Revenue Cycle Expert

2 days ago


Manila, National Capital Region, Philippines John Clements Consultants, Inc. Full time

Job Summary

The Senior RCM Manager will lead the billing and collections operations in a healthcare environment, ensuring timely and accurate reimbursement. This position focuses on optimizing revenue cycle processes, maintaining compliance with regulations, and fostering collaboration across departments.

Key Responsibilities:

  1. Oversee and streamline all billing and collections processes to achieve timely reimbursements.
  2. Supervise daily operations of the revenue cycle team, including patient registration, charge capture, claim submission, payment posting, and accounts receivable management.
  3. Develop and implement strategies to enhance efficiency of the revenue cycle, addressing and resolving issues proactively.
  4. Ensure compliance with legal and health insurance policies, keeping abreast of current coding, billing, and regulatory standards.
  5. Collaborate with various departments to ensure seamless billing operations.
  6. Manage staff performance through regular feedback, performance reviews, and ongoing training.
  7. Uphold patient confidentiality and data privacy in line with relevant laws and regulations.
  8. Negotiate with health insurance companies regarding payment and billing disputes.
  9. Prepare and present detailed reports on account statuses and collections.

Qualifications:

  1. Bachelor's degree in finance, business administration, healthcare administration, or a related field.
  2. Proficient in healthcare billing software and Microsoft Office applications.
  3. Extensive experience in healthcare billing and revenue cycle management.
  4. Strong interpersonal, organizational, and customer service skills.
  5. Ability to thrive in a fast-paced environment.
  6. Minimum of 10 years of relevant work experience.
  7. Flexible working hours.


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