GeBBS Healthcare Solutions - Director - Revenue Assurance (10-20 yrs)

About GeBBS:

GeBBS Healthcare Solutions

Founded: 2005

Clients: U.S. Healthcare Providers

Solutions: Revenue Cycle Management (RCM), Health Information Management (HIM), Patient Access, Billing Insurance

Employees:14,000+

GeBBS Healthcare Solutions is a leading national provider of revenue cycle management (RCM) and health information management (HIM) solutions. Our in-depth healthcare industry expertise enables us to provide end-to-end solutions to successfully resolve our clients billing challenges, while embracing their overall business operations. GeBBS delivers a world-class infrastructure of highly skilled professionals, robust processes, and proprietary workflow engines. This makes us an ideal partner for our clients.

For additional information on GeBBS please visit our website www.gebbs.com .

Job Title: Director of Revenue Assurance

Department: Finance

Location: Airoli , Navi Mumbai

Reports To: Chief Financial Officer (CFO)

Office Hours : 12pm to 9pm IST

Position Overview:

The Director of Revenue Assurance will lead strategic initiatives to safeguard and optimize the integrity of the organization's revenue stream. This role is pivotal in minimizing revenue leakage, ensuring billing accuracy, and maintaining compliance across all revenue-related processes. Collaborating closely with cross-functional teams, the Director will ensure that the company's revenue is fully maximized through effective claim submission, reimbursement tracking, and revenue collection. Additionally, the role will be responsible for the development and execution of a robust revenue assurance framework, identifying and rectifying discrepancies, and driving performance optimization to ensure financial and operational precision.

Key Responsibilities:

- Revenue Integrity Strategy: Formulate and implement a comprehensive revenue assurance strategy aimed at identifying opportunities to maximize revenue, mitigate losses, and ensure full and accurate reimbursement for services rendered while estimating accurate future estimates.

- Financial Monitoring & Reporting: Oversee the tracking, analysis, and reporting of revenue-related metrics, ensuring real-time visibility into performance. Provide regular updates to senior leadership regarding trends, gaps, and potential recovery opportunities.

- Process Optimization: Continuously assess and refine revenue cycle processes-from patient registration through to claims submission and payment collection-to enhance efficiency, reduce errors, and improve outcomes.

- Data Analysis & Reporting: Utilize data analytics and reporting tools to identify patterns, trends, and areas of potential risk or inefficiency within the revenue cycle. Implement corrective measures as needed to address identified issues.

- Cross-Functional Collaboration: Collaborate with operational, IT, and finance teams to address revenue assurance-related challenges, ensuring that billing practices align with clinical documentation and payer requirements.

- Audit & Risk Management: Identify potential discrepancies or areas of financial leakage. Develop and implement solutions to resolve issues and improve financial outcomes.

- Team Leadership & Development: Lead, mentor, and develop a team of revenue assurance professionals, ensuring they possess the necessary skills and expertise to perform effectively and progress within the organization.

- Accounting & Solutioning: Ensure proficiency with INDAS and US GAAP revenue recognition guidelines and stay updated on emerging revenue recognition structures to guide strategic decision-making.

- Technology & Systems Implementation: Lead the evaluation and implementation of revenue assurance tools and technologies to improve the accuracy and efficiency of the revenue cycle, working closely with IT teams on system upgrades and enhancements.

Qualifications:

- Education: MBA or Chartered Accountant (CA) .

Experience:

- Minimum of 7-10 years experience in revenue assurance, billing, claims management, and reimbursement processes with IT/ ITES/ BPO/ Service industry

- Should be at Senior Manager or above role

- Understanding of revenue cycle management within the US healthcare industry, is highly advantageous.

Skills and Competencies:

- Strong analytical and problem-solving abilities, with a track record of identifying trends and discrepancies and implementing corrective actions.

- Excellent leadership skills with a proven ability to manage, mentor, and develop high-performing teams.

- Exceptional communication and interpersonal skills, with the ability to engage effectively with stakeholders at all organizational levels.

- Strategic thinker capable of driving operational excellence while managing risk.

- Detail-oriented, results-driven, and adept at managing multiple projects and initiatives simultaneously.