Finance & Revenue Cycle Management (RCM) Specialist

About the role

The KH Finance & Revenue Cycle Management (RCM) Specialist oversees the financial operations and revenue cycle of KAUST Health, ensuring accurate financial reporting, effective budget management and efficient insurance claims processing. The role works closely with healthcare operators, insurance providers, finance teams and senior leadership to strengthen financial controls, reduce claim denials and support strategic decisions.

Key responsibilities

• Review and validate invoices and quotations submitted by healthcare operators for accuracy, completeness and contractual compliance.
• Lead the annual budgeting process, including preparation, monitoring, forecasting and expenditure control.
• Prepare financial reports and variance analyses, with monthly insights, forecasts and recommendations.
• Manage end-to-end revenue cycle management, including timely and accurate submission of insurance claims.
• Validate claims by checking billing accuracy, medical coding, documentation and payer requirements, and monitor rejection trends and collections.
• Hold reconciliation meetings with healthcare operators and insurers to resolve payment discrepancies and outstanding claims.
• Develop and present financial and RCM KPIs to senior leadership, highlighting risks and improvement opportunities.
• Support internal and external audits and act as the main liaison between KAUST Health, finance, operators and insurers.

Required profile

• Bachelor's degree in Finance, Accounting, Business Administration or a related field (Finance or Accounting preferred).
• Master's degree in Finance, Accounting, Business Administration or Healthcare Management preferred.
• Professional certification such as CPA, CMA or ACCA is an added advantage.
• At least 6 years of professional experience, including at least 3 years in a leadership or specialist finance, healthcare finance or RCM role.
• Proven healthcare finance experience, including budgeting, financial planning, reporting, cost control and expenditure management.

Required skills

• Extensive knowledge of revenue cycle management, insurance claims processing, validation, reimbursement, denial management, collections and reconciliation.
• Financial analysis and reporting, including budgeting, forecasting, variance analysis and KPI reporting.
• Advanced Microsoft Excel (Pivot Tables, XLOOKUP/VLOOKUP, financial modelling, dashboards); ERP or healthcare financial systems experience is highly desirable.

Applications are made through Eram Talent.