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Qatar
Sidra Medical and Research Center
Full time
JOB SUMMARY
The Manager – Accounts Receivable and Revenue Analysis, manages Sidra’s patient revenue collection operations, costing (PLICS and SLR) system and revenue analysis. S/he is responsible for leading and managing assigned activities of pre-authorization, billing, claims submissions, accounts receivable management. In addition to the responsibility of managing PLICS and SLR system and Activity analysis.
KEY ROLE ACCOUNTABILITIES
- Assists in the development of short- and long-term plans and objectives for the unit and preparing various revenue and statistical reports.
- Communicates financial information to upper management and participates in implementation of new rates, charges, depreciation schedules and other financial decisions.
- Updates policies and procedures around accounts receivables, pre-authorization and costing.
- Oversees pre-authorization, financial counselling, billing and insurance claims processing functions.
- Enhances the cooperation between patient financial services and patient administration to ensure successful pre-authorization process and claims submission process.
- Develops financial models for integrated activity-based income and expenditure for health services to provide robust planning of scenarios, options and analysis for service planning.
- Engages with clinical management and physicians to improve documentations for claims processing.
- Ensures accuracy of patient billing information.
- Participates in the contract negotiation and pricing discussions with the insurance companies.
- Updates own team and organization stakeholders on the changes to insurance contract.
- Liaises with patient experience department to ensure Sidra Medicine continues to achieve high level of patient satisfaction through the financial counsellors and billers.
- Assists the Financial Management team in devising activity and revenue plans.
- Ensures accuracy of Accounts receivable aging reports.
- Takes necessary actions to collect pending bills; prepare provisions and write off bad debts following approved policies and procedures.
- Liaises with international business office for processing and collecting international patient bills.
- Liaises with insurance companies to ensure smooth processing of submitted claims.
- Prepares analysis of insurance denials, takes necessary measures and resubmits bills within the contract specified time period.
- Implements and provides support to specialist patient and service level costing and analysis which drives efficiency and planning in the organization; on a timely and robust basis.
- Communicates financial information to upper management and participates in implementation of new rates, charges and other financial decisions.
- Responsible for the development and provision of meaningful reports on the activity and revenue analysis.
- Responsible for providing reports from the PLICS system to satisfy the requirements of MOPH and other external stakeholders.
- Responsible for providing reports from the complex systems to satisfy the requirements of regulators and the governing Board and other external stake holders. Presenting such information as required.
- Oversees the collection and disbursement of charity funds; increase the charity portfolio with the directive from senior management.
- Establishes priorities and assigns work, including projects and non-routine assignments. Reviews work for quality and conformance to departmental policy.
- Assists with the selection, training and performance evaluation of assigned staff and recommends merit increases, promotions, and disciplinary actions.
- Actively promotes and participates in the training of non-financial managers within the Sidra.
- Identifies the team’s training and development needs and undertake appropriate training/education as required, supported by regular PDP.
QUALIFICATIONS & EXPERIENCE
Education
Bachelor’s degree in finance, Business Administration or any other relevant field
Experience
5+ years of progressive management experience in accounting and auditing including:
- Experience working in a large healthcare organization implementing activity based modelling and analytics
- Understanding of health activity in a complex environment.
- Understanding casemix analytics
- Intricate knowledge of financial systems and their capabilities.
Certifications
Accounting Certification (such as CIMA, ACCA, CMA, CGA, CPA, or equivalent)
Sidra Medicine a healthy population is essential to a strong, prosperous society, and throughout 2020, Sidra continued to provide uninterrupted comprehensive specialist healthcare services for children and young people; and exceptional maternity, gynecology, and reproductive medical services for women, previously unavailable in Qatar and the region.” – H.H Sheikha Moza bint Nasser, Chairperson of Qatar Foundation
Sidra Medicine represents the vision of Her Highness Sheikha Moza bint Nasser who serves as its Chairperson. This high-tech facility is home to world-class patient care, scientific expertise, and educational resources.
