at Texas Oncology, we use leading-edge technology and research to deliver high-quality, high-touch, evidence-based cancer care to help our patients achieve &ldquo;More breakthroughs. More victories.&rdquo; &reg; in their fight against cancer. Today, <b>Texas Oncology</b> treats half of all Texans diagnosed with cancer on an annual basis.</p><p></p><p><b><br>
Why work for us?</b></p><p>
Come join our team that is responsible for helping lead Texas Oncology in treating more patient diagnosed with cancer than any other provider in Texas. We offer our employees a competitive benefits package that includes Medical, Dental, Vision, Life Insurance, Short-term and Long-term disability coverage, a generous PTO program, a 401k plan that comes with a company match, a Wellness program that rewards you practicing a healthy lifestyle, and lots of other great perks such as Tuition Reimbursement, an Employee Assistance program and discounts on some of your favorite retailers.</p><p><b><br>
</b></p><p><b>What does the position do?</b></p><p>
Under general direction, responsible for ongoing development, coordination and facilitation of business systems and revenue cycle training and development. This role also supports testing methodologies for the implementation of new business systems and enhancements to existing business systems. This requires the documentation and processing information in accordance with current policies, procedures, and guidelines. Use audit results and feedback to identify deficiency in test plan, training needs, improve processes, data quality, and operational performance. This role is crucial to Texas Oncology&rsquo;s revenue cycle vision to modernize training to further support employee development and integrate new business systems and technologies. Supports and adheres to the US Oncology Compliance Program, to include Code of Ethics and Business Standards, and US Oncology&rsquo;s Shared Values.</p><br>
<p></p>
Responsibilities:
<p><b>
The essential duties and responsibilities:</b></p><ul><li>
Design, develop, and maintain instructional content (interactive modules, videos, microlearning) that meets evolving organizational needs.</li><li>
Assess the impact and effectiveness of training programs through post-training evaluations and feedback from participants and their supervisors. Modify programs as needed based on feedback and outcomes to align with organizational needs.</li><li>
Prepare instructional materials, including course objectives, outlines, background materials, and training aids.</li><li>
Consults with management team regarding training needs and performance issues.</li><li>
Researches and identifies areas in which training is required and/or beneficial.</li><li>
Assists in implementing training plans for individual and team development initiatives.</li><li>
Stays updated on industry trends, best practices, and new training methods to continually improve the effectiveness of training programs and provide recommendations for improvement.</li><li>
Other duties as requested or assigned.</li></ul>
Qualifications:
<p><b>
The ideal candidate for the position will have the following background and experience:
</b></p><ul><li>High School diploma or equivalent required.</li><li>
Four (4) years of work experience in a related field or equivalent combination of education and work experience.</li><li>
Excellent interpersonal and presentation skills, both in-person and virtually.</li><li>
Advanced skills in Microsoft Office Products (Word, Excel, PowerPoint, and Outlook).</li><li>
Experience successfully utilizing technology to deliver or facilitate training in person and in virtual learning environments.</li><li>
Must successfully complete required onboarding courses and on-demand training within 45 days of occupying position.</li></ul><p><b>
Preferred Qualifications:</b></p><ul><li>
Bachelor&rsquo;s degree in a related field.
</li><li>OR</li><li>
Associate&rsquo;s Degree and 2 additional years of realted experience</li><li>
OR</li><li>
8 years of related experience</li><li>
Prior experience or certification in Training, Learning &amp; Development, Adult Learning Theory, Service Design, or Content Management.
</li><li>Strong understanding of the roles within the organization, the role demands, and the competencies required to support those roles.<br>
Knowledge of multiple PMS and EHR platforms.</li><li>
Knowledge of medical insurance processes, billing, and collections with CPT, ICD10, and HCPCS coding and medical terminology, as well as an overall understanding of managed care products (HMO, PPO, etc.).</li></ul><p><b>
Physical Demands:
</b></p><p>The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.</p><p><b><br>
Work Environment:
</b></p><p>This is a hybrid position. The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations, and other conditions common to an oncology/hematology clinic environment. Work will involve in-person and virtual interaction with co-workers and management and/or clients. Work may require minimal travel by air or automobile to office sites.</p></div>

Instructional Designer, Revenue Cycle

BUPA Arabia

<p>Is responsible for overseeing the RCM operations including claims and billing management. Communicate partner providers, implement and refine processes of audit and compliance, execute special RCM projects and participate in different analytical activities</p> Claims and billing management <ul><li>Develop and maintain a strategic approach to the revenue cycle that aligns with the broader objectives of Bupa insurance.</li><li>Collaborate with clinical and administrative departments to ensure a seamless integration between care delivery and insurance processing systems.</li><li>Oversee the claims submission process to insurance providers, ensuring accuracy and compliance with insurance policies.</li><li>Ensure that all claims, denials, and appeals are efficiently processed, and for resolving billing related issues.</li><li>Identify opportunities to optimize revenue collection and cost management.</li><li>Deliver metrics and reporting to monitor and improve revenue operations effectiveness.</li></ul> Partner Providers management <ul><li>Conduct comprehensive market analysis to identify potential partner providers.</li><li>Establish and maintain robust relationships with providers. Negotiation favorable terms in contracts, provide regular feedback. review and evaluate partner performance against contracts and SLAs</li><li>Implement strategies to ensure continuous improvement in partner performance.</li><li>Develop and maintain a comprehensive database of partner providers.</li><li>Work closely with the legal team to ensure compliance in partner contracts.</li></ul> Audit and compliance <ul><li>Develop and maintain a compliance risk management plan.</li><li>Address audit findings with stakeholders and implement corrective actions.</li><li>Review and update compliance policies and procedures regularly and monitor industry changes.</li><li>and adjust compliance strategies accordingly.</li><li>Ensure compliance with Coding & billing regulation.</li><li>Provides education and policy updates for staff on a regular and as needed basis</li><li>Conduct on-site audits of selected referral providers to validate the accuracy of documentation and compliance with established protocols.</li><li>Establish a feedback loop to communicate audit findings with referral providers, addressing areas for improvement and acknowledging positive practices.</li></ul> Projects management <ul><li>Identify process gaps and propose innovative solutions.</li><li>Document and implement new workflows and processes.</li><li>Establish cross-functional collaboration for successful project execution.</li><li>Conduct regular project review meetings and provide status updates.</li><li>Ensure project deliverables meet quality standards and organizational objectives.</li><li>Evaluate project outcomes and capture learnings for future projects.</li><li>Utilize project management tools and software for efficient tracking.</li></ul> Healthcare Data Analysis <ul><li>Generate insights in certain healthcare specialties, mine patient and healthcare provider data from multiple sources to discover key analytical insights to create complete views of health data and cost trends.</li><li>Maintain the different models for predictive analysis to evaluate members' patterns of health care.</li><li>Enhance the approaches for advanced patient risk stratification based on conditions, complexity, and medication profiling.</li><li>Conduct cost-effectiveness analysis to identify alternate management options that provide medically necessary potentially cost-effective services.</li></ul><img src="https://www.jobg8.com/Tracking.aspx?LG26wbZnLxdGwEyWqAaTff1DkwoMD5JSg" width="0" height="0" />

Manager - Revenue Cycle Operations

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