Finance & Revenue Cycle Management Specialist

Client of Eram Talent; Saudi Arabia; On-site; SAR 180,000 - 240,000; Full time

Job summary

KAUST Health seeks a KH Finance & Revenue Cycle Management Specialist to oversee invoices, quotations, and financial transactions, and to manage RCM processes with insurers. The role focuses on reducing denials, improving collections, and maintaining budgets, controls, and transparent financial reporting across the health system.

The candidate will collaborate with KAUST Health leadership, healthcare operators, and insurers to resolve issues, support audits, and drive process improvements for

Qualifications

• Bachelor's degree in Finance, Accounting, Business Administration, Healthcare Management, or related field.
• Master's degree preferred.
• CPA/CMA/ACCA or equivalent is an advantage.
• Minimum 6 years of relevant professional experience.
• At least 3 years in a Lead/Senior/Supervisor role.
• Experience in healthcare finance and revenue cycle management.
• Strong experience in insurance claim validation, submission, and collections.
• Experience preparing financial and RCM reports for senior management.

Responsibilities

• Review and validate healthcare invoices, quotations, and financial transactions for accuracy and compliance.
• Manage and monitor healthcare Revenue Cycle Management and insurance claim processes.
• Validate insurance claims and ensure accurate, timely submission to insurers.
• Monitor claim rejections, denials, resubmissions, and collections; implement corrective actions.
• Lead claims payment and account reconciliations with healthcare operators and insurers.
• Prepare and monitor annual budgets, forecasts, and expenditure controls for KAUST Health.
• Prepare monthly financial variance, revenue, and RCM performance reports for management.
• Track KPIs and identify risks, discrepancies, and revenue optimization opportunities.
• Coordinate with KAUST Finance, Health leadership, operators, and insurers to resolve issues.
• Support audits, compliance, financial controls, and process improvements.

Skills

RCM experience

Financial analysis

Budgeting & forecasting

Management reporting

Audits/compliance

Education

Bachelor's in Finance/Accounting/Business/Healthcare management

Master's preferred

CPA/CMA/ACCA advantage

Tools

Insurance claim systems

Healthcare finance software

Job description

The KH Finance amp Revenue Cycle Management RCM Specialist will be responsible for overseeing the financial management healthcare revenue cycle insurance claims billing validation reconciliation budgeting and financial reporting activities for KAUST Health The role will work closely with KAUST Health leadership Finance teams healthcare operators insurance companies and other stakeholders to ensure accurate and timely processing of invoices quotations insurance claims and payments The position will play a key role in reducing claim rejections and denials improving collections identifying financial discrepancies maintaining budgetary control and ensuring transparency and compliance across healthcare financial and revenue cycle activities

Key Responsibilities

• Review and validate healthcare invoices quotations and financial transactions for accuracy and compliance
• Manage and monitor healthcare Revenue Cycle Management RCM and insurance claim processes
• Validate insurance claims and ensure accurate and timely submission to insurance companies
• Monitor claim rejections denials resubmissions and collections and implement corrective actions
• Lead claims payment and account reconciliations with healthcare operators and insurers
• Prepare and monitor annual budgets forecasts and expenditure controls for KAUST Health
• Prepare monthly financial variance revenue and RCM performance reports for management
• Track key financial and RCM KPIs and identify risks discrepancies and revenue optimization opportunities
• Coordinate with KAUST Finance Health leadership healthcare operators and insurers to resolve financial and claims issues
• Support audits compliance financial controls and process improvements to enhance revenue cycle efficiency

Qualifications

• Bachelor s degree in Finance, Accounting, Business Administration, Healthcare Management, or a related field.
• Bachelor s degree in Finance or Accounting is preferred .
• Master s degree in Finance, Accounting, Business Administration, or a related field is preferred.
• Professional certifications such as CPA, CMA, ACCA, or equivalent are an advantage.
• Minimum 6 years of relevant professional experience.
• At least 3 years of experience in a Lead, Senior Specialist, Supervisor, or equivalent role .
• Proven experience in healthcare finance, healthcare revenue cycle management, medical billing, insurance claims, or healthcare financial operations .
• Strong experience in insurance claim validation, submission, reconciliation, rejection/denial management, and collections .
• Proven experience in financial analysis, budgeting, forecasting, and management reporting .
• Hands-on experience managing and monitoring healthcare budgets and expenditures .
• Experience working with healthcare operators/providers and insurance companies .
• Experience identifying and resolving billing discrepancies, claim discrepancies, rejected claims, and payment variances .
• Experience preparing financial and RCM reports for senior management .