Manager, Revenue Assurance

Key Responsibilities: 

• Identify and mitigate revenue leakages through root cause analysis and data reconciliation between KCIS, HITS, billing, finance and insurance systems on a monthly basis.
• Monitor and maintain charge capture accuracy, tariff mapping and system integration issues between IT systems.
• Create, maintain and update charge code & GL code mapping. 
• Work with IT teams to implement controls to prevent ‘service completion without charge or documentation.
• Ensure proper billing controls are embedded in all clinical and support service systems.
• Collaborate with IT and system vendors to ensure accurate interface mapping between HIS & Finance systems.
• Lead UAT for revenue related modules and system upgrades.
• Develop and maintain revenue assurance dashboards (e.g billing accuracy, claim rejection rates, charge capture trends.
• Support internal and external audits with system evidence.
• Support hospital wide digital revenue initiatives.

Educations: 
• Bachelor’s degree in finance, Accounting, or any related field (Master’s degree is preferred).
• Relevant professional certifications (e.g. CPA, ACCA, CIMA, or similar) are a plus.

  Knowledge & Experience:

• 7+ years of experience in revenue assurance, financial management and healthcare management.
• In-depth knowledge of revenue recognition, billing system, financial process and internal controls.
• Experience in big data analytics, revenue management tools and process improvement.

  Skills & Competencies: 

• Collaboration: Excellent interpersonal skills, ability to work cross functions with other departments.
• Analytical & Strategic Thinking: Ability to think critically, identify key issues in the revenue cycle and develop effective solutions.
• Innovation & Process Improvement covering end-to-end revenue process