revenue cycle manager

Management Solutions International (MSI)

<p></p><div><div><div><div><div><div><div><div><div>Location</div></div>
<div><div>Lusail, Qatar</div></div>
</div></div></div><div></div><div><div><div><div><div>Experience</div></div>
<div><div>7-13</div></div>
</div></div></div><div></div><div><div><div><div><div>Job Type</div></div>
<div><div>Recruitment</div></div></div></div></div></div></div></div></div>
<br><div><div><div>Job Description</div><br>
</div><p></p><div><div><p><b>Job Title: </b>Revenue Cycle Manager</p>
<p><b>Reporting To: </b>Head of Finance</p>
<p><b>Position
</b></p><p><b>Summary
</b></p><p>The Revenue Cycle Manager ensures the efficient and smooth processing of patient billing, pre-authorization, proper coding, insurance claims submission and resubmission and recovery through effective liaising with insurance companies while maximizing patient satisfaction by leading the insurance operations with the objective of streamlining the process. Responsible for timely insurance claims submission and pre-authorization processing, reducing the insurance rejections, managing insurance contracts and benefits, overseeing the insurance operations and designing, implementing and training AMNM Day Surgery Doctors and other relevant stakeholders on insurance policies and protocols.</p>
<p><b>Responsibilities</b><b><i> </i></b>Oversees function of revenue cycle management of AMNM.</p>
<p>Manages and negotiates contracts with insurance companies to obtain recognition as a service provider.</p>
<p>Liaises with insurance companies regarding eligibility, payments, reconciliations, service additions to maximize the profitability of the business.</p>
<p>Reviews insurance claims to ensure accuracy as per agreement, prior to dispatch to respective insurance companies within stipulated timeline.</p>
<p>Ensures proper coding - CPT, ICD, HCPCS, DRG codes as applicable</p>
<p>Ensure internal audit and review of Outpatient and Inpatient files, billing and claims</p>
<p>Keeping a check on pending receivables and ensure payments are received from payors within the contractually agreed timeline.</p>
<p>Reconcile all collections received and outstanding receivables against all electronic claims submitted and re-submitted.</p>
<p>Proactively reports critical issues to Management and submits monthly aging and other reports to Management as required</p>
<p>Maintaining acceptable Turnaround time for obtaining pre-approval of services.</p>
<p>Designs, updates and implements policies, procedures and protocols to ensure efficiency and accuracy in insurance operations.</p>
<p>Monitors insurance - rejections and prepares &amp; submits periodic reports to the Head of Finance for review.</p>
<p>Meeting Doctors monthly to explain their rejections and providing appropriate guidance to prevent similar rejections in future claims</p>
<p>Ensure up to date management of central price master which has a clear comparison of self-pay, ministry approved and various empaneled payor prices</p>
<p>Ensures that the insurance contracts are up to date on the system and there is a proper summary file which compares the key contractual parameters among the empaneled insurance companies.</p>
<p>Supervises billing function at the Front Desk (-</p></div><br>
<div>
<p></p><div><p>Measures the effectiveness and efficiency of on-going front desk-related procedures and coordinates procedural changes, if required to enhance the RCM function.</p>
<p>Monitors the - billing and pre- authorization activities of outpatient, diagnostics and day surgery.</p>
<p>Prepares breakdowns for the invoices as required by insurance companies or patients for reimbursement process.</p>
<p>Educates reception, Doctors, nursing and paramedical staff on insurance protocols, new processes or modifications as notified by insurance companies from time to time</p>
<p>Assist in the regular audit conducted by the insurance companies and other regulatory agencies.</p>
<p>Resolve issues and respond to any related queries, both internal (i.e. other departments) and external (i.e. regulatory agencies, insurance companies).</p>
<p>Interact with IT for any software development or applicable systems that help improve the insurance pre-approval and claims process.</p>
<p>Develops the unit budget and ensure departmental operations are effectively conducted within the budget.</p>
<p>Communicates with patients regarding their insurance policies, eligibility and entitlements.</p>
<p>Coordinates with colleagues and other related departments for smooth running of RCM operations.</p><br>
<p></p>
<p><b>Experience and
</b></p><p><b>Skills Required
</b></p><p><b>Experience required:
</b></p><p>Minimum - 8 to 10 years of experience in a hospital setting in a similar role (Payer- Experience will be added value).</p>
<p><b>Preferred Experience:
</b></p><p>In Hospitals and/or Day care surgical centers <b>Skills required:
</b></p><p>Knowledge on insurance approvals, claims and billing process.</p>
<p>Knowledge on Qatar laws applicable to insurance legislations.</p>
<p>Knowledge on HIS &amp; ERP. -</p>
<p>Experience in revenue cycle management.</p>
<p>Qualification&rsquo;s<b> Essential:</b></p>
<p>Graduate in Medicine /Life Science or other related medical education, and/or</p>
<p>Certified Medical Coder (HIMAA/ AHIMA).</p>
<p><b>Licensing /
</b></p><p><b>Certifications
</b></p><p>Medical / Coding</p>
<p><b>Core
</b></p><p><b>Competencies
</b></p><p><b>Administrative Skills:</b> Negotiation, Problem Solving and Organizational skills, Attention to Detail, Flair in Managing Files and Records, Designing Forms, and other Office procedures, Decision Making, Detail Oriented, Team Player and handling large teams.</p>
<p><b>Technical</b>: Familiar with HIS and RCM Process as per regional practice. Good typing speed.</p>
<p><b>Soft Skills:</b> Excellent Communication and Inter-Personal skills.</p>
<p><b>Computer Skill</b>s: MS Office (Word, Excel, Power Point, Outlook) -.</p>
<p><b>Language Skills:</b> Good in written and spoken English and Arabic will be of added value.</p>
<ul><li><p><b>RCM Manager</b></p>
</li><li><p>Any nationality</p>
</li><li><p>Immediate joiner is preferred but not a must</p>
</li><li><p>Up to 15k QAR cash in hand plus two-bedroom apartment</p><br>
</li></ul></div></div></div><br>
<br>
<br>
<br>
<div><div>Skills
</div></div><div>Surgery, Proactive, Outlook, Coo, Cto, Computer Skills, Nursing, Education, Erp, Visio, Fla, Team Player, Administrative Skill, Aris, Head Of Finance, Organizational Skills, Internal Audit, Excel, Problem Solving, Ms Office, Organizational Skill, Aws, Patient, Software Development, Decision Making</div></div><p></p>

Revenue Cycle Manager

Active Hires USA

<p><b>Job Title:</b> Revenue Cycle Management (RCM) Specialist</p><p><b>Location:</b> Egypt (Work from Home)</p><p><b>Company:</b> Go Physical Therapy (USA-based)</p><p><b>Job Type:</b> Full-time (Remote, Work from Home)</p><p><b>About Us:</b></p><p>Go Physical Therapy is a leading physical therapy provider based in the USA, committed to delivering exceptional care to our patients. We are seeking a skilled and experienced RCM Specialist to join our team remotely from Cairo, Egypt. This role is crucial in ensuring the smooth management of our revenue cycle and optimizing our billing processes.</p><p><b>Job Overview:</b></p><p>As an RCM Specialist, you will be responsible for managing the end-to-end revenue cycle, including patient registration, insurance verification, claim submission, and payment posting. You will collaborate with our team in the USA to ensure timely and accurate billing, minimize claim denials, and improve overall revenue collection. This position offers the flexibility of working from home, allowing you to balance your professional and personal life effectively.</p><p><b>Key Responsibilities:</b></p><ul><li><b>Insurance Verification:</b> Confirm patient insurance coverage and eligibility prior to services being rendered.</li><li><b>Billing &amp; Coding:</b> Ensure accurate coding of medical services and procedures to maximize reimbursement.</li><li><b>Claim Submission:</b> Prepare and submit claims to insurance companies and other payers efficiently.</li><li><b>Follow-Up:</b> Track and follow up on unpaid claims, resolving issues related to claim denials or rejections.</li><li><b>Payment Posting:</b> Accurately post payments from insurance companies and patients to the correct accounts.</li><li><b>Reporting:</b> Generate and analyze reports related to revenue cycle metrics, such as days in accounts receivable, denial rates, and collection efficiency.</li><li><b>Compliance:</b> Ensure that all billing practices comply with relevant regulations and industry standards.</li></ul><p><b>Qualifications:</b></p><ul><li><b>Experience:</b> Minimum of 1-2 years of experience in revenue cycle management or medical billing.</li><li><b>Skills:</b></li><li>Strong understanding of medical billing, coding (ICD-10, CPT), and insurance processes.</li><li>Proficiency in healthcare management software (e.g., EMR/EHR systems).</li><li>Excellent communication and problem-solving skills.</li><li>Ability to work independently and manage multiple tasks effectively.</li><li>Fluency in English: Both written and spoken fluency in English is required to effectively communicate with our USA-based team and clients.</li><li>Soft Skills: Teamwork, adaptability, and attention to detail are highly valued.</li></ul><p><b>What We Offer:</b></p><ul><li>Competitive salary</li><li>Opportunity to work remotely from home in Egypt</li><li>Professional development and growth opportunities</li><li>A collaborative and supportive work environment</li></ul><p>Job Type: Full-time</p><p>Pay: E&pound;10,000.00 - E&pound;18,000.00 per month</p><p>Experience:</p><ul><li>Revenue Cycle Management Specialist: 1 year (Required)</li></ul><p>Language:</p><ul><li>English (Required)</li></ul>

Revenue Cycle Management (RCM) Specialist - remotely

Hyatt

<div><div><p>Summary</p><div><p>
You will be responsible for the efficient running of the department in line with Hyatt International's Corporate Strategies and brand standards, whilst meeting employee, guest and owner expectations. The Revenue Manager is responsible to provide revenue accounting leadership and business best practices to the hotel. The Revenue Manager has responsibility for all technical accounting aspects of hotel's revenue streams. This role will provide key leadership surrounding the hotel's revenue recognition policies and will regularly interface with the sales, operations and marketing organizations. The Revenue Manager is also responsible for royalty accounting and invoicing, and has two direct reports.</p></div></div><div><p>
Qualifications</p><div><p>
Ideally with a university degree in Strategic Marketing or Hospitality/Tourism management. An MBA would be an asset. Minimum 2 years work experience as Revenue Manager, Marketing Manager, Marketing Analyst. Strategic orientation, as well as good problem solving, administrative and interpersonal skills are a must.</p></div></div></div>

REVENUE MANAGER

Pristyn Care

<p><b>Operations Management</b></p><p>Oversee daily hospital operations ensuring smooth coordination between departments (Clinical, Billing, and Front Office).</p><p>Implement and monitor Standard Operating Procedures (SOPs) to enhance service quality and efficiency.</p><p>Supervise staff performance, handle escalations, and ensure patient satisfaction.</p><p>Manage hospital resource utilization and support strategic planning initiatives.</p><p>Billing &amp; Revenue Cycle Management</p><p>Expertise in OPD/IPD/TPA billing including claim processing, insurance coordination, and revenue reconciliation.</p><p>Ensure accuracy in billing, documentation, and timely settlements.</p><p>Coordinate with finance teams to monitor revenue generation and reduce outstanding claims.</p><p>Business Development &amp; Marketing</p><p>Develop and maintain strong relationships with doctors, corporates, and referral partners.</p><p>Design and implement marketing strategies to enhance hospital visibility and patient footfall.</p><p>Coordinate with local healthcare networks, corporate health check-up programs, and government tie-ups.</p><p>Monitor competition and identify growth opportunities in the healthcare market.</p><p>Team Leadership</p><p>Lead, train, and motivate cross-functional teams across departments.</p><p>Drive team targets in business development, patient satisfaction, and operational efficiency.</p><p>Foster a culture of accountability, teamwork, and continuous improvement.</p><p>Job Type: Full-time</p><p>Pay: &#8377;11,352.71 - &#8377;35,000.00 per month</p><p>Benefits:</p><ul><li>Cell phone reimbursement</li><li>Commuter assistance</li><li>Food provided</li><li>Health insurance</li><li>Internet reimbursement</li><li>Leave encashment</li><li>Provident Fund</li></ul><p>Application Question(s):</p><ul><li>Current CTC?</li><li>Expected CTC?</li></ul><p>Location:</p><ul><li>Gurugram, Haryana (Required)</li></ul><p>Work Location: In person</p>

Billing Executive

Prime Medical Center LLC

<ul><li>Oversee the entire patient billing cycle, ensuring accurate and timely claim submissions to maximize revenue.</li><li>Lead a team of billing specialists, providing guidance, training, and performance evaluations to foster growth and efficiency.</li><li>Analyze billing data and key performance indicators (KPIs) to identify trends, opportunities for improvement, and potential revenue leakage.</li><li>Develop and implement billing policies and procedures, ensuring compliance with federal, state, and payer regulations.</li><li>Manage and resolve complex billing issues, including claim denials, appeals, and patient inquiries, to maintain patient satisfaction.</li><li>Collaborate with other departments, such as clinical and registration, to streamline processes and improve the overall billing workflow.</li><li>Stay informed about changes in healthcare regulations, coding guidelines, and payer requirements to maintain compliance.</li><li>Negotiate and manage contracts with insurance providers to optimize reimbursement rates and minimize claim denials.</li><li>Prepare and present financial reports, including aging reports and revenue analysis, to senior management.</li><li>Implement and maintain billing software and technology solutions to improve efficiency and accuracy.</li></ul><br/>

Manager In Patient Billing

CureMD

<div><div>Job Overview:</div><div>
The Associate Manager Billing is responsible for overseeing and managing complex medical billing processes. Key responsibilities include ensuring the accuracy of billing submissions, coordinating with insurance companies to resolve high-level billing issues, and managing a team of billing professionals. This role requires a deep understanding of billing regulations, payer requirements, and revenue cycle management.</div><div></div><div>
Job Responsibilities:</div><ul><li>
Oversee the management and strategic direction of medical billing operations, including payments processing, Accounts Receivable, Denial Management and other billing domain functions.</li><li>
Develop and implement policies and strategies to enhance the efficiency and accuracy of billing operations and financial reconciliation within all domains.</li><li>
Lead and mentor the team, fostering a culture of high performance, precision, and compliance with healthcare financial and regulatory standards.</li><li>
Ensure strict adherence to healthcare financial regulations, payer guidelines, and compliance standards across all operational activities.</li><li>
Identify and address systemic operational challenges, spearheading solutions for enhanced efficiency and accuracy in medical billing processes.</li><li>
Manage risks across various domains, such as incorrect payments, denials, compliance issues, and authorization challenges, implementing effective risk management strategies.</li><li>
Evaluate and monitor team performance with an aim to improve the quality and efficiency of billing operations and customer service.</li><li>
Conduct and supervise comprehensive training and development programs to elevate domain knowledge and expertise in medical billing practices and healthcare financial management.</li></ul><div></div><div>
Qualifications:</div><ul><li>
Bachelor&rsquo;s Degree or Above</li><li>
7 to 9 years of experience in US Medical Billing.</li><li>
Proven expertise in handling large-scale billing operations and optimizing billing processes for maximum efficiency and compliance.</li><li>
Good understanding of full life cycle revenue cycle management.</li><li>
Ability to effectively lead and manage multi-disciplined projects. Up-to-date knowledge of reimbursement regulations and compliance issues of third-party payers (Insurance companies).</li><li>
Good communication and analytical skills.</li><li>
Strong professional demeanor with the inherent quality to rapidly establish credibility and rapport with clinicians, managers, customers and external groups.</li><li>
Ability to identify opportunities and solutions for process improvement along with the skills of planning and implementation of these solutions.</li><li>
Ability to drive product innovation and improvements.</li></ul><div></div><div>
Compensation and Benefits:</div><div>
Financial:</div><ul><li>
Competitive salary and bi-annual bonus.</li><li>
Fast track and uncapped career growth for high performers.</li><li>
Company-sponsored vehicle financing (car and bike).</li><li>
Interest-free loans.</li><li>
Provident Fund: CureMD matches up to 8% of your base salary.</li><li>
Fuel Card.</li><li>
Cellular Allowance.</li></ul><div></div><div>
Health and Wellness:</div><ul><li>
In-house clinic with a team of certified male and female doctors with 24/7 telemedicine service.</li><li>
Hospital treatment monitoring by company doctors.</li><li>
Comprehensive health coverage for your immediate family (outpatient, inpatient, maternity, and parents' inpatient).</li><li>
Exclusive health benefits and discounts at top-class clinics and labs.</li></ul><div></div><div>
   Supportive Workplace:</div><ul><li>
Pick-up and drop-off services for female employees.</li><li>
In-house daycare facility.</li><li>
In-house gym and recreational area to unwind.</li></ul><div></div><div>
Continued Learning:</div><ul><li>
Company-sponsored trainings, workshops, development programs and retreats.</li><li>
Paid specialized training/certifications.</li></ul><div></div><div>
The Difference You&rsquo;ll Make:<br>
At CureMD, every role, whether senior or junior, plays a pivotal part in transforming healthcare. By joining our innovative team, you&rsquo;ll contribute to groundbreaking technology that directly impacts patient care, enhances healthcare efficiency, and saves lives globally. Your skills and passion will drive meaningful change, helping us deliver solutions that support healthcare professionals in critical, real-time settings. Together, we&rsquo;re not just advancing technology &mdash; we&rsquo;re making a tangible difference in people&rsquo;s lives. Together, Let&rsquo;s save lives.</div></div><div></div>

Associate Manager Billing

<div>
 <strong>
  Job Overview:
  <br/>
  <br/>
 </strong>
 The Associate Manager Billing is responsible for overseeing and managing complex medical billing processes. Key responsibilities include ensuring the accuracy of billing submissions, coordinating with insurance companies to resolve high-level billing issues, and managing a team of billing professionals. This role requires a deep understanding of billing regulations, payer requirements, and revenue cycle management.
 <br/>
 <br/>
 <strong>
  Job Responsibilities:
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Oversee the management and strategic direction of medical billing operations, including payments processing, Accounts Receivable, Denial Management and other billing domain functions.
  </li>
  <li>
   Develop and implement policies and strategies to enhance the efficiency and accuracy of billing operations and financial reconciliation within all domains.
  </li>
  <li>
   Lead and mentor the team, fostering a culture of high performance, precision, and compliance with healthcare financial and regulatory standards.
  </li>
  <li>
   Ensure strict adherence to healthcare financial regulations, payer guidelines, and compliance standards across all operational activities.
  </li>
  <li>
   Identify and address systemic operational challenges, spearheading solutions for enhanced efficiency and accuracy in medical billing processes.
  </li>
  <li>
   Manage risks across various domains, such as incorrect payments, denials, compliance issues, and authorization challenges, implementing effective risk management strategies.
  </li>
  <li>
   Evaluate and monitor team performance with an aim to improve the quality and efficiency of billing operations and customer service.
  </li>
  <li>
   Conduct and supervise comprehensive training and development programs to elevate domain knowledge and expertise in medical billing practices and healthcare financial management.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Qualifications:
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Bachelor&rsquo;s Degree or Above
  </li>
  <li>
   7 to 9 years of experience in US Medical Billing.
  </li>
  <li>
   Proven expertise in handling large-scale billing operations and optimizing billing processes for maximum efficiency and compliance.
  </li>
  <li>
   Good understanding of full life cycle revenue cycle management.
  </li>
  <li>
   Ability to effectively lead and manage multi-disciplined projects. Up-to-date knowledge of reimbursement regulations and compliance issues of third-party payers (Insurance companies).
  </li>
  <li>
   Good communication and analytical skills.
  </li>
  <li>
   Strong professional demeanor with the inherent quality to rapidly establish credibility and rapport with clinicians, managers, customers and external groups.
  </li>
  <li>
   Ability to identify opportunities and solutions for process improvement along with the skills of planning and implementation of these solutions.
  </li>
  <li>
   Ability to drive product innovation and improvements.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Compensation and Benefits:
  <br/>
  <br/>
 </strong>
 <strong>
  Financial:
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Competitive salary and bi-annual bonus.
  </li>
  <li>
   Fast track and uncapped career growth for high performers.
  </li>
  <li>
   Company-sponsored vehicle financing (car and bike).
  </li>
  <li>
   Interest-free loans.
  </li>
  <li>
   Provident Fund: CureMD matches up to 8% of your base salary.
  </li>
  <li>
   Fuel Card.
  </li>
  <li>
   Cellular Allowance.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Health and Wellness:
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   In-house clinic with a team of certified male and female doctors with 24/7 telemedicine service.
  </li>
  <li>
   Hospital treatment monitoring by company doctors.
  </li>
  <li>
   Comprehensive health coverage for your immediate family (outpatient, inpatient, maternity, and parents' inpatient).
  </li>
  <li>
   Exclusive health benefits and discounts at top-class clinics and labs.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  🤝
 </strong>
 <strong>
  Supportive Workplace:
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Pick-up and drop-off services for female employees.
  </li>
  <li>
   In-house daycare facility.
  </li>
  <li>
   In-house gym and recreational area to unwind.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Continued Learning:
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Company-sponsored trainings, workshops, development programs and retreats.
  </li>
  <li>
   Paid specialized training/certifications.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  The Difference You&rsquo;ll Make:
  <br/>
  <br/>
 </strong>
 At CureMD, every role, whether senior or junior, plays a pivotal part in transforming healthcare. By joining our innovative team, you&rsquo;ll contribute to groundbreaking technology that directly impacts patient care, enhances healthcare efficiency, and saves lives globally. Your skills and passion will drive meaningful change, helping us deliver solutions that support healthcare professionals in critical, real-time settings. Together, we&rsquo;re not just advancing technology &mdash; we&rsquo;re making a tangible difference in people&rsquo;s lives.
 <strong>
  Together, Let&rsquo;s save lives.
 </strong>
</div>


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