Senior Officer - RCM

NMC GROUP SERVICES.; Abu Dhabi; On-site; AED 180,000 - 320,000; Full time

Job summary

NMC Group Services in Abu Dhabi is seeking an experienced RCM professional to lead HIS master data management and optimize revenue cycle processes. You will ensure accurate master data, pricing, plan mappings and regulatory alignments across the HIS ecosystem.

Responsibilities include driving system and process improvements, implementing automation for repetitive tasks, and delivering RCM analytics to support financial targets.

Qualifications

• 5–7 years of progressive experience in Revenue Cycle Management in healthcare.
• Strong data accuracy and quality-control skills.
• Experience with HIS/master data and RCM systems is preferred.

Responsibilities

• HIS master-data management including pricing, plan mappings and data validation.
• Identify data quality issues and coordinate root-cause analyses.
• Lead process improvements across RCM lifecycle and automation opportunities.
• Develop and monitor RCM analytics, dashboards and operational insights.
• Collaborate with IT and HIM teams to implement system enhancements.

Skills

Revenue cycle management

Healthcare billing

Process improvement

Data analysis

Education

Bachelor's degree in Healthcare Administration, Business, Finance, or related field

CPB or CRCE certification (preferred)

Job description

Key Responsibilities

1. HIS Master Data Management

Manage and maintain critical HIS master data required for accurate RCM billing and revenue capture Maintain pricing masters including tariffs rate plans effective dates payer-specific pricing and related configurations Maintain package masters including package components pricing validity and payer plan applicability Manage Insurance Plan Policy Masters including insurer plan network and rate-plan mappings Ensure timely and accurate implementation of approved pricing contractual payer and regulatory changes within HIS Perform detailed validation and QC of master-data updates before and after implementation Ensure appropriate documentation approvals and audit trails are maintained for master-data changes Identify and resolve incorrect mappings duplicate masters configuration inconsistencies and other data-quality issues

2. HIS System Process Improvements

Proactively identify system and process gaps within the RCM billing lifecycle and assess their operational and financial impact Review existing workflows system configurations and business processes to identify opportunities to improve efficiency controls and billing accuracy Work with RCM stakeholders and IT HIS teams to define and implement system enhancements addressing identified gaps Translate operational requirements into business requirements functional specifications and system process improvement opportunities Evaluate opportunities to introduce system controls validations alerts workflow changes and automated checks to prevent errors at source Participate in solution design testing UAT and implementation of system and process enhancements Monitor implemented changes to ensure the intended business outcome is achieved and identify any downstream impacts Maintain a structured log of system process improvement opportunities prioritizing initiatives based on business impact risk effort and revenue implications

3. Digital Solutions Automation

Identify manual repetitive and error-prone RCM activities that can be improved through automation digital tools or workflow solutions Work with IT and relevant stakeholders to test and operationalize solutions Assess the effectiveness of implemented solutions through measurable improvements in accuracy turnaround time manual effort and process control Continuously identify opportunities to simplify and digitize RCM processes

4. Master Data Quality System Controls

Establish and perform appropriate maker-checker and QC controls for critical HIS master-data updates Conduct periodic audits of pricing package and insurance master data Validate effective dates pricing logic payer mappings and other critical parameters against approved source documents Analyse billing issues linked to incorrect system configuration and perform root‑cause analysis Recommend system or process controls to prevent recurring errors Ensure master‑data standards and system configurations are consistently applied across facilities and business units

5. RCM Analytics Operational Insights

Analyse RCM operational data to identify billing trends anomalies process gaps and potential revenue leakage Develop and maintain operational reports and dashboards supporting RCM performance monitoring Analyse the impact of pricing system and process changes on billing outcomes Provide data-driven insights to support prioritization of system enhancements and process improvements Support RCM management with analysis of operational issues and improvement opportunities

Qualifications

• Bachelor's degree in Healthcare Administration, Business, Finance, or a related field.
• Minimum of 5-7 years of progressive experience in Revenue Cycle Management within the healthcare industry.
• Certified Professional Biller (CPB) or Certified Revenue Cycle Executive (CRCE) certification is highly preferred.
• Proven track record of successfully managing RCM operations and achieving financial targets.