Revenue Cycle Management Generalist

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Ensure every patient served at USRC Facilities receives superior medical treatment, compassion, and

understanding through their direct or indirect actions.

• Seek continually to improve operations, decrease turnaround times, streamline work processes, and work

cooperatively and jointly to provide a quality service for our clients.

• Drive front-end process changes that lead to more successful revenue cycle outcomes, improve client satisfaction,

and ensure that all information provided to Payers is accurate and timely across all locations. This may include

registration, scheduling, referral management, co‐pay collection, self-pay collection, systems setup, and issues.

• Oversee the entire flow of charge capture activities, from developing and reviewing encounter forms to coding

accurately and ensuring proper reimbursement for billed services.

• Identify and implement consistent policies and procedures. Responsible for driving process improvement

initiatives related to revenue cycle functions in collaboration with the operations leadership and departmental

managers.

• Assist with determining appropriate internal staffing levels; recruit, hire, and onboard new staff.

• Monitor staff productivity to ensure timely and accurate work completion.

• Ensure that accurate and up-to-date instructions surrounding the RCM processes are maintained and

communicated promptly.

• Perform routine audits and hold monthly/quarterly one-on-one reviews with RCM team members.

• Review, coordinate, document, and update the team on all billing compliance issues.

• Demonstrate a thorough understanding of both outgoing and incoming insurance processes, as well as Ministry

of Health (MOH) procedures, and ensure effective follow-up.

• Design and document business processes from the execution of the project.

• Follow up with insurance carriers on special insurance billings and claims.

• Oversee new conversions insurance setup.

• Monitor critical client assignments and manage the onboarding process.

• Provide up-to-date education for Doctors, clinical staff, billing, and coding staff on coding & Insurance claiming

trends.

• Conduct monthly analysis of Third Party Payers.

Education Requirements

Master’s or Bachelor’s Degree in finance, business administration, healthcare administration, or any

related field.

Experience Requirements

Three (3) years of experience with a Bachelor’s Degree, preferably in a dialysis or hospital setting.

One (1) year of experience with a Master’s Degree, preferably in a dialysis or hospital setting.

Other Requirements

Certified Revenue Cycle Management Specialist (RCMS) is preferred.

Certified Clinical Coding Professional — Kingdom of Saudi Arabia (CCP-KSA) is preferred.