Healthcare Revenue Cycle Specialist

Job description

The KH Finance & Revenue Cycle Management Specialist will oversee financial management, healthcare revenue cycle, insurance claims, billing validation, reconciliation, budgeting, and financial reporting for KAUST Health. Works closely with KAUST Health leadership, finance teams, healthcare operators, insurance companies, and stakeholders to ensure accurate and timely processing of invoices, quotations, insurance claims, and payments. Reduces claim rejections and denials, improves collections, identifies financial discrepancies, maintains budget control, and ensures transparency and compliance across financial and revenue cycle activities. Responsibilities: review and validate invoices, quotations, and transactions for compliance; manage and monitor revenue cycle and insurance claim processes; validate and submit insurance claims timely; monitor rejections, resubmissions, collections and implement corrective actions; lead reconciliations with operators and insurers; prepare and monitor annual budgets, forecasts, and expenditure controls; produce monthly financial, variance, revenue, and RCM performance reports; track key financial and RCM KPIs, identify risks, discrepancies, and revenue optimization opportunities; coordinate with finance, health leadership, operators, and insurers to resolve financial and claim issues; support audits, compliance, financial controls, and process improvements to enhance revenue cycle efficiency

Requirements

• Bachelor’s degree in Finance, Accounting, Business Administration, Healthcare Management, or related field
• Bachelor’s degree in Finance or Accounting preferred
• Master’s degree in Finance, Accounting, Business Administration, or related field preferred
• Professional certifications such as CPA, CMA, ACCA, or equivalent advantageous
• Minimum 6 years of relevant professional experience
• At least 3 years in 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.

Skills