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Sidra Medicine
Full time
Manager – Accounts Receivable and Revenue Analysis “Job Details”
Job Description
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)
