وظيفة ضابط عمليات إدارة الإيرادات شاغرة لدى My Clinic KSA في جدة

Join My Clinic, the leading multispecialty outpatient care provider in Saudi Arabia, where our mission to help people live longer, healthier, and happier lives drives everything we do. Since 2017, we've been at the forefront of healthcare, combining innovation with a deep commitment to care, collaboration, ambition, and responsibility. As we continue to grow and reach new heights, we're looking for passionate individuals who share our vision and values.

Job Summary:

Responsible for supporting Revenue Cycle Management activities through financial and operational analysis, performance monitoring, reporting, and process improvement. The role focuses on identifying revenue leakage, analyzing payer and branch performance, monitoring billing and collection trends, and providing data-driven insights to support revenue optimization and effective decision-making.

Primary Responsibilities:

1. Prepare and maintain RCM dashboards and periodic reports covering revenue, billing, collections, utilization, rejection, write-offs, and risk cost.
2. Conduct financial and operational analysis by branch, payer, specialty, service, physician, and customer/member to identify trends, gaps, and revenue opportunities.
3. Monitor revenue cycle performance, including revenue collection, billing trends, utilization, patient/member activity, and financial impact.
4. Analyze payer performance, settlement rates, contractual discounts, payment details, reconciliation, shortfalls, and financial variances.
5. Analyze contracts, price lists, reimbursement rates, exclusions, discounts, and service-code changes to assess their financial impact.
6. Identify revenue leakage, high-risk utilization, technical rejections, pending cases, paid-but-not-done services, and write-off drivers, and support corrective actions.
7. Prepare executive summaries and management reports highlighting key findings, financial impacts, risks, and recommended actions.
8. Analyze utilization of high-value services, packages, exclusions, and payer benefits to identify opportunities for revenue optimization and cost control.
9. Review end-to-end RCM processes, including eligibility, pre-authorization, billing, claims submission, payment, and case closure, to identify process gaps and improvement opportunities.
10. Develop and maintain Excel-based analytical tools, dashboards, reports, and automated solutions to improve reporting efficiency and data accuracy.
11. 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.
12. Conduct root-cause analysis and support process mapping and automation initiatives to improve RCM efficiency and reduce repetitive manual activities.
13. Track agreed action plans, targets, and deadlines and provide regular updates on progress and outstanding items.
14. Perform any other duties related to Revenue Cycle Management as assigned by the management.

Education / Professional Qualifications:

1. Education Degree: Bachelor’s degree in Finance, industrial engineering, or a related field..
2. Years of Experience: 2 to 4 years of experience within a related field.
3. Professional Certification: RCM.