Finance & Revenue Cycle Management Specialist
Full time @Confidential posted 2 weeks ago in AccountingJob Detail
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Job ID 67226
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Career Level Middle
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Experience 6 to 9 Years
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Gender Both
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Qualification Bachelor Degree
Job Description
Financial Oversight:
Review and validate all invoices submitted by the operator for accuracy and compliance in alignment with the operations team.
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.
Ensure timely submission of Services’ WCCs, Invoices, CCIMS, and monitor payment completion.
Provide periodic bi-weekly updates on operational financial statuses including but not limited to CAPEX, OPEX, Contractors, Insurance, Governance and Accreditations payments.
Ensure up to date and timely collection of Incurred/Accrued revenue and Accounts payable.
Ensure the proper allocation of CAPEX and OPEX and monitor the proper execution to ensure that the allocated budget, POs and projects execution undergo as planned to avoid any budget losses.
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.
Ensure up to date and timely collection of Incurred/Accrued claims and payable revenue.
Reporting & Analysis:
Provide regular financial and insurance claim performance reports to senior leadership.
Track KPIs related to financial and revenue cycle performance in alignment with KH operational team.
Identify risks and opportunities for revenue optimization.
Leadership & Collaboration:
Serve as the primary point of contact for financial and insurance claim matters with the operator and insurers.
Work closely with KAUST Health director, Healthcare Operations Manager, and Finance department to ensure alignment of financial and operational objectives.
Support audits and ensure compliance with internal and external financial regulations.
Other
Qualifications
Bachelor’s degree (required) in Finance or Accounting (preferred).
Master’s degree in finance (preferred).
Professional certifications (e.g., CPA, CMA) are an advantage
Experience
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.
Required Skills
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