الصفحة الرئيسية قطر Manager - Accounts Receivable and Revenue Analysis

الصفحة الرئيسية قطر Manager - Accounts Receivable and Revenue Analysis

Manager - Accounts Receivable and Revenue Analysis

دوام كامل في Sidra Medical and Research Center في Qatar
نُشرت يوم December 18, 2024

تفاصيل الوظيفة

Manager - Accounts Receivable and Revenue Analysis 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, and accounts receivable management, in addition to managing the PLICS and SLR system and activity analysis. KEY ROLE ACCOUNTABILITIES

  1. Assists in the development of short- and long-term plans and objectives for the unit and prepares various revenue and statistical reports.
  2. Communicates financial information to upper management and participates in the implementation of new rates, charges, depreciation schedules, and other financial decisions.
  3. Updates policies and procedures around accounts receivables, pre-authorization, and costing.
  4. Oversees pre-authorization, financial counselling, billing, and insurance claims processing functions.
  5. Enhances cooperation between patient financial services and patient administration to ensure successful pre-authorization and claims submission processes.
  6. 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.
  7. Engages with clinical management and physicians to improve documentation for claims processing.
  8. Ensures accuracy of patient billing information.
  9. Participates in contract negotiation and pricing discussions with insurance companies.
  10. Updates own team and organization stakeholders on changes to insurance contracts.
  11. Liaises with the patient experience department to ensure Sidra Medicine continues to achieve a high level of patient satisfaction through financial counsellors and billers.
  12. Assists the Financial Management team in devising activity and revenue plans.
  13. Ensures accuracy of Accounts Receivable aging reports.
  14. Takes necessary actions to collect pending bills; prepares provisions and writes off bad debts following approved policies and procedures.
  15. Liaises with the international business office for processing and collecting international patient bills.
  16. Liaises with insurance companies to ensure smooth processing of submitted claims.
  17. Prepares analysis of insurance denials, takes necessary measures, and resubmits bills within the contract-specified time period.
  18. 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.
  19. Communicates financial information to upper management and participates in implementation of new rates, charges, and other financial decisions.
  20. Responsible for the development and provision of meaningful reports on activity and revenue analysis.
  21. Responsible for providing reports from the PLICS system to satisfy the requirements of MOPH and other external stakeholders.
  22. Responsible for providing reports from complex systems to satisfy the requirements of regulators, the governing Board, and other external stakeholders.
  23. Oversees the collection and disbursement of charity funds; increases the charity portfolio with directives from senior management.
  24. Establishes priorities and assigns work, including projects and non-routine assignments.
  25. Reviews work for quality and conformance to departmental policy.
  26. Assists with the selection, training, and performance evaluation of assigned staff and recommends merit increases, promotions, and disciplinary actions.
  27. Actively promotes and participates in the training of non-financial managers within Sidra.
  28. Identifies the team’s training and development needs and undertakes 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 of case mix analytics.
  • Intricate knowledge of financial systems and their capabilities.
Certifications Accounting Certification (such as CIMA, ACCA, CMA, CGA, CPA, or equivalent). #J-18808-Ljbffr

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