Claims Specialist

Al Salama Hospital


Date: 11 hours ago
City: Jeddah
Contract type: Full time

Department: Revenue Cycle Management


About the Role

We are seeking a skilled Claim Specialist to oversee claims submission and fund collection from insurance companies and corporate partners while leading a high-performing RCM team.


Responsibilities

  • Lead the RCM Officers team and manage daily task distribution.
  • Ensure accurate, complete, and CHI-compliant invoices and claims prior to submission.
  • Oversee dispatch, collection, and submission reports and maintain accurate payment records.
  • Manage rejected/disallowed claims and ensure timely resubmission.
  • Drive individual and team collection targets in line with hospital policies.


Qualifications

  • Bachelor's degree in medicine or healthcare.
  • Minimum 3 years' experience in billing/accounts within the healthcare industry.
  • Prior experience in a claim management team lead role within KSA.
  • Licensed professional coder is a plus.
  • Strong knowledge of local insurers, TPAs & CHI regulations.

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