Waseel
RCM Specialist
full timemidAbha, Saudi Arabia2 months ago
8,820-13,720 AED/mo
Finance & AccountingJob Description
The RCM Specialist is responsible for providing end-to-end Revenue Cycle Management (RCM) operational support to healthcare providers utilizing Waseel's RCM solutions. The role manages the complete revenue cycle, ensures compliance with healthcare regulations and payer requirements, resolves claim-related issues, and collaborates with hospital and internal teams to maximize collections, improve operational efficiency, and deliver high-quality RCM services.
Requirements
- Education: Bachelor’s in: Health Informatics ,Healthcare Administration / Hospital Management , Business Administration , Management Information Systems
- Experience: Years: 2 – 3 Years
- - Fluent in English (spoken & written).
- - Advanced Excel skills and data analysis.
- - Hands-on experience managing the full Revenue Cycle Management (RCM) process end-to-end (A-Z), including registration, eligibility, pre-authorization, charging, coding, billing, claims submission, rejection management, follow-up, and collections.
- - Strong knowledge of Medical Claims, Billing, and Health Insurance Operations.
- - Good knowledge of Hospital Information Systems (HIS) and Claims Management Systems.
- - Strong knowledge of CCHI regulations, requirements, and healthcare insurance compliance standards.
- - Good understanding of CBAHI requirements and healthcare quality standards.
- - Ability to identify root causes of claim rejections and implement corrective actions to improve collections.
- - Strong analytical, communication, and problem-solving skills.
- - Ability to work effectively with cross-functional teams.
Skills Required
Revenue Cycle ManagementEnglish (fluent)Advanced Exceldata analysisregistrationeligibilitypre-authorizationchargingcodingbillingclaims submissionrejection managementfollow-upcollectionsMedical ClaimsBillingHealth Insurance OperationsHospital Information Systems (HIS)Claims Management SystemsCCHI regulationsCBAHI requirementsroot cause analysiscorrective actionsanalyticalcommunicationproblem-solvingcross-functional collaboration