Summary
Waseel is seeking an RCM Specialist to manage revenue cycle activities for healthcare provider organizations. Duties include validating patient and insurance information, submitting approvals and reports, handling Ministry of Health cases, analyzing UCAFs, and supporting claims processing and ICD coding. Applicants need a bachelor’s degree, strong communication and analytical skills, and experience with revenue cycle management and approval platforms. The posting identifies mid-level positions as requiring more than 2 years of experience and lists Riyadh, Saudi Arabia, as the location.
The posting
As published on waseel.com. Pulled from the employer's site and shown as they wrote it.
Job Overview
Waseel is seeking an enthusiastic and dedicated RCM Specialist to join our team in different regions around the Kingdom! As an RCM Specialist, you will be responsible for managing the revenue cycle of healthcare provider organizations, ensuring efficient billing and collections processes.
Key Responsibilities
- Monitored compliance to ensure protocols align with standard CCHI policies.
- Validated and entered patient information and insurance coverage into the appropriate computer systems.
- Sent approvals and reports to insurance companies.
- worked on the Naphies platform with a highly skilled professional team.
- Handled Ministry of Health cases by submitting all necessary documents and investigations to support the approval requests made by the treating doctor.
- Analyzed data on UCAFs before submitting it to insurance companies.
- Provided medical guidance to the claims processing team, assisted with ICD coding, and reviewed insurance claim forms and supporting documents to ensure completeness and continuity in the claims process.
Requirements
Requirements
- Previous experience in revenue cycle management and medical approvals is highly desirable.
- Proficiency in using approval platforms is essential.
- Strong analytical and problem-solving skills with the ability to identify and resolve billing issues.
- Excellent communication and interpersonal skills, enabling effective collaboration with multidisciplinary teams.
Job Requirements
- Bachelor's degree is required
- Advance verbal and written communication skills
- Mid-level positions require +2 years of experience
- Healthcare provider organizations (hospitals, clinics, medical practices)
- Certified Professional( IFCE )
- Certified Professional (RCM )