Assistant Manager RCM - Account Receivable and Billing
University Hospital Sharjah
Total years of experience :18 years, 7 Months
Reporting to Revenue Cycle Manager
Job Responsibilities:
* Supervising - Billing, Cashiers and Admission office staff.
* Providing solution on day to day queries of Billing, Cashiers and Admission office staff
* Training and updating the Billing, Cashiers and Admission office staff regarding updates in system and on
billing issue.
* Attending and sorting out patient query related to billing / payment / discount etc.
* Identifying and clearing transaction stuck in interface table related to Billing and Receivable.
* Generate monthly required reports for Management Review
* Defining and updating master file in HIS and ERP system (payer / packages / service / pricing)
* Reconciling payment credited to Bank and ensuring remittance advise are uploaded in System
* Finalizing monthly billing as per management deadline
* Reporting monthly insurance / corporate billing to management
* Attending meeting with Insurance companies and TPAs related to rejection and outstanding payment.
* Submitting monthly collection report to the management
* Analyzing Debtor Aging schedule on regularly basis.
* Assisting Auditors during Audit and providing required documentation.
* Ensuring timely submission of corporate billing (Aviation Medical Screening)
* Timely billing to units under Hospital (Flower shop / Coffee shop / Retail outlet etc..)
* Verifying the Patient refund in the system before processing payment.
* Routinely contact Insurance companies / TPAs and corporate companies for payment and ensuring
outstanding statement are sent to Payers and reconciled.
* Submitting Final claims rejection statement for Management review and approval for write off.
* Verifying and submitting department attendance report to Payroll to process salary.
* Providing payroll with list of staff that opted for Salary deduction for medical treatment at hospital for self or
Dependant.
* Providing list of medical services (Cosmetic) rendered on which VAT is applicable and payable, to Finance
team on monthly basis.
* Providing list of defaulter (Self paying patient) with supporting document to Recovery Agency for further
follow-up
* Involved in HIS system configuration with IT - Account Receivable and Billing RCM module.
* Testing of Account Receivable and Billing element in HIS and ERP system and sending query to IT department
for building missing element into system.
* Responsible for testing and implementing Interface between HIS and ERP system - Account Receivable and
Billing RCM module
Reporting to Finance Controller
Job Responsibilities:
* Managing - Billing & Reconciliation staff.
* To ensure that Medical claims are dispatched to Insurance companies within stipulated time frame
* Regular training and updating staff to get acquainted with efficient process of billing and pre approval
* To train new recruit in insurance and clarifying doubt related to insurance coverage of various companies
* To create and update master incase of change in discount structure, new entitlement, price etc.
* Solving day to day queries related to billing / Pre approval
* Reporting monthly Insurance / corporate billing to management.
* Follow up for overdue payment & sending outstanding report to insurance / corporate companies and
reconcile.
* To ensure that all remittance advise received from Insurance companies are posted in system
* To provide monthly collection report to management for review.
* Analysing Debtor Aging report.
* Assisting the Auditors.
* Correspondence & communication with Insurance companies regarding multi-service disputes / rejected
claims
* Ensuring rejected claims are resubmitted with clarification within given time frame
* Attending Reconciliation meeting with Insurance companies.
* Providing list of finally rejected claims and getting it approved from management for write off.
* Preparing and passing JV for Provision / write off.
Verify PRF’s raised through i Procurement are properly coded for accounting code.
* Co-relate the PO’s issued and maintain the PO’s list file for retrieval at a later date.
* To ensure purchase invoices received are attached with proper purchase order and approvals and are forwarded
for preparation of GRN, after getting it authorized for payment from respective department..
* Posting of Invoice in Oracle & verifying the distribution to GL for any advance / retention adjustment and validating
the entries.
* Managing and controlling payables accounts and ensuring that payments have been done within the stipulated
time period
* Periodic preparation of Reconciliation statement of the Account of suppliers and undertake the settlement of
queries if any from suppliers.
* Ensure to obtain the audit confirmations of statement of account from suppliers
* Prepare and Review Aging Report and investigate old outstanding unpaid invoices and confirm that AP tally with
GL.
* Payments to various suppliers through wire transfer and cheque by having complete control over the payables
department.
* Obtain periodic statement from the Bank and reconcile the bank statements with accounted figures
* Preparing & posting JV for Capex and Opex accrual entries, that the jobs completed / expense incurred are
recognized as expenses with proper supporting.
* Preparing & posting JV for prepaid adjustment & re classify the accounted entries if any with proper supporting.
* Reconciliation of Intercompany - Receivable & Payables on monthly basis.
* Ensure that the internal control measures are complied with while accounting of expenses
* Prepare deviation statement for all financial expense head and its variance with budgeted figures and provide
inputs to the Manager on the deviations
* Preparing schedules for Employee Advance, construction advance, Deposit, Prepaid advances for monthly financial
reporting.
* Maintaining CWIP sheet as per audit format and confirm it tally’s with GL
* Reconciles general ledger and subsidiary accounts.
* Prepares P&L, Balance Sheet, and other reports for Management.
* Maintains the fixed assets register and handles fixed asset accounting.
* Maintain the Petty cash and ensure that the payments are made based on approved claim forms.
* Petty cash expenses are filed and maintained to explain to internal and external auditors as and when required
* Individual Expense Reimbursement Forms are checked and verified before seeking approvals of expense and
processing for payment.
* Assisting Auditors in carrying out the audits.
Reporting to Group Financial Controller
Job Responsibilities:
* Reconciliation of Receivable Accounts with Insurance Companies.
* To attend Reconciliation Meeting with Insurance Companies on Monthly basis
* Communication & Correspondence with Insurance Companies regarding multi-service disputes / rejected claims.
* Resubmission of rejected claims to Insurance companies with clarification
* Keeping track of overdue bills.
* Follow up for overdue payment & sending outstanding report to Insurance Companies / Companies.
* Analyzing Debtor Aging Schedule
* Bank Reconciliation
* Preparing & Passing JV for Provision on Monthly basis
* Allocation of Staff treatment to Respective Departments
* Posting staff not covered Medical recoveries to Salary Payable A/C.
Regional Accounts
Jobs Responsibilities
* Handling Account of Western Region - 21 Centers
* Receiving & Booking of invoices from attached centre.
* Payment to