RCM Process Officer

About My Clinic

My Clinic, a leading multispecialty outpatient care provider in Saudi Arabia, has been committed to helping people live longer, healthier, and happier lives since 2017. The organization focuses on innovation, care, collaboration, ambition, and responsibility as it continues to expand its services.

The Role of RCM Process Officer

My Clinic is seeking an RCM Process Officer to join its team in Makkah, with operations spanning Jeddah and Makkah. This full-time role requires 2-5 years of experience and focuses on supporting Revenue Cycle Management (RCM) activities through financial and operational analysis, performance monitoring, reporting, and process improvement. The officer will identify revenue leakage, analyze payer and branch performance, monitor billing and collection trends, and provide data-driven insights to optimize revenue and support decision-making.

Key Responsibilities

• Prepare and maintain RCM dashboards and periodic reports covering revenue, billing, collections, utilization, rejection, write-offs, and risk costs.
• Conduct financial and operational analysis by branch, payer, specialty, service, physician, and customer/member to identify trends, gaps, and revenue opportunities.
• Monitor revenue cycle performance, including revenue collection, billing trends, utilization, patient/member activity, and financial impact.
• Analyze payer performance, settlement rates, contractual discounts, payment details, reconciliation, shortfalls, and financial variances.
• Analyze contracts, price lists, reimbursement rates, exclusions, discounts, and service-code changes to assess their financial impact.
• Identify revenue leakage, high-risk utilization, technical rejections, pending cases, paid-but-not-done services, and write-off drivers, and support corrective actions.
• Prepare executive summaries and management reports highlighting key findings, financial impacts, risks, and recommended actions.
• Analyze utilization of high-value services, packages, exclusions, and payer benefits to identify opportunities for revenue optimization and cost control.
• Review end-to-end RCM processes, including eligibility, pre-authorization, billing, claims submission, payment, and case closure, to identify process gaps and improvement opportunities.
• Develop and maintain Excel-based analytical tools, dashboards, reports, and automated solutions to improve reporting efficiency and data accuracy.
• Perform data validation, reconciliation, and cross-system analysis to ensure the accuracy and completeness of RCM data.
• Coordinate with Finance, Operations, Medical, IT, and payer teams to follow up on RCM issues, resolve gaps, and implement corrective actions.
• Conduct root-cause analysis and support process mapping and automation initiatives to improve RCM efficiency and reduce repetitive manual activities.
• Track agreed action plans, targets, and deadlines and provide regular updates on progress and outstanding items.
• Perform any other duties related to Revenue Cycle Management as assigned by the management.

Qualifications and Experience

• Bachelor’s degree in Finance, Industrial Engineering, or a related field.
• Professional Certification in RCM.
• 2-5 years of relevant experience.

Application Process

My Clinic offers a professional environment for individuals dedicated to healthcare innovation and operational excellence. Salary details for this position will be discussed during the interview process.