Billing Manager

4 weeks ago

Riyad Al Khabra, Saudi Arabia Dr. Sulaiman Al Habib Medical Group Full time

Job Purpose / Objective:

  • Manager, plan, organize and coordinate overall operation of billing and daily follow up for all issues related to duties and responsibilities. The job holder will be responsible for developing, implementing and enforcing policies and procedures, as well as streamlining effective billing processes.

Key Responsibilities / Accountabilities:

  • Oversee the billing functions, including the initiation of goals and procedures, overseeing daily operations, and coordinating office efforts to expedite payment of accounts.
  • Review and resolve issues related to claim generations, clean claim ratios, rejected, denied billings. Determine the accuracy of charge capture, missing charges, late charges, covered and non-covered charges.
  • Review all the invoices and services provided. Review and monitor submitting the invoices to the Finance Department.
  • Serve as the practice expert and go to person for all coding and billing processes.
  • Plan and direct patient insurance documentation, workload coding, billing and collections, and data processing to ensure accurate billing and efficient account collection.
  • Analyze billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow up on any issues.
  • Prepare and analyze accounts receivable reports, weekly and monthly financial reports, and insurance contracts in concert with the Practice.
  • Audit current procedures to monitor and improve efficiency of billing and collections operations.
  • Ensure that the activities of the billing operations are conducted in a manner that is consistent with overall department protocol, and are in compliance with kingdom, and payer regulations, guidelines, and requirements.
  • Review and interpret operational data to assess need for procedural revisions and enhancements; participate in the design and implementation of specific systems to enhance revenue and operating efficiency.
  • Analyze trends impacting charges, coding, collection, and accounts receivable and take appropriate action to realign staff and revise policies and procedures.
  • Monitor all the billing staff and their productivity and service satisfaction by the patients.
  • Responsible of issuing invoices of business promotion, discounts, and various forms of offers for the patients.
  • Monitor all the approvals and expiry dates of approval/ insurance cards for all the company / insurance patients.
  • Monitor and review employee productivity and performance, staff development, and program implementation for customer satisfaction, efficiency, effectiveness, work priorities, and compliance with laws, rules, regulations, and standards.
  • Participate in, and lead person-centered care initiatives undertaken by HMG.
  • Enrich patient experience with compassion, respect and dignity.
  • Perform other applicable tasks and duties assigned within the realm of his knowledge, skills and abilities.

Education/ Professional Qualification:

  • Bachelor's Degree in Finance or Commerce or relevant.

Experience:

  • At least (7) years of experience in billing or/and collection in a health care facility or equivalent.

Professional Licensing / Certification / Training:

  • N/A
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