✨ AI Summary
Waseel is looking for an RCM Specialist to manage the revenue cycle for healthcare providers in various regions of the Kingdom. The role involves ensuring efficient billing and collections, monitoring compliance with CCHI policies, validating patient and insurance information, submitting approvals and reports to insurance companies, handling Ministry of Health cases, and analyzing UCAF data. The specialist will also provide medical guidance, assist with ICD coding, and review claim forms. This position requires a Bachelor's degree, advanced communication skills, and at least 2 years of experience in revenue cycle management and medical approvals, preferably with experience on platforms like Naphies. Certified Professional (IFCE) and Certified Professional (RCM) are also required.
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 )
Description
Job OverviewWaseel 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.