5 Medical Billing Specialists jobs in Saudi Arabia

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.

Our client is a private General Hospital located in Riyadh, Saudi Arabia. As an accomplishment of its commitment to excellence, our client received the "Diamond" accreditation, the highest level of recognition for performance excellence that an organization can achieve in health care from Accreditation Canada's Qmentum International Accreditation.

About us:

Deka Minas is the world's first subscription-based professional services company. Our main lines of business are Human Capital Advisory and Recruitment Services in Sub-Saharan Africa, The Middle East, and Southeast Asia.

Position Overview

A trusted and well-established client of ours in The Middle East is seeking an experienced Revenue Cycle Management Manager (Chartered Accountant). The function of the Revenue Cycle Management Manager is to manage the organisation's Revenue Cycle Department and to ensure that all business-related processes are smoothly implemented in line with the organisation's mission, vision, and values.

Primary Duties and Responsibilities:

• Identifies and participates in short- and long-term goal development.
• Ensures that all business centre/RCD activities are of the highest quality and performed efficiently.
• Maintains liaison with professional medical staff and other personnel in administrating policies and procedures regarding patient flow and utilisation of space, time, supplies, and equipment.
• Provides direction and guidance to Revenue Cycle Department staff.
• Directs and coordinates all scheduling, admission, discharge, and corresponding financial services and activities of the patient within the organisation.
• Responsible for all Revenue Cycle Department activities related to verification, approval, and extension of insurance eligibility for outpatient and inpatient related services.
• Responsible for processing incoming patient referrals from the Ministry of Health (MOH), KF Medical City, and other affiliated governmental and private healthcare organisations.
• Ensures that the Revenue Cycle Department staff collect accurate information from patients and organisations and document correctly into the computer system.
• Supervises and assists the Revenue Cycle Department staff concerning issues such as conditions of admissions, consent forms, patient rights and responsibilities, confidentiality and privacy of patient information, and other relevant hospital policies and procedures.
• Maintains interface with physicians, patients, and administrative staff to provide information and to resolve problems relating to outpatient and inpatient services.
• Collects and analyses data for the preparation of composite reports and special projects (i.e., new and current service costing, bed management improvement projects, etc.).
• Assists in updating the Revenue Cycle Department policy and procedures as needed.
• Responsible for maintaining and updating the database related to insurance policy (new and old subscribers).
• Ensures staff treats patients and their families with respect and dignity.
• Maintains and/or improves customer service policy to ensure patient satisfaction.
• Interacts professionally with patient/family and provides explanations and verbal reassurance as necessary.
• Ensures department documentation meets current standards and policies.
• Ensures availability of all department resources.
• Directly responsible for all personnel actions including, but not limited to hiring, performance appraisals, promotions, vacation schedules, and maintaining payroll records and time reports.
• Enforces regulatory and compliance requirements (MOH, accreditation, etc.). Accountable for understanding, enforcing, and following all internal controls, particularly as they relate to cash management policies and procedures.
• Responsible for the safety of patient valuables.
• Performs other related duties, as assigned, for the purpose of ensuring the efficient and effective functioning of the work unit.

Specialized Knowledge/Skills:

• Excellent interpersonal skills.
• Excellent verbal and written communication skills; ability to speak and write clearly and concisely.
• Strong understanding of healthcare safety, operations, and programs.
• Skilled in working with spreadsheets, databases, and PowerPoint presentations.
• Medical terminology knowledge / Medical Background.
• Ability to organise and prioritise.
• Strong customer service background and experience.
• Ability to create and apply specific departmental policies, rules, and regulations relating to verifying patient information, collecting payments, and maintaining records and forms.
• Knowledge and ability to apply situational leadership skills.
• Ability to effectively lead teams and establish and maintain effective relationships with other personnel.
• Knowledge of general accounting principles.

Education/Licensure:

• Bachelor's degree or Master's Degree in Business Administration or equivalent field or in Medical Field.

Professional Experience:

• At least 2-5 years of progressive experience as Revenue Cycle Management Manager in a healthcare setting.

Note: By submitting your personal information to Deka Minas, you provide consent for the business to use such data for the specific purpose of securing you either permanent or temporary employment. Our business operates a POPIA compliant database, and you have the right to access, correct, and delete your personal information.

Join us to apply for the Medical Coder - Medical Coding Documentation role at SANTECHTURE .

Get AI-powered advice on this job and access exclusive features.

This role involves reviewing and analyzing market payer and regulator protocols, reviewing medical records to abstract relevant data, and creating rules to ensure appropriate coding in accordance with the Saudi clinical coding system and standards. The role supports billing integrity and best practices by working closely with payers, regulators, and healthcare providers to resolve coding and billing issues, investigate incidents, and ensure compliance with regulatory policies in Saudi Arabia.

• Act as a subject matter expert within the KSA Rules unit for clinical coding queries related to the Saudi Billing System, CCHI Coding Standards, and Australian Coding Standards (ACS).
• Manage the integrity of the Rules engine by defining correct implementation procedures.
• Ensure accurate coding according to established principles and guidelines.
• Translate region-specific coding guidelines and local market practices into rule alerts by analyzing ICD-10-AM, ACHI, SBS codes, and drugs standards codes.
• Communicate via email with departments for rule requests, suggestions, and queries.
• Prepare crosswalks analyzing local market practices and remittance advices.
• Maintain and update the engine regularly based on coding standards and market practices.

• Minimum 2-5 years of experience as a Medical Coder in Saudi Arabia.
• Knowledge of Medical Billing within the private healthcare insurance sector.
• Recognized professional certification in Medical Coding is highly desirable.
• Experience working with insurance payers is preferred.
• Familiarity with KSA regulations such as CCHI, Health Council, and SEBAHI.
• Excellent communication and leadership skills.
• Proficiency in Healthcare Information Systems and Microsoft Office.
• Bi-lingual in Arabic and English is preferred.
• Medical training as a Doctor, Nurse, or Pharmacist is highly desirable.

• Seniority Level: Mid-Senior level
• Employment Type: Full-time
• Job Function: Healthcare Provider
• Industry: IT Services and IT Consulting

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