Revenue Cycle Management (RCM) Manager

About the role

Saudi German Health is looking for an experienced Revenue Cycle Management (RCM) Manager to lead and optimise the end‑to‑end revenue cycle at our Hail facility. You will be responsible for ensuring efficient billing, claims processing, collections and payer relationships while maintaining compliance with Saudi healthcare regulations.

Key responsibilities

• Manage the full revenue cycle, from patient registration and coding to billing, claims submission, collections and reimbursement.
• Monitor and improve performance indicators such as collection rates, denial rates, AR aging and cash flow.
• Lead, coach and develop the RCM team to meet productivity and accuracy standards.
• Oversee claim submissions and follow‑up on denied, rejected or under‑paid claims.
• Collaborate with Finance, Medical Coding, Insurance, Patient Access and Clinical departments.
• Ensure compliance with healthcare regulations, insurance policies, NPHIES requirements and internal policies.
• Analyse revenue trends and recommend actions to maximise revenue and reduce leakage.
• Build and maintain strong relationships with insurance companies and third‑party payers.
• Prepare regular reports and presentations for senior management on RCM performance.
• Drive process‑improvement and automation projects to enhance operational efficiency.

Required profile

• Bachelor’s degree in Healthcare Administration, Finance, Business Administration, Accounting or a related field.
• 5–8 years of experience in Revenue Cycle Management within hospitals or large healthcare organisations.
• 2–3 years of managerial or leadership experience.
• Strong understanding of medical billing, coding, claims management, insurance processes and Saudi healthcare reimbursement models.
• Experience with NPHIES and Saudi healthcare insurance regulations is highly preferred.
• Professional certifications such as CPC, CCS, CRCR, HFMA or equivalent are a plus.

Required skills

• Medical billing
• Medical coding
• Claims management
• Insurance relations
• Revenue optimisation
• NPHIES compliance