Opening For Executive-Recovery

Jehangir Hospital; Pune District; On-site; INR 900,000 - 1,500,000; Full time

Job summary

Jehangir Hospital in Pune is seeking an experienced Revenue Cycle Manager to oversee end-to-end financial operations, including patient registration, charge capture, billing, claims submission and collections.

The role requires coordinating with insurance, managing denials and collections, performing financial analysis, and preparing regular reports for leadership while ensuring compliance with HIPAA and local regulations.

Responsibilities

• Oversee and manage the hospital's entire revenue cycle, including patient registration, charge capture, claims submission, payment posting and collections.
• Supervise the claims submission and processing process to ensure accuracy, compliance with regulations and timely reimbursement.
• Coordinate with the insurance department to verify patients' insurance coverage, benefits and eligibility to facilitate accurate billing and claims submission.
• Ensure that billing procedures are accurate, timely and in compliance with regulatory requirements. Supervise the billing team to review, process and submit claims.
• Develop strategies for reducing claims denials and rejections and work to resolve issues promptly to facilitate claim resubmission.
• Manage the collections process, including overseeing the work of collection agents and working on patient payment arrangements, where necessary.
• Analyze financial data and key performance indicators to identify areas for improvement and develop strategies to maximize revenue recovery.
• Prepare and present regular financial and revenue cycle reports to the hospital's leadership, highlighting areas that need attention and offering recommendations for improvement.
• Ensure that all revenue recovery practices adhere to healthcare regulations, coding guidelines and billing compliance standards, including HIPAA and other relevant laws.
• Interact with patients, insurance companies and other stakeholders to address inquiries, concerns and disputes related to billing and claims.
• Identify opportunities for streamlining and improving revenue recovery processes and work collaboratively with other hospital departments to implement enhancements

Skills

Revenue cycle management

Financial analysis

Regulatory compliance

Billing & invoicing

Communication

Education

Bachelor's in Healthcare Administration

Tools

Billing software

Claims processing system

Job description

1. Revenue Cycle Management:

Oversee and manage the hospital's entire revenue cycle, including patient registration, charge capture, claims submission, payment posting and collections.

2. Claims Management:

Supervise the claims submission and processing process to ensure accuracy, compliance with regulations and timely reimbursement.

3. Insurance Verification:

Coordinate with the insurance department to verify patients' insurance coverage, benefits and eligibility to facilitate accurate billing and claims submission.

4. Billing and Invoicing:

Ensure that billing procedures are accurate, timely and in compliance with regulatory requirements. Supervise the billing team to review, process and submit claims.

5. Denial Management:

Develop strategies for reducing claims denials and rejections and work to resolve issues promptly to facilitate claim resubmission.

6. Collections:

Manage the collections process, including overseeing the work of collection agents and working on patient payment arrangements, where necessary.

7. Financial Analysis:

Analyze financial data and key performance indicators to identify areas for improvement and develop strategies to maximize revenue recovery.

8. Reporting:

Prepare and present regular financial and revenue cycle reports to the hospital's leadership, highlighting areas that need attention and offering recommendations for improvement.

9. Compliance and Regulations:

Ensure that all revenue recovery practices adhere to healthcare regulations, coding guidelines and billing compliance standards, including HIPAA and other relevant laws.

10. Customer Service:

Interact with patients, insurance companies and other stakeholders to address inquiries, concerns and disputes related to billing and claims.

11. Continuous Process Improvement:

Identify opportunities for streamlining and improving revenue recovery processes and work collaboratively with other hospital departments to implement enhancements

Role & responsibilities

Preferred candidate profile