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Revenue Management Specialist - RCM

JAL International Co. Ltd.
Jeddah, KSA
Contract
Senior
2 weeks ago
Financial AnalysisRevenue Cycle ManagementInsurance Claims ProcessingBudgetingFinancial ReportingMicrosoft Excel
Free

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Financial AnalysisRevenue Cycle ManagementInsurance Claims Processing
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Position Summary

  • The Finance & Revenue Cycle Management (RCM) Specialist will oversee and manage all financial, collection, and insurance claim activities within a healthcare environment.
  • This role is responsible for ensuring accurate, timely, and transparent validation of invoices, submissions, payments, collections, quotations, and insurance claims across healthcare providers and insurers.

Key Responsibilities

  • Review and validate all invoices submitted by service providers for accuracy, completeness, and contractual compliance.
  • Review and validate quotations for services and ensure alignment with approved contractual terms.
  • Collaborate with Finance and leadership teams on budget adherence, forecasting, and expenditure control.
  • Lead the preparation, monitoring, and management of annual budgets in alignment with organizational strategic and operational goals.
  • Prepare monthly financial analysis and variance reports, including recommendations for corrective actions.
  • Ensure timely submission and processing of work completion certificates, invoices, and related financial documentation.
  • Provide regular updates on operational financial status, including CAPEX, OPEX, contractor payments, insurance payments, governance related expenditures, and accreditation related costs.
  • Ensure timely collection and reconciliation of accrued revenue and accounts payable.
  • Monitor CAPEX and OPEX allocation to ensure projects and procurement activities are executed within approved budgets and timelines.
  • Oversee the monthly insurance claim submission process across multiple insurance providers.
  • Validate claim accuracy, completeness, and compliance with insurer requirements.
  • Monitor claim rejection rates and implement corrective action plans to reduce denials and improve reimbursement timelines.

Reporting & Analysis

  • Prepare and present financial and insurance performance reports to senior management.
  • Track and monitor key performance indicators (KPIs) related to finance, revenue cycle management, and collections.
  • Identify risks, inefficiencies, and opportunities for revenue optimization and cost control.
  • Support decision making through financial modeling, forecasting, and data driven analysis.

Leadership & Stakeholder Management

  • Serve as the primary point of contact for financial and insurance related matters with insurers and service providers.
  • Work closely with healthcare operations, finance, and leadership teams to align financial and operational objectives.
  • Facilitate collaboration among internal and external stakeholders to improve financial performance and revenue cycle efficiency.
  • Support internal and external audits and ensure compliance with financial policies, procedures, and regulatory requirements.

Qualifications

  • Bachelor's Degree in Finance, Accounting, or a related field (required).
  • Master's Degree in Finance, Accounting, Business Administration, or related discipline (preferred).
  • Professional certifications: CPA, CMA, ACCA, or CIMA (preferred).
  • Minimum 6 years of relevant experience.
  • At least 3 years in a lead or supervisory role.
  • Proven experience in healthcare finance, insurance operations, or revenue cycle management.
  • Strong experience in budgeting, financial planning, forecasting, and financial reporting.
  • Hands on experience with insurance claims processing, validation, reconciliation, and collections.
  • Demonstrated experience managing healthcare related budgets and financial controls.

Required Competencies

  • Strong analytical and financial management skills.
  • Advanced knowledge of healthcare insurance claims and revenue cycle processes.
  • High attention to detail with the ability to identify errors, discrepancies, and financial risks.
  • Advanced Microsoft Excel skills, including Pivot Tables, VLOOKUP/XLOOKUP, Advanced Formulas, Financial Modeling, Data Analysis and Reporting.
  • Strong negotiation, communication, and stakeholder management skills.
  • Ability to work effectively with cross functional teams, service providers, and insurance companies.
  • Strong problem solving and decision making capabilities.

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