RCM Project Lead

About the role

Requirements

• Requirements
• Education: Bachelor’s in:  Health Informatics ,Healthcare Administration / Hospital Management , Business Administration , Management Information Systems
• Experience: 5–7 years of experience in Revenue Cycle Management (RCM), including at least 2 years in a team lead, project lead, or supervisory role.
• - Fluent in English (spoken and written).
• - Advanced Microsoft Excel skills with strong analytical and reporting capabilities.
• - Proven experience managing the full Revenue Cycle Management (RCM) lifecycle (A-Z), including registration, eligibility, pre-authorization, charging, coding, billing, claims submission, denial/rejection management, follow-up, and collections.
• - Strong knowledge of Medical Claims, Billing, Health Insurance Operations, and payer requirements.
• - Hands-on experience with Hospital Information Systems (HIS), Claims Management Systems, and RCM platforms.
• - Strong knowledge of CCHI regulations, healthcare insurance compliance requirements, and Saudi healthcare regulations.
• - Good understanding of CBAHI standards and healthcare quality requirements.
• - Proven ability to analyze RCM performance, identify root causes of claim denials, and implement corrective actions to improve collections and operational efficiency.
• - Experience leading RCM teams, managing workloads, and ensuring achievement of operational KPIs and SLAs.
• - Strong stakeholder management skills with the ability to collaborate effectively with hospital leadership, clinical teams, insurance companies, and internal departments.
• - Excellent analytical, communication, problem-solving, and decision-making skills.
• - Ability to manage multiple projects, priorities, and deadlines in a fast-paced environment.
• - Experience in client-facing environments or managed healthcare services is highly preferred.

Responsibilities

Skills

• Revenue Cycle Management (RCM)
• Hospital Information Systems (HIS)
• Claims Management Systems
• RCM platforms
• Denial management
• Billing and coding
• Pre-authorization processes
• Payer requirements
• CCHI regulations
• CBAHI standards
• Healthcare compliance
• Data analysis and reporting
• Advanced Microsoft Excel
• Stakeholder management
• Project management