Revenue Cycle Management Consultant📣 إعلان

About the Role

PE Global is seeking an experienced Revenue Cycle Management (RCM) Consultant to join a leading Saudi Arabian hospital and healthcare organisation in Eastern, Saudi Arabia. This full-time role focuses on optimising revenue cycle operations, enhancing financial performance, and improving healthcare billing processes.

Role Overview

The RCM Consultant will be instrumental in developing and implementing RCM strategies, refining charge capture and billing processes, supporting system enhancements, and addressing claims denials. This position combines strategic planning with hands-on operational consulting, requiring close collaboration with healthcare administrators, finance, IT, and clinical teams to improve revenue cycle efficiency, accuracy, and compliance.

Key Responsibilities

• Develop and implement strategies to optimise charge capture processes, ensuring alignment with industry best practices and maximising revenue.
• Oversee relevant integrations and enhancements across EMR, HIS, LIS, and billing systems to ensure effective charge reconciliation.
• Lead initiatives to improve charge capture tools, including Flowsheets and Smart Forms, focusing on automation, accuracy, and efficiency.
• Develop and manage the Charge Description Master (CDM), including the strategic addition, modification, and removal of charges.
• Develop strategies to prevent and resolve claims denials, using root cause analysis to identify and address recurring issues.
• Evaluate existing revenue cycle processes to identify inefficiencies, bottlenecks, compliance risks, and opportunities for improvement.
• Analyse revenue cycle data and performance metrics to support strategic decision-making and operational improvements.
• Create and present actionable recommendations across billing, coding, collections, and patient account management.
• Support the implementation of process improvements, system upgrades, and staff training to ensure successful adoption of changes.
• Ensure compliance with relevant healthcare regulations, industry standards, billing requirements, and reimbursement practices.
• Work closely with healthcare administrators, finance teams, IT departments, and clinical teams to understand requirements and provide tailored RCM solutions.
• Deliver workshops, training, and guidance to relevant stakeholders to improve understanding and adoption of RCM processes.
• Establish and monitor KPIs to measure the effectiveness of RCM improvements and provide ongoing support to achieve performance targets.
• Oversee CDM maintenance, charge capture processes, clinical coding, charge automation, and denial resolution activities.
• Guide and support clinical teams, helping to align revenue cycle activities with organisational objectives and promote continuous improvement.

Qualifications and Experience

• A minimum of 10 years of experience in Revenue Cycle Management.
• Demonstrated experience in developing and implementing RCM strategies within a healthcare setting.
• Proficiency in charge capture processes, billing systems, and claims denial management.
• Experience with EMR, HIS, LIS, and billing system integrations and enhancements.
• Strong analytical skills for evaluating revenue cycle data and performance metrics.
• Ability to collaborate effectively with diverse teams including clinical, finance, and IT.

Work Environment

This is a full-time position based in Eastern, Saudi Arabia, offering the opportunity to work within a leading Saudi Arabian hospital and healthcare organisation. The role involves working across various departments and with senior stakeholders to drive significant improvements in revenue cycle performance.

Application Process

Candidates with the required experience are encouraged to apply. Salary details will be discussed during the interview process.