Healthcare Finance & Revenue Cycle Specialist

We are looking for a Finance amp Revenue Cycle Management RCM Specialist to oversee financial activities and healthcare insurance claim processes The ideal candidate must have strong experience in both Finance Accounting and Medical Insurance Healthcare Revenue Cycle Management This role will be responsible for financial analysis budgeting invoice and quotation validation insurance claims reconciliation reporting and coordination with healthcare operators insurance companies and internal Finance teams

Finance amp Financial Oversight Review and validate invoices and quotations for accuracy and compliance Monitor budgets expenditure and financial performance Support annual budget preparation monitoring and control Prepare monthly financial analysis and variance reports Identify financial discrepancies risks and opportunities for improvement

Medical Insurance amp Revenue Cycle Management Oversee monthly medical insurance claim submission processes Review and validate insurance claims for accuracy completeness and compliance Monitor claim rejections and denials and support corrective actions Perform insurance claim reconciliation and resolve discrepancies with operators and insurers Monitor payment and collection processes and ensure proper documentation Coordinate with insurance companies and healthcare operators regarding claims and payment issues

Reporting amp Analysis Prepare financial and insurance RCM performance reports for management Monitor financial and revenue cycle KPIs Analyze trends and identify opportunities to improve revenue cycle performance Support audits and ensure compliance with applicable policies and requirements

Coordination amp Collaboration Act as a key contact for Finance and medical insurance claim-related matters Coordinate closely with KAUST Health Finance healthcare operators and insurance companies Participate in reconciliation meetings and follow up on outstanding issues Support management with financial and operational analysis

Bachelor s degree in Finance, Accounting, or a related field. Minimum 6 years of relevant experience, including at least 3 years in a lead/senior role. Strong experience in both Finance/Accounting and Medical Insurance/Healthcare RCM. Hands-on experience with medical insurance claims, claim validation, rejection/denial management, and reconciliation. Experience in financial analysis, budgeting, invoice validation, and reporting, preferably within a healthcare environment. Strong knowledge of healthcare revenue cycle processes.

Advanced Microsoft Excel skills, including formulas, pivot tables, data analysis, and reporting. Strong analytical, communication, negotiation, and problem-solving skills. Professional certification such as CPA or CMA is an advantage. Master s degree in Finance or a related field is an advantage.