Description

Job Description

JOB REQUIREMENTS

EDUCATION AND EXPERIENCE

Educations and Certificates:

• Bachelor’s degree in finance, Accounting, Healthcare Management, or related field
• Professional certification in healthcare revenue cycle, medical coding, or billing is an advantage

Experience:

• Minimum 5–7 year’s experience in healthcare revenue cycle management
• At least 2–3 years in a supervisory or lead role
• Experience in LTC, rehabilitation, or hospital settings preferred

SKILLS AND PORFESSIONAL KNOWLEDGE

-Strong understanding of end-to-end revenue cycle processes

-Knowledge of medical billing, and claims management

-Denial management and reconciliation expertise

-Revenue analysis, reporting, and KPI tracking

-Strong leadership, communication, and problem-solving skills

LANGUAGE:

• Proficiency in written, read and spoken Arabic and English languages

ROLES AND RESPONSIBILITIES (But not limited to)

• GENERAL ROLES AND RESPONSIBILITES:

-Supervise daily RCM operations to ensure efficiency and accuracy

-Support revenue optimization and compliance across Baraya facilities

-Act as a liaison between finance, clinical teams, and insurers

ESSENTIAL FUNCTIONS/RESPONSIBILITIES:

-Supervise billing, claims submission, and follow-up activities

-Ensure accurate patient charges, invoices, and statements

-Monitor timely submission and resubmission of claims through NPHIES

-Manage claim denials, rejections, and appeals

-Coordinate eligibility verification, pre-authorizations, and coverage checks

-Monitor collections, aging reports, and payment reconciliation

-Prepare revenue cycle reports, dashboards, and KPIs

-Ensure compliance with payer contracts, tariffs, and policies

-Train, coach, and evaluate RCM staff performance

-Support audits, inspections, and financial reviews