5 Medical Billing jobs in Saudi Arabia

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Company Description

Advanced Excellence Medical provides high-quality home healthcare services across Jeddah, including physiotherapy, nursing, and elderly care. Our licensed medical team is dedicated to delivering safe, comfortable, and professional care right at your home. With a focus on patient well-being and home-based care, we offer a range of services such as home physiotherapy, home nursing, elderly care, and post-surgery rehabilitation.

Role Description

This is a full-time, on-site role for a Revenue Cycle Manager located in Jeddah. The Revenue Cycle Manager will be responsible for overseeing and optimizing all elements of the revenue cycle process including billing, collections, denials management, and medical coding. The role entails managing practice operations, ensuring compliance with managed care regulations, and improving overall revenue cycle efficiency.

Qualifications

• Saudi Nationality
• Proficiency in Revenue Cycle Management and Practice Management
• Experience in handling Denials and Medical Coding
• Understanding of Managed Care regulations and requirements
• Strong analytical and problem-solving skills
• Proven ability to work effectively on-site
• Excellent organizational and communication skills
• Bachelor's degree in Business Administration, Healthcare Management, or related field
• Experience in the healthcare industry, particularly in home healthcare settings, is a plus

Is responsible for overseeing the RCM operations including claims and billing management. Communicate partner providers, implement and refine processes of audit and compliance, execute special RCM projects and participate in different analytical activities

• Develop and maintain a strategic approach to the revenue cycle that aligns with the broader objectives of Bupa insurance.
• Collaborate with clinical and administrative departments to ensure a seamless integration between care delivery and insurance processing systems.
• Oversee the claims submission process to insurance providers, ensuring accuracy and compliance with insurance policies.
• Ensure that all claims, denials, and appeals are efficiently processed, and for resolving billing related issues.
• Identify opportunities to optimize revenue collection and cost management.
• Deliver metrics and reporting to monitor and improve revenue operations effectiveness.

• Conduct comprehensive market analysis to identify potential partner providers.
• Establish and maintain robust relationships with providers. Negotiation favorable terms in contracts, provide regular feedback. review and evaluate partner performance against contracts and SLAs
• Implement strategies to ensure continuous improvement in partner performance.
• Develop and maintain a comprehensive database of partner providers.
• Work closely with the legal team to ensure compliance in partner contracts.

• Develop and maintain a compliance risk management plan.
• Address audit findings with stakeholders and implement corrective actions.
• Review and update compliance policies and procedures regularly and monitor industry changes.
• and adjust compliance strategies accordingly.
• Ensure compliance with Coding & billing regulation.
• Provides education and policy updates for staff on a regular and as needed basis
• Conduct on-site audits of selected referral providers to validate the accuracy of documentation and compliance with established protocols.
• Establish a feedback loop to communicate audit findings with referral providers, addressing areas for improvement and acknowledging positive practices.

• Identify process gaps and propose innovative solutions.
• Document and implement new workflows and processes.
• Establish cross-functional collaboration for successful project execution.
• Conduct regular project review meetings and provide status updates.
• Ensure project deliverables meet quality standards and organizational objectives.
• Evaluate project outcomes and capture learnings for future projects.
• Utilize project management tools and software for efficient tracking.

• Generate insights in certain healthcare specialties, mine patient and healthcare provider data from multiple sources to discover key analytical insights to create complete views of health data and cost trends.
• Maintain the different models for predictive analysis to evaluate members’ patterns of health care.
• Enhance the approaches for advanced patient risk stratification based on conditions, complexity, and medication profiling.
• Conduct cost-effectiveness analysis to identify alternate management options that provide medically necessary potentially cost-effective services.

At Ecaresoft we want to reduce the cost of healthcare by creating software that helps physicians, clinics, and hospitals operate in more efficient ways. We are looking for an experienced Product Manager to lead our Revenue Cycle Management solution for Saudi Arabia.

As the Product Manager for Revenue Cycle Management, you will work closely with development, customer success, and sales to ensure that our products meet our quality standards and deliver real value to our users. On a typical day, you will be creating functional specifications for upcoming developments (we call them shape-ups), talking with developers to unblock issues, and providing support and advice to internal and external clients on how to get the most value out of our solutions.

As a Product Manager, you’ll be responsible for owning features from ideation through development, launch, growth, and maintenance. That includes being able to:

• Develop and maintain a roadmap - balancing new features, changes in regulation, unexpected challenges, and updated process enhancements
• Develop and communicate product priorities across the company
• Create functional specifications for developers
• Track progress of development cycles to ensure the product is delivered as promised
• Ensure appropriate training materials are produced for assisting clients to use the product and provide operational support needed to maximize the product usage
• Collaborate with our customer success and support teams to identify problems and propose solutions

What are the requirements needed for this position?

• +5 years experience working with Hospitals in a Revenue Cycle Management or Insurance Cycle Management related role in Saudi Arabia.
• +3 years experience working with development & technical teams in a product manager, project manager, analyst, or consultant role.
• Proven track record of helping healthcare organizations optimize and improve Revenue Cycle and Insurance Cycle processes by implementing industry best practices and standards.
• Ability to determine and prioritize the required features and functions for a minimum viable solution. Have a clear path to grow a product in an incremental way.
• Strong written and verbal communication skills: ability to clearly articulate ideas to both technical and non-technical audiences.
• Knowledge of process mapping, analysis, quality management systems and data visualization.

Ecaresoft is a fast growing software company focused on building transformative products for the healthcare industry: Nimbo and Cirrus .

We’re shameless about our passion for hard work. We live to create the best healthcare software and improving the healthcare industry through them.

Eram Talent 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.
  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.
• Strong background in financial analysis, budgeting, and reporting.
• Hands-on experience with insurance claim processes, validation, and reconciliation.
• Demonstrated experience in preparing, managing, and monitoring budgets within a healthcare environment.