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Specialist, Revenue Cycle Compliance and Monitoring

Bumrungrad Hospital Public Company Limited (Khlong Toei)
Bangkok, Thailand 🇹🇭
Bumrungrad International Hospital stands as arguably the most impressive medical facility in the region. It has 55 specialty centers, an internationally certified lab and pharmacy, clinical research centers, advanced imaging facilities, and a 24-hour emergency care unit. Bumrungrad is home to more than 1300 physicians and surgeons, 300 of whom hold US-board certifications and international fellowships. As part of its ongoing commitment to exceptional care, Bumrungrad receives ongoing independent reviews and distinctions, including its consistent accreditation by the Joint Commission International (JCI) since 2002, the first in Asia. In its state-of-the-art campus in the heart of Bangkok, Bumrungrad Hospital treats over 1.1 million patients every year, with over 520,000 of these patients coming from more than 190 countries worldwide. The hospital specializes in treating complicated conditions, and is internationally recognized as one of the top hospitals in the world. Along with its impressive tertiary and specialty facilities, Bumrungrad International’s Medical Coordination Office is a well-oiled machine that facilitates seamless transitions from the first inquiry all the way through after-care. This exclusive and comprehensive support is offered free of charge to patients, and it includes everything from language and cultural support to travel and accommodation services.

About this position

The Specialist, Revenue Cycle Compliance and Monitoring is responsible for ensuring compliance with established policies and procedures in Revenue Cycle Management workflows, identifying process improvement opportunities, and coordinating with various departments to manage billing and claims processing effectively.

Responsibilities

• Monitor Revenue Cycle Management workflows related to Patient Access and Patient Financial Services to ensure compliance with established policies & procedures and proper internal controls
• Identify opportunities for process improvement
• Coordinate with BD & Finance to ensure all billing & claims processing, rejections, payment terms, eligibility, electronic transactions and etc. are included in the contractual agreement.
• Summarize information from insurance companies since Pre-Auth process through patient billing process and update related information in BH Insurance Portal to facilitate registration/admission/cashier operation.
• Monitor and audit procedure package charging against same procedure with non-package charging to capture undercharging or overcharging order items, especially charging in OR unit.

Requirements

• Bachelor's degree in Any Field.
• Minimum of 5 years of experience in hospital for financial or any related department through patient access until patient billing.
• Have a good knowledge and skill in hospital patient journey workflow.
• Good command in spoken and written Thai and English.
• Good computer skills.