Recovery officer at neuro psychiatric teaching hospital caraes ndera (NDERA HOSPITAL) Under Statute :Deadline: Oct 3, 2024

Job responsabilities

Leadership and team management:

– Lead, mentor and manage patient services unit, billing and recovery and revenue unit – Develop and maintain a high performing team by setting clear goals, providing regular feedback and fostering a culture of collaboration and accountability – Provide ongoing coaching, mentorship and performance evaluations to ensure staff effectiveness and productivity – Foster a collaborative and productive work environment. Strategic revenue assurance:

– Develop and implement a comprehensive revenue assurance strategy to maximize revenue while ensuring compliance with relevant regulations – Analyze revenue trends, identify potential revenue leakage points and create strategies to address them – Collaborate with hospital management to align revenue assurance efforts with the hospital strategic goals Billing and recovery oversight: – Oversee the billing and recovery unit in managing billing processes, claims submission and revenue recovery efforts – Ensure the timely and accurate submission of claims to insurance companies, local government and other third party payers

– Implement strategies to reduce denials and underpayments – Ensure all billing and coding practices adhere to relevant laws and regulations – Develop and implement strategies to optimize the hospital revenue cycle, including reducing denials and improving collections Compliance and regulatory adherence: – Stay updated on healthcare regulations and payer requirements to ensure compliance with the hospital billing practices – Collaborate with the hospital to develop and implement policies and procedures that adhere to regulatory standards – Conduct periodic audits to identify compliance issues and implement corrective actions Financial analysis and reporting: – Monitor and analyze key revenue performance indicators, such as accounts receivable, charge capture and revenue recovery rates – Prepare and present regular reports to hospital management on revenue assurance performance and recommendations for improvement Process optimization: – Identify opportunities to streamline and optimize revenue assurance processes for greater efficiency and accuracy – Collaborate with ICT Team to leverage technology solutions that enhance billing accuracy and reduce revenue leakage – Continuously assess and improve revenue cycle processes to enhance efficiency and accuracy, reducing denials and write-offs

– Identify and implement technology solutions and software tools to streamline revenue cycle operations – Identify areas where staff may require additional training or support for enhanced billing processes – Monitor and follow up on outstanding payments, devising strategies to minimize overdue accounts – Optimize cash flow by ensuring timely invoicing and efficient collection processes – Collaborate with finance departments to analyze billing data and contribute to financial planning strategies Patient billing services management: – Lead the patient billing services team to ensure smooth and efficient patient billing processes

– Address patient inquiries and concerns related to billing and insurance matters Customers management: – Oversee relationships with external customers and third party partners involved in revenue cycle management – Evaluate customer performance and negotiate contracts to ensure cost effectiveness and service quality Contract management: – Ensure that all partners have valid contracts – Ensure that expired contracts are renewed to the existing policies, laws and regulations of the hospital – Lead the discussion with new partners Tariff management: – Lead the discussion for establishing and reviewing hospital tariffs for new and existing services – Ensure the accuracy and implementation of the hospital tariff