Revenue Cycle Manager

Overview

Oversee hospital revenue cycle, insurance contracts, claims, and billing operations.

Key Responsibilities

• claims submission
• pre-authorization
• contract management
• claims reconciliation
• coding management
• revenue cycle

Tasks

Responsible for timely insurance claims submission and pre-authorization processing, reducing the insurance rejections, managing insurance contracts and benefits, overseeing the insurance operations and designing, implementing and training the Day Surgery Doctors and other relevant stakeholders on insurance policies and protocols. Reconcile all collections received and outstanding receivables against all electronic claims Reviews insurance claims to ensure accuracy as per agreement, prior to dispatch to respective Manages and negotiates contracts with insurance companies to obtain recognition as a service provider. Maintaining acceptable Turnaround time for obtaining pre-approval of services. Proactively reports critical issues to Management and submits monthly aging and other reports Ensure up to date management of central price master which has a clear comparison of self- The Revenue Cycle Manager ensures the efficient and smooth processing of patient billing, pre- Keeping a check on pending receivables and ensure payments are received from payors within authorization, proper coding, insurance claims submission and resubmission and recovery through effective liaising with insurance companies while maximizing patient satisfaction by leading the insurance operations with the objective of streamlining the process. Designs, updates and implements policies, procedures and protocols to ensure efficiency and Ensure internal audit and review of Outpatient and Inpatient files, billing and claims Ensures that the insurance contracts are up to date on the system and there is a proper Ensures proper coding - CPT, ICD, HCPCS, DRG codes as applicable prevent similar rejections in future claims Meeting Doctors monthly to explain their rejections and providing appropriate guidance to Monitors insurance - rejections and prepares & submits periodic reports to the Head of Finance for review. Oversees function of revenue cycle management. Liaises with insurance companies regarding eligibility, payments, reconciliations, service

Requirements

• medical coder
• his
• erp
• revenue cycle
• 8-10 yrs
• qatar law

What You Bring

accuracy in insurance operations. Knowledge on insurance approvals, claims and billing process. Knowledge on Qatar laws applicable to insurance legislations. Graduate in Medicine /Life Science or other related medical education, and/or Certified Medical Coder (HIMAA/ AHIMA). Minimum - 8 to 10 years of experience in a hospital setting in a similar role (Payer- Knowledge on HIS & ERP. - Experience in revenue cycle management.

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Benefits

In Hospitals and/or Day care surgical centers pay, ministry approved and various empaneled payor prices

About Rig (Recruitment International Group)

-Within three years it expanded across sectors from oil & gas to hospitality, finance, legal, and technology. -Serving both permanent and contract recruitment, it also offers executive search and in‑house project hiring. -Its core strength lies in energy and infrastructure hires—supporting major oil, petrochemical, power and renewables projects. -Projects span upstream/downstream oil & gas, offshore construction, environmental and large‑scale infrastructure schemes. -Operating globally with clients and candidates across the GCC, Europe, Asia and Africa—and growth planned in Singapore and Houston. -Typically placing engineering, HSE, project and procurement specialists in technical industries. -Stand‑out fact: from a single Dubai startup, it built a 24‑hour global recruitment cycle using multi‑region offices.

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