Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

KHALED ALHAWWAH

Riyadh,Saudi Arabia

Summary

Experienced professional with over 15 years in Revenue Cycle Management, Contracting Management & Strategic Agreements, Health Care Operations, HIS Implementation, System Support, Nursing and Business Development in the Healthcare Sector, with a proven track record of improving financial operations and increasing revenue through innovative growth strategies.

Overview

16
16
years of professional experience
1
1
Certification

Work History

System administrator ( HIS & RCM )

IQVIA
Riyadh, Saudi Arabia
02.2025 - Current

Achievements And Responsibilities :

  • Managed user accounts using Active Directory, ensuring secure access to resources.
  • Resolved system faults in a timely manner, reducing disruption to business operations.
  • Improved customer satisfaction by providing remote assistance through phone or email correspondence.
  • Facilitated training sessions on safe Internet usage, promoting cybersecurity awareness.
  • Streamlined helpdesk queries by prioritizing user issues and escalating them when necessary.
  • Assisted users in navigating applications; increasing overall productivity.
  • Provided technical support to colleagues, enhancing communication and productivity.
  • Answered user questions about HIS modules to help resolve problems.

RCM - Contracting Manager

Interhealth Hospital
Riyadh, KSA
08.2023 - 04.2025
  • Manage drafting and negotiation of contracts, ensuring clarity and alignment with company policies.
  • Reviewing and analyze contracts to identify potential risks and propose mitigation strategies.
  • Tracking and monitor contract compliance and performance.
  • Maintaining accurate and up-to-date contract records and documentation.
  • Analyze claims and contract data to identify trends, patterns, and areas for improvement.
  • Prepare reports and presentations on claims and contract performance for senior management.
  • Develop and implement pricing strategies to ensure profit stability and competitiveness.
  • Coding and Mapping.
  • Registration and Data Entry Technical Support.
  • Medical Approvals Technical Support.
  • Billing Technical Support.
  • Claim Submission Technical Support.
  • Denial Management Technical Support
  • B2B contracting and Financial solutions.
  • Healthcare information systems implementation ( Contracts - System Rules - Tariffs - Tariffs terms - Billing Groups - Billing rules - Packages setup - Package breakdown - Categories - Limit categories for package deals - Coding & Mapping - Manage approval screen - Manage claims screen - NPHIES integration - Pricing - Price list upload - Manage Payers and Policies - Maintain departments ).

RCM and Contracting Consultant

Health Care Providers
Saudi Arabia, KSA
07.2020 - 07.2023
  • Leads and coordinates revenue cycle team and activities.
  • Sets goals and policies for revenue cycle, and ensures that are aligned with practice's mission and vision.
  • Developing metrics, KPIs, analytics and dashboards to provide performance measurement and drive business.
  • Supervise and support staff, and provide feedback and coaching.
  • Oversees budget and resources for revenue cycle, and evaluates return on investment of revenue cycle initiatives.
  • Accountability among revenue cycle staff and other stakeholders, such as providers, patients, and payers.
  • Organizing billing and collection efforts.
  • Overseeing claims process, monitoring reimbursement rates, working with insurance companies.
  • Track activities of accounts receivable.
  • Ensure compliance with all relevant insurance laws.
  • Financial services and B2B solutions.
  • Control monthly closing procedures, which include account balance and reporting.
  • Ensure that insurance companies and patients are correctly billed.
  • Document insurance company rejections of medical billing claims and Organizing Denial Management.
  • Completion Integration with NPHIES platform.
  • Reviewing and analyze contracts to identify potential risks and propose mitigation strategies.
  • Coding, Mapping and Pricing.

Business Center Director

Al Zafer Hospital
Najran
03.2022 - 02.2023

Achievements And Responsibilities :

  • Leads and coordinates revenue cycle team and activities.
  • Sets goals and policies for revenue cycle, and ensures that are aligned with practice's mission and vision.
  • Supervise and support staff, and provide feedback and coaching.
  • Organizing billing and collection efforts.
  • Overseeing claims process, monitoring reimbursement rates, working with insurance companies.
  • Track activities of accounts receivable.
  • Ensure that insurance companies and patients are correctly billed.
  • Document insurance company rejections of medical billing claims and Organizing Denial Management.
  • Completion Integration with NPHIES platform.
  • Reviewing and analyze contracts to identify potential risks and propose mitigation strategies.

RCM - Approval Supervisor

Kingdom Hospital
Riyadh, KSA
06.2015 - 06.2020
  • Plan and direct operation of Medical Approval Team in accordance with department objectives.
  • Ensure that medical cases and customers queries are solved in accordance with Company quality standards in order to reach customer medical necessity and satisfaction.
  • Reviewing Schedule of Benefits & Limitations as agreed policy .
  • Provided excellent customer service in medical professional and ensured all Approvals were well provided.
  • Reducing percentage of rejected approvals and percentage of customer complaints to noticeable and very satisfactory percentage.
  • Ability to lead and motivate team of professionals.
  • Control monthly closing procedures, which include account balance and reporting.
  • Ensure that insurance companies and patients are correctly billed.
  • Document insurance company rejections of medical billing claims and Organizing Denial Management.

Dental assistant

Dr.Sulaiman Al Habib Hospital
Riyadh, KSA
10.2013 - 10.2014
  • Sterilised dental tools and instruments between patients, maintaining impeccable hygiene standards.
  • Assisted in training of new staff members, contributing to team development.
  • Kept abreast with latest industry trends by attending regular professional development courses.
  • Set up treatment rooms with appropriate dental tools and equipment.
  • Helped dentists restore teeth by prepping for permanent or temporary fillings.

Dental assistant

King khaled hospital
Najran, KSA
04.2009 - 03.2012
  • Verified patient's medical history and changes ahead of treatment.
  • Recommended dental hygiene measures to prevent plaque and decay.
  • Captured patient dental radiographs and provided to dentist for interpretation and diagnosis.
  • Prepared patients for treatments or check-ups, ensuring their comfort.
  • Helped dentists restore teeth by prepping for permanent or temporary fillings.
  • Assisted in training of new staff members, contributing to team development.
  • Prepared examination rooms before each procedure, maintaining readiness at all times.
  • Assisted in front office tasks such as billing and record maintenance when required, demonstrating versatility.
  • Assisted in taking of X-rays for diagnostic purposes.
  • Carried out scale and polish treatments for thorough oral cleaning.
  • Coordinated closely with dentists on treatment plans for patients improving overall service quality.

Education

Bachelor's degree - Management

Midocean University
02.2025 -

Dental Assistant Diploma - Nursing

Al Ghad College
Saudi Arabia
05.2008 - 03.2012

Skills

  • Team Management
  • Microsoft Office Suite
  • Strategic Planning
  • KPIs Tracking
  • Contract negotiation and administration
  • System Support ( OASIS WATHEEQ )
  • Healthcare Information Systems Implementation
  • Project Management
  • Communication and Conflict Resolution
  • Driving Business Solutions
  • Data analysis

Certification

· The Basics of Entrepreneurship.

· Fundamentals of Agreements and Contracts in Business Administration.

· The Fundamentals Of Pricing Management.

· Pricing Excellence, Strategy & Execution.

· The Analysis Fundamentals Course.

· Project Management and Alternative Plans for Crisis.

· Health Claim Rejections ( Root cause Analysis & Solutions Webinar ).

· Revenue Cycle Management What a Clinician needs to know Webinar.

· Awarded The Clinical Coding and Revenue Cycle Management In Saudi Healthcare Webinar.

· Awarded Infection Control Awareness Program.

· Awarded King Saud University 15th International Dental Conference Certificate.

· Saudi Heart Association ( B L S ).

· ILETS certificate in English Language.

· Awarded Basic ECG interpretation Course Certificate.

· Awarded Cerec Cases Certificate.

· Awarded IPS Direct Empress Composite certificate.

· Saudi Heart Association in affiliation with the American Heart Association.

· Awarded a scientific Lecture certificate in Prosthodontic.

· Awarded a scientific Lecture certificate in Diabetes Disease.

Languages

English
Advanced
Arabic
Advanced

Timeline

System administrator ( HIS & RCM )

IQVIA
02.2025 - Current

Bachelor's degree - Management

Midocean University
02.2025 -

RCM - Contracting Manager

Interhealth Hospital
08.2023 - 04.2025

Business Center Director

Al Zafer Hospital
03.2022 - 02.2023

RCM and Contracting Consultant

Health Care Providers
07.2020 - 07.2023

RCM - Approval Supervisor

Kingdom Hospital
06.2015 - 06.2020

Dental assistant

Dr.Sulaiman Al Habib Hospital
10.2013 - 10.2014

Dental assistant

King khaled hospital
04.2009 - 03.2012

Dental Assistant Diploma - Nursing

Al Ghad College
05.2008 - 03.2012
KHALED ALHAWWAH