Finance & Revenue Cycle Management Specialist

Job description

the employer is searching for a Finance & Revenue Cycle Management Specialist to join our team in Saudi Arabia. This role is essential in ensuring the effective financial management of the organization's revenue cycle processes. The specialist will be responsible for analyzing financial data, optimizing revenue streams, and ensuring compliance with financial regulations and policies. This role is crucial in ensuring the accurate, timely, and transparent validation of invoices, quotations, and insurance claims across all providers and insurers. The position requires close coordination with the operator, insurers, and internal finance teams to ensure compliance, reduce rejections, and improve financial sustainability. Responsibilities • Financial Oversight: • Review and validate all invoices submitted by the operator for accuracy and compliance. • Review and validate quotations for services and ensure alignment with agreed contractual terms. • Collaborate with Finance and KAUST leadership on budget adherence, forecasting, and expenditure control. • Lead the preparation, monitoring, and control of annual budgets in alignment with KAUST Health's strategic and operational goals. • Provide monthly financial analysis and variance reports with recommendations for corrective actions. • Insurance & Revenue Cycle Management: • Oversee the monthly insurance claim submission process across all insurance companies. • Validate claim accuracy, completeness, and compliance with insurance requirements. • Monitor rejection rates and develop action plans to reduce claim denials and improve collection timelines. • Lead reconciliation meetings with the operator and insurers to resolve discrepancies. • Ensure transparency and accountability in claim and payment processes. • Reporting & Analysis: • Provide regular financial and insurance claim performance reports to senior leadership. • Track KPIs related to financial and revenue cycle performance. • identify risks and opportunities for revenue optimization. • Work closely with the Head of Health, Operations Manager, and Finance department to ensure alignment of financial and operational objectives. • Support audits and ensure compliance with internal and external financial regulations. • Strong background in financial analysis, budgeting, and reporting

Requirements

• Bachelor’s degree (required) in Finance or Accounting (preferred).
• Master’s degree in Finance (preferred).
• Professional certifications (e.g., CPA, CMA) are an advantage.
• Minimum 6 years of experience, with at least 3 years in a lead role.
• Proven experience in the healthcare sector finance, insurance, or revenue cycle management.
• Hands-on experience with insurance claim processes, validation, and reconciliation.
• Demonstrated experience in preparing, managing, and monitoring budgets within a healthcare environment.

Skills