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Job Details

SIDRA4851 - Manager - Accounts Receivables

Department: Revenue Cycle Div
Division: Revenue Cycle Dept
Contract Type: Full Time
Closing Date: 22-May-2019
Organizational Profile:

Sidra Medicine is a state of the art academic medical center that will function to the level of the highest international standards. Its clinical focus is on the specialty care of women and children.

Sidra’s Vision is: “Sidra Medicine will be a beacon of learning, discovery and exceptional care, ranked among the top medical centers in the world”.

Achieving this vision will encompass three essential activities:

World Class: Patient and Family Centered Care Health Education Biomedical Discovery

Department/Branch Profile:

The Finance department will contribute to realization of Sidra’s vision by providing strategic direction, stewardship and excellence of service.

Finance includes the following core functional areas:

  • Financial Services
  • Reporting, Planning and Budgeting
  • Corporate and Treasury Finance
  • Patient revenue, billing and insurance

 

Finance provides services to departments across the organization and also works with external partners at both the operational and government level.
Job Summary:

The Manager - Accounts Receivable provides leadership and oversees the daily operations of the Patient and Insurance Billing and Financial Counseling operations.   Position requires highly refined management supervisory skills that will facilitate timely resolution of sensitive collection issues within an environment of favorable public relations.  This position will have continuous contact with patients, physicians, administration and third party payers.  Functions under the responsibility of the Manager - Accounts Receivable include following up on private insurance payments, self-pay accounts and other outstanding patient balances, referring accounts for adjustments and write offs, payment posting and financial clearance activities as they relate to Financial Counseling services.

Key Role Accountabilities:
  • Coordinates and manages all activities of a back end Patient Financial Services Department of Sidra OPC, ED and Inpatient hospital.  This includes the functions of billing, follow up, denial management and prevention, underpayment recovery and cash posting.
  • Develops, builds, implements, trains and advises on IT solutions for users/departments based on business and clinical requirements, following industry best practices.
  • Supports, oversees and manages the performance and productivity of the team as it relates to accounts receivable, follows up activities and pre-defined goals/targets, while providing continual feedback and guidance to the team.
  • Creates and manages denial processes to ensure root causes are identified, corrected and tracked to ensure accurate billing and timely collections/reimbursement.
  • Monitors team standards for productivity and quality, through the establishment of clear goals and objectives.
  • Coordinates activities with other departments such as Clinical Operations, IT, Case Management, Patient Administration and HIM.
  • Ensures the team’s ability to meet or exceed A/R aging targets by performing consistent follow up on past due accounts to ensure timely collection.
  • Ensures Billing and Financial Counseling department staff are managed effectively, including hiring, scheduling, training, evaluating performance and competency and conducting disciplinary/counseling sessions as needed.
  • Regularly reviews aged trial balance of open accounts and adjusts staff work queues as needed.
  • Collaborates with senior leadership and meets/improves Key Performance Indicators (KPI’s) and develops action plans to address any identified deficiencies.
  • Ensures compliance with established process requirements to refer accounts to charity organizations or to develop special arrangements, such as payment plans.
  • Develops and maintains “super user” capabilities in the Cerner application.
  • Monitors account workload daily.
  • Implements initiatives to constantly improve performance of the department.
  • Incorporates best practice processes and responds to emerging trends.
  • Develops and revises departmental policies and procedures.
  • Delivers positive patient experience.
  • Adheres to Sidra’s standards as they appear in the Code of Conduct and Conflict of Interest policies
  • Adheres to and promotes Sidra’s Values

 

In view of the evolving needs and opportunities within Sidra, this position may be required to perform other duties as assigned and reporting relationships may vary.
Qualifications, Experience and Skills - Selection Criteria:

 

ESSENTIAL

PREFERRED

Education

Bachelor’s Degree in Commerce, Health Information Management, or a Health related discipline

Master’s Degree in relevant field

Experience

5+ years of experience with progressive responsibilities in relevant field including:

  • Patient Financial Services experience in a complex acute care organization similar to Sidra
  • Experience in a start-up environment
  • Experience in implementing patient billing and accounting systems
  • Experience with Cerner

Certification and Licensure

 

Certified Patient Account Manager (CPAM)

Professional Membership

 

 

Job Specific Skills and Abilities

  • Demonstrated knowledge of patient billing systems, health procedures and classification systems
  • Possesses strong understanding of various reimbursement methodologies with expert knowledge of payer billing requirements
  • Demonstrated knowledge of hospital accounting systems and practices as related to patient billing
  • Advanced problem solving skills
  • Proficiency with Microsoft Office suite
  • Fluency in written and spoken English

Fluency in written and spoken Arabic

 

Sidra’s Organizational Values:
  • Trust: Being competent; acting consistently, reliably and predictably; acting with honesty and integrity; respecting patient, employee and commercial confidentiality; delivering on commitments
  • Care: Acting with empathy, kindness and compassion; being humble; listening and responding; acting with cultural sensitivity; Caring for patients and staff
  • Teamwork: Sharing information and knowledge and learning from demonstrated expertise; being respectful, and thereby earning respect of others; acting with professionalism; leading and following; collaborating and being accessible
  • Transparency: Frequent and honest communication; open access to information for decision making; willingly acknowledge shortcomings; speaking up about concerns; publishing performance indicators
  • Innovation: Freedom to innovate; welcoming ideas and encouraging creativity; supporting talent; creating confidence; celebrating successes
  • Efficiency: Providing measurable value; using data to drive decision making; having and achieving clear goals; building processes that work; continuously improving outcomes in patient and family care
Privacy and Application Policy

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We reserve the right to discontinue the recruitment process at any stage. Similarly, you have the right to withdraw your active application at any stage of the recruitment process.

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