Revenue Cycle Manager

About the Role

PE Global is seeking an experienced Revenue Cycle Manager for a leading Saudi Arabian hospital and healthcare organization in Eastern, Saudi Arabia. This full-time role focuses on optimizing revenue cycle operations, financial performance, and healthcare billing processes. The successful candidate will develop and implement RCM strategies, enhance charge capture and billing, support system improvements, and resolve claims denials.

Role Context and Impact

This position combines strategic planning with operational consulting, requiring close collaboration with healthcare administrators, finance, IT, and clinical teams. The objective is to boost revenue cycle efficiency, accuracy, and compliance, contributing to the organization's wider financial and operational performance.

Responsibilities

• Develop and implement strategies to optimize charge capture processes, ensuring alignment with industry best practices and maximizing 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, with a focus 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.
• Analyze 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 organizational objectives and promote continuous improvement.

Qualifications and Experience

• A minimum of 10 years of experience in Revenue Cycle Management, preferably within a hospital or healthcare organization.
• Demonstrated experience in developing and implementing RCM strategies.
• Proven ability to enhance charge capture and billing processes.
• Experience with system improvements, integrations, and claims denial resolution.

Opportunity

This role offers the opportunity to influence revenue cycle strategy, implement operational improvements, and collaborate with senior healthcare, finance, IT, and clinical stakeholders. The position provides significant scope to contribute to the organization’s financial and operational performance.