RCM Operations Director

The role is focused on operational revenue cycle management, acting as a business partner rather than a strategic leader. The selected candidate will be responsible for ensuring efficient insurance-related operations, optimizing the patient financial journey, and managing claims processing, approvals, and preauthorization workflows.

Client Details

Hospital for a leading healthcare group.

Description

• Manage the organization's billing and revenue cycle to maximize cash flow.

• Act as an RCM Business Partner, implementing corporate directives at the facility level.

• Oversee the end-to-end insurance-related revenue cycle processes, including:

  • Contract setup and compliance

  • Claim submission and reconciliation

  • Preauthorization and approvals management

• Collaborate with clinical teams to streamline billing, coding, and reimbursement workflows.

• Ensure smooth coordination between the hospital and insurance providers to maximize revenue collection.

• Improve internal and external customer relations by enhancing RCM processes.

• Monitor key performance metrics to drive process improvements and optimize reimbursement.

• Develop and update departmental financial policies and procedures to align with hospital objectives.

• Ensure all activities comply with hospital policies, legal requirements, and industry regulations.

• Identify departmental performance indicators, oversee data collection, validation, and analysis, and share Key Performance Indicators (KPIs) with staff.

• Facilitate internal and external communication and coordination between departments.

• Perform other tasks as required by senior leadership.

Profile

• Proven experience in Operations Revenue Cycle Management, ideally within hospitals or the insurance sector.

• Strong operational expertise in insurance approvals, claims processing, and preauthorization management.

• Ability to translate corporate RCM strategies into actionable operational processes.

• Strong knowledge of healthcare regulations, insurance policies, and reimbursement methodologies.

• Excellent stakeholder management skills, capable of liaising between corporate leadership, hospital teams, and external payers.

• Previous experience in a hospital setting is preferred but not mandatory.

• Arabic is mandatory.

Job Offer

Competitive salary and benefits