Specialist, Revenue Cycle Compliance and Monitoring
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.