RCM & Claims Advisor (Healthcare Claims Lifecycle Expert)
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About the Role
TAQRIR is seeking an RCM & Claims Advisor to optimize the healthcare claims lifecycle for EMS services. The role involves analyzing claims workflows, ensuring coding accuracy, and advising on best practices to support compliant revenue cycle management.
Key Skills for This Role
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Company Description
TAQRIR | تقرير is a digital company specializing in emergency medical services (EMS) technology solutions tailored to the Saudi Arabian healthcare environment.
The company’s flagship product is an electronic patient care reporting (ePCR) system designed specifically for prehospital care teams, enabling accurate documentation in the field.
TAQRIR focuses on creating structured, reliable reports that support leadership decisions, streamline billing compliance, and strengthen organizational readiness.
By combining EMS expertise with technological innovation, TAQRIR helps organizations meet local regulatory requirements while maintaining data integrity.
This allows healthcare teams to stay compliant and concentrate on delivering better patient care.
Role Description
The RCM & Claims Advisor (Healthcare Claims Lifecycle Expert) is a contract role based in Riyadh with a hybrid work arrangement, allowing a mix of onsite and remote work.
This role is responsible for reviewing and optimizing the end-to-end healthcare claims lifecycle for EMS services, including documentation requirements, coding accuracy, and alignment with payer and regulatory standards.
Day-to-day tasks include analyzing claims workflows, identifying gaps in EMS documentation for billing, advising product and operations teams on best practices, and creating guidelines and training materials for internal stakeholders and clients.
The advisor will collaborate with cross-functional teams to ensure the ePCR system supports compliant and efficient claims management, and will provide expert input on policies, procedures, and system enhancements.
The role also involves monitoring regulatory changes, supporting audits or reviews, and recommending process improvements that enhance revenue cycle performance and reduce denials.
Qualifications
- Strong skills in Claims Handling and Insurance Claims, with practical experience across the healthcare claims lifecycle.
- Proficiency in Claims Management and Insurance processes, including denial management, reimbursement methodologies, and compliance requirements.
- Effective Communication skills, with the ability to explain complex claims and RCM concepts to technical and non-technical stakeholders.
- Experience in healthcare revenue cycle management, preferably within EMS or prehospital care settings.
- Familiarity with local Saudi healthcare and insurance regulations, billing standards, and payer requirements.
- Ability to analyze data and documentation to identify patterns, risks, and opportunities for process optimization.
- Comfort working in a hybrid environment in Riyadh, collaborating with distributed teams and using digital collaboration tools.
- Relevant academic background in healthcare administration, insurance, finance, or a related field, or equivalent practical experience.
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