Revenue Cycle Manager

AMI Healthcare; Dubai; On-site; AED 240,000 - 320,000; Full time

Job summary

AMI Healthcare in Dubai seeks a Revenue Cycle Manager to lead end-to-end billing, coding, and collections for the hospital and ambulatory surgery center. You will collaborate with finance, clinicians, and insurers to protect revenue integrity and optimize cash flow.

The role requires mandatory UAE experience in billing and reimbursement, with strong leadership and analytical capabilities to drive performance and patient financial experience.

Qualifications

• Bachelor's degree in finance, accounting, healthcare administration, health information management, or related discipline.
• At least five years of healthcare revenue cycle experience, including 3+ years UAE billing experience and 2+ years in a supervisory/management role.
• Experience managing hospital revenue cycle operations for hospital and ambulatory surgery center workflows.
• Hands-on UAE insurer/TPA knowledge, eligibility verification, preauthorization, denials, appeals, and payment reconciliation.
• Proficiency with Dubai eClaimLink/DHPO workflows, coding standards, DRG/package reimbursement.

Responsibilities

• Lead end‑to‑end revenue cycle operations across hospital and ambulatory services, ensuring accurate billing and timely reimbursement.
• Oversee claims submission, denial management, approvals, and payment posting with adherence to DHA requirements.
• Coordinate with admissions, clinical teams, and finance to ensure revenue integrity and cash flow.
• Manage staff, provide coaching, and establish audit trails and process controls for compliant operations.
• Monitor payer performance, resolve escalations, and implement corrective actions.
• Support pricing, contracting, and reimbursement strategies with analytics and reporting.

Skills

Team leadership

Analytical judgment

Payer negotiation

Cross-functional communication

Problem solving

Excel proficiency

Education

Bachelor's degree in finance, accounting, healthcare administration, health information management

Tools

Dubai eClaimLink/DHPO

Job description

The Revenue Cycle Manager leads end-to-end revenue cycle operations for a Dubai hospital and ambulatory surgery center, ensuring accurate billing, timely reimbursement, effective collections, and a clear, respectful patient financial experience. The role partners with finance, clinical teams, patient access, and insurers to protect revenue integrity and improve cash flow across inpatient, outpatient, and day-surgery services.

Mandatory UAE Experience

Applicants must have direct, hands-on experience with UAE healthcare billing and reimbursement practices, including Dubai payer requirements, insurance claims, preauthorizations, denial resolution, and payment reconciliation. Experience limited to healthcare markets outside the UAE does not meet this requirement.

Revenue Cycle Operations

• Manage the full revenue cycle, from registration, insurance eligibility, benefit verification, and preauthorization through charge capture, coding coordination, claims submission, payment posting, and collections.
• Establish consistent workflows across the hospital and ambulatory surgery center while addressing the distinct requirements of inpatient, outpatient, and day-case encounters.
• Oversee patient estimates, deposits, copayments, deductibles, self-pay accounts, refunds, and financial counseling; ensure transparent communication about patient financial obligations.
• Maintain billing controls, work queues, submission calendars, and escalation processes to prevent missing charges, unbilled encounters, duplicate billing, and avoidable write-offs.

Dubai Billing, Coding & Reimbursement

• Manage electronic claims and remittance workflows using eClaimLink/DHPO and payer portals, including validation, rejection correction, resubmission, and reconciliation.
• Maintain working knowledge of applicable Dubai Health Authority (DHA) health insurance requirements, circulars, coding standards, and payer-specific submission and appeal timelines.
• Oversee correct application of contracted fee schedules, surgical packages, and diagnosis-related group (DRG) reimbursement where applicable; verify payment against contract terms.
• Work with coding and clinical teams to support accurate ICD-10-CM, CPT, and HCPCS coding, medical necessity documentation, and the appropriate classification of inpatient and day-case services under applicable rules.
• Monitor payer contracts, network participation, authorization conditions, exclusions, and patient-share rules; communicate changes promptly to operational teams.

Hospital & Surgical Revenue Integrity

• Partner with admissions, operating theatre, nursing, surgeons, anesthesia, pharmacy, and supply-chain teams to reconcile services delivered with charges recorded.
• Ensure preoperative approvals cover the planned procedure and relevant services; manage authorization changes, extensions, cancellations, and conversions to admission with the clinical team.
• Review surgical packages and charging arrangements for facility services, professional fees, anesthesia, implants, consumables, medications, diagnostics, and recovery care; prevent inappropriate unbundling or duplicate charges.
• Resolve documentation and charging discrepancies before billing, and coordinate compliant clinical documentation improvement without influencing clinical decisions.

Collections, Leadership & Controls

• Lead accounts receivable follow-up, denial analysis, appeals, underpayment recovery, and insurer/third-party administrator (TPA) dispute resolution.
• Analyze payer performance and aged balances; identify root causes and implement corrective actions with accountable owners.
• Lead, coach, and develop billing, insurance, authorization, and collections staff; coordinate with coding and patient-access teams.
• Maintain revenue cycle procedures, segregation of duties, adjustment approvals, and audit trails; support internal and payer audits and safeguard patient and financial information.
• Partner with finance and IT on cash reconciliation, month-end reporting, system configuration, claim edits, and workflow automation.

Required Qualifications & Experience

• Bachelor's degree in finance, accounting, healthcare administration, health information management, or a related discipline.
• At least five years of healthcare revenue cycle experience, including at least three years of direct UAE billing and reimbursement experience and at least two years in a supervisory or management role.
• Demonstrated experience managing hospital revenue cycle operations and surgical or day-case billing; ability to oversee both hospital and ambulatory surgery center workflows.
• Hands-on knowledge of UAE insurers and TPAs, eligibility verification, preauthorization, claims adjudication, denials, appeals, contractual adjustments, and payment reconciliation.
• Practical experience with Dubai eClaimLink/DHPO workflows, relevant coding standards, and applicable DRG, package, and fee-for-service reimbursement arrangements.
• Proficiency with hospital information systems, electronic medical records, billing applications, and Excel-based analysis and reporting.
• Strong team leadership, analytical judgment, payer negotiation, cross-functional communication, and problem-solving skills.
• Professional fluency in English, including written correspondence with insurers and preparation of management reports.

Preferred Qualifications

• Prior revenue cycle management experience in Dubai across both a hospital and a day-surgery or ambulatory surgery setting.
• Relevant professional certification in medical coding, healthcare revenue cycle management, or healthcare finance.
• Experience supporting payer contracting, tariff reviews, new service launches, or revenue cycle system implementation.
• Arabic language skills.

Measures of Success

Performance will be assessed against facility-approved targets, established using baseline results and payer contract requirements, including:

• Clean-claim and first-pass acceptance rates; timely initial submission and resubmission.
• Denial rates, denial recovery, and recurring denial prevention.
• Days in accounts receivable, aged receivables, cash collections, and net collection rate.
• Unbilled revenue, charge-capture completeness, and payment-posting accuracy.
• Authorization turnaround, preventable authorization-related denials, and financial-clearance readiness for scheduled surgery.
• Underpayment recovery, avoidable write-offs, audit findings, and patient billing complaints.