Job Description

Company Description Alhayat Medical Clinics has been delivering distinguished medical services for more than 25 years in Riyadh and across the Kingdom of Saudi Arabia. Established in 1999 by Mr. Rageh Al Agamy, the clinics are recognized for the efficiency of their medical staff and broad experience across multiple specialties. The organization provides comprehensive care that covers the full patient journey, from diagnosis through treatment. Alhayat Medical Clinics actively adopts modern medical technologies and practices, emphasizing awareness, prevention, and psychological support. The company continues to expand and improve its services to offer the best possible health care to its community.

Role Description The RCM Resubmission Specialist is a full-time, on-site role based in Cairo. This role focuses on reviewing denied or rejected medical claims, identifying root causes, and preparing accurate and timely resubmissions to maximize reimbursement. The specialist will verify patient and insurance information, ensure coding and billing accuracy, and coordinate with clinical and administrative teams to resolve documentation gaps. Daily tasks include monitoring claim status, updating records in the revenue cycle management system, and generating reports on resubmission performance and trends. The role also involves following payer guidelines, maintaining compliance with applicable regulations, and supporting continuous improvement of billing and collection processes.

Qualifications

• Strong knowledge of medical billing, coding, and revenue cycle management processes, including claim submission, denial management, and resubmission workflows IN KSA MARKET
• Proficiency in using healthcare billing software, electronic medical records (EMR) systems, and basic office applications (e.g., Excel, Word) for data entry and reporting.
• Attention to detail and analytical skills to review claims, identify errors or missing information, and interpret payer policies and explanations of benefits (EOBs).
• Effective written and verbal communication skills to collaborate with clinicians, administrative staff, and insurance representatives in a clear, professional manner.
• Ability to organize work, manage multiple cases, meet deadlines, and maintain accurate documentation in a fast-paced environment.
• Understanding of healthcare compliance standards, confidentiality requirements, and ethical practices related to patient and financial data.
• Previous experience in medical billing, RCM, or denial management in a clinical or hospital setting is highly preferred.
• Diploma or bachelor’s degree in healthcare administration, business, finance, or a related field is an advantage; relevant certifications in medical billing or coding are beneficial.