linkedin
RCM & Claims Advisor (Healthcare Claims Lifecycle Expert)
TAQRIR | تقرير
Riyadh, KSA
Contract
Senior
Hybrid
1 weeks ago
Claims HandlingInsurance ClaimsClaims ManagementRevenue Cycle ManagementHealthcare DocumentationCoding Accuracy
Free
Job Fit Check
Base Career helps you apply smarter for this job.
?%
Ready to ScanKey skills for this role
Claims HandlingInsurance ClaimsClaims Management
About the Role
TAQRIR is seeking an RCM & Claims Advisor to optimize the healthcare claims lifecycle for EMS services. The role involves analyzing claims workflows, ensuring coding accuracy, and advising on best practices to support compliant revenue cycle management.
Key Skills for This Role
Claims HandlingInsurance ClaimsClaims ManagementRevenue Cycle ManagementHealthcare DocumentationCoding Accuracy
Responsibilities
- Review and optimize the end to end healthcare claims lifecycle for EMS services, including documentation requirements, coding accuracy, and alignment with payer and regulatory standards
- Analyze claims workflows, identify gaps in EMS documentation for billing, and advise product and operations teams on best practices
- Create guidelines and training materials for internal stakeholders and clients
- Collaborate with cross functional teams to ensure the ePCR system supports compliant and efficient claims management
- Provide expert input on policies, procedures, and system enhancements
- Monitor regulatory changes, support audits or reviews, and recommend process improvements that enhance revenue cycle performance and reduce denials
Requirements
- Strong skills in Claims Handling and Insurance Claims with practical experience across the healthcare claims lifecycle
- Proficiency in Claims Management and Insurance processes including denial management, reimbursement methodologies, and compliance requirements
- Effective Communication skills to explain complex claims and RCM concepts to technical and non technical stakeholders
- Experience in healthcare revenue cycle management, preferably within EMS or prehospital care settings
- Familiarity with local Saudi healthcare and insurance regulations, billing standards, and payer requirements
- Ability to analyze data and documentation to identify patterns, risks, and opportunities for process optimization
- Comfort working in a hybrid environment in Riyadh, collaborating with distributed teams and using digital collaboration tools
- Relevant academic background in healthcare administration, insurance, finance, or a related field, or equivalent practical experience
Full Job Posting
Company Description
- TAQRIR is a digital company specializing in emergency medical services (EMS) technology solutions tailored to the Saudi Arabian healthcare environment.
- The company’s flagship product is an electronic patient care reporting (ePCR) system designed specifically for prehospital care teams.
- TAQRIR focuses on creating structured, reliable reports that support leadership decisions, streamline billing compliance, and strengthen organizational readiness.
Role Description
- The RCM & Claims Advisor (Healthcare Claims Lifecycle Expert) is a contract role based in Riyadh with a hybrid work arrangement.
- Responsible for reviewing and optimizing the end to end healthcare claims lifecycle for EMS services, including documentation requirements, coding accuracy, and alignment with payer and regulatory standards.
- Day to day tasks include analyzing claims workflows, identifying gaps in EMS documentation for billing, advising product and operations teams on best practices, and creating guidelines and training materials.
- The advisor will collaborate with cross functional teams to ensure the ePCR system supports compliant and efficient claims management.
- The role also involves monitoring regulatory changes, supporting audits or reviews, and recommending process improvements.
Qualifications
- Strong skills in Claims Handling and Insurance Claims, with practical experience across the healthcare claims lifecycle.
- Proficiency in Claims Management and Insurance processes, including denial management, reimbursement methodologies, and compliance requirements.
- Effective Communication skills, with the ability to explain complex claims and RCM concepts to technical and non technical stakeholders.
- Experience in healthcare revenue cycle management, preferably within EMS or prehospital care settings.
- Familiarity with local Saudi healthcare and insurance regulations, billing standards, and payer requirements.
- Ability to analyze data and documentation to identify patterns, risks, and opportunities for process optimization.
- Comfort working in a hybrid environment in Riyadh, collaborating with distributed teams and using digital collaboration tools.
- Relevant academic background in healthcare administration, insurance, finance, or a related field, or equivalent practical experience.
Apply for this job in 1 click
Skip the repetitive application forms
Install the Base Career Chrome Extension and autofill job applications across major job boards with your profile.
Trusted by over 500,000 job seekers on Base Career
More from this employer
More jobs at TAQRIR | تقرير
Health-Informatics & NPHIES Compliance Advisor
Riyadh, KSA
SeniorContract
TAQRIR seeks a part-time Health-Informatics & NPHIES Compliance Advisor to own standards and compliance strategy for their ePCR platform. Responsibilities include gap analysis, interpreting CHI/NHIC/NPHIES specifications
3 weeks agoView →
Business Development Manager
Riyadh, KSA
MidContract
TAQRIR, a Saudi health-tech company building an EMR system for emergency medical services, is hiring a founding Business Development Manager to own the full sales cycle and bring in first paying clients. The role involve
3 weeks agoView →