RCM Project Lead

Job description

The RCM Project Lead leads delivery of end-to-end Revenue Cycle Management services for assigned healthcare providers using the employer's RCM solutions. Manages daily RCM operations, directs cross-functional teams, ensures compliance with healthcare regulations and payer requirements, monitors operational and financial performance, and drives continuous process improvement. Acts as the primary client contact to ensure high-quality service, KPI achievement, and strong customer satisfaction through effective collaboration with hospitals and internal stakeholders.

Requirements

• Bachelor’s degree in Health Informatics, Healthcare Administration/Hospital Management, Business Administration, or Management Information Systems
• 5
• 7 years experience in Revenue Cycle Management 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 RCM lifecycle (A‑Z) covering registration, eligibility, pre‑authorization, charging, coding, billing, claims submission, denial/rejection management, follow‑up, and collections
• hands‑on experience with Hospital Information Systems (HIS), Claims Management Systems, and RCM platforms
• strong knowledge of CCHI regulations, healthcare insurance compliance, 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 efficiency
• experience leading RCM teams, managing workloads, and achieving operational KPIs and SLAs
• strong stakeholder management skills with ability to collaborate with hospital leadership, clinical teams, insurers, 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
• client‑facing or managed healthcare services experience highly preferred.

Skills

Benefits

• strong knowledge of medical claims, billing, health insurance operations, and payer requirements