Description:
We’re Hiring: Operations Manager (RCM) in the Healthcare Sector — Immediate joining will be considered for shortlisted candidates.
Key Responsibilities:
- Operations Management: Oversee day-to-day RCM activities including coding, billing, claims submission, collections and denial management. Develop and implement policies to streamline processes and reduce denials. Track and improve KPIs such as Days in A/R, denial rate, collection rate and clean claim rate.
- Team Leadership: Lead, mentor and manage medical coders, billers and RCM specialists. Deliver regular training to keep the team aligned with payer rules and ensure workload is distributed to meet deadlines.
- Compliance & Quality Assurance: Ensure full compliance with DOH and UAE healthcare regulations. Review coding for accuracy against ICD-10-AM and CPT standards and perform periodic claim and documentation audits to prevent errors.
- Financial Performance: Work closely with finance for revenue forecasting and tracking. Identify denial trends, propose corrective actions and optimise reimbursement through accurate coding and efficient claims handling.
- Reporting & Analysis: Prepare and present operational and financial RCM reports to senior management. Analyse performance data to identify gaps and implement corrective measures.
Qualifications & Skills:
- Educational background: Bachelor’s degree in Healthcare Management, Business Administration or related field; Master’s is an advantage.
- Experience: 5–8 years’ UAE experience in RCM operations with at least 3 years in a leadership capacity.
- Certifications & technical skills: Medical coding certification preferred; strong proficiency in ICD-10-AM and CPT coding rules.
- Regulatory knowledge: Solid understanding of UAE healthcare regulations and DOH payer requirements.
- Sector experience: Proven experience working in hospitals, medical centres or healthcare operations.
- Soft skills: Excellent leadership, communication, problem-solving and analytical abilities; experience driving process improvements.
Key Competencies:
- Strategic thinking and decisive leadership.
- Attention to detail and accuracy in coding and billing.
- Financial and operational analysis capability.
- Staff development and performance management.
- Negotiation skills with payers and external stakeholders.