RCM & Insurance Manager

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https://forsaconnect.com/job/51

RCM & Insurance Manager (Offshore - Cairo Office)​The RCM Manager will be responsible for overseeing the entire insurance lifecycle, ensuring financial sustainability, and optimizing revenue collection while maintaining strict adherence to Saudi Arabian healthcare regulations.

​Key Responsibilities ​Comprehensive RCM Oversight: Manage the end-to-end revenue cycle, including patient registration, eligibility verification, medical coding, billing, and claims submission. ​Denial Management & Prevention: Analyze denial trends, identify root causes, and implement corrective actions to minimize rejection rates and optimize recovery through medical justification. ​Compliance & Regulatory Alignment: Ensure all operational processes are fully compliant with the Council of Health Insurance (CHI/CCHI) regulations and the NPHIES platform standards. ​Financial Reporting: Generate and present detailed performance reports, including accounts receivable (AR) aging, net revenue analysis, and collection KPIs to the executive management. ​Contracting & Pricing: Support the evaluation of insurance contracts, manage price lists, and ensure that all agreements are accurately reflected in the system. ​Revenue Diversification: Implement strategies to maintain a healthy balance between different revenue streams (Cash, Credit, and Charity) and avoid over-reliance on delayed payment models. ​Inter-Departmental Coordination: Act as a bridge between the offshore office and the operational facilities in KSA to ensure seamless data flow and documentation. ​Team Leadership: Lead and mentor a team of medical coders and billing specialists, ensuring high accuracy and productivity. ​

Job Requirements ​

Education: Bachelor of Medicine (MBBCh/MD) is mandatory. Candidates must be qualified Medical Doctors. ​Market Experience: Minimum of 5 years of professional experience specifically within the Saudi Healthcare Market. ​Technical Expertise: Proficiency in ICD-10-AM, ACHI/AR-DRG coding, and hands-on experience with the NPHIES system. ​Location: Based in Cairo, Egypt (Full-time at the Group’s regional office). ​Skills: Strong analytical, negotiation, and leadership skills. Excellent command of professional English and Arabic. ​How to Apply

​If you meet the above criteria and are ready to lead our RCM operations from Cairo, please apply now.

Job Type: Full-time

Work Location: Remote