Urwah Admin

PMTAC Pvt Ltd

Job Title: SNF Medicare Billing Specialist &ndash; PDPM (Skilled Nursing Facility)Location: Rawalpindi, Pakistan (Onsite) Company: PMTAC Pvt. Ltd. Shift: Night Shift (US Healthcare)Position OverviewPMTAC is seeking an experienced SNF Medicare Billing Specialist with strong knowledge of the Patient-Driven Payment Model (PDPM) and Skilled Nursing Facility (SNF) Medicare Part A billing requirements. The ideal candidate will have hands-on experience with MDS-driven reimbursement, HIPPS coding, and UB-04 claim submission.This role requires a strong understanding of Centers for Medicare &amp; Medicaid Services (CMS) billing guidelines and compliance regulations.Key Responsibilities1. Medicare Eligibility Verification<ul><li>Verify Medicare Part A coverage for SNF residents.</li><li>Confirm qualifying 3-day hospital stay and benefit period.</li><li>Review secondary insurance coverage (Medicaid, Medicare Advantage, commercial payers).</li></ul>2. MDS &amp; PDPM Coordination<ul><li>Review and ensure accurate completion of Minimum Data Set (MDS) assessments.</li><li>Validate:</li><li>Clinical conditions</li><li>Functional status</li><li>Comorbidities</li><li>Confirm HIPPS code generation from MDS.</li><li>Ensure documentation supports PDPM classification.</li><li>Understand and apply the guidelines of the Patient-Driven Payment Model.</li></ul>3. UB-04 (CMS-1450) Claim Preparation<ul><li>Prepare and submit facility claims using the UB-04 (CMS-1450) form.</li><li>Accurately complete required fields including:</li><li>Type of Bill (21X)</li><li>Statement Covers Period</li><li>Revenue Codes (0022&ndash;0029 for PDPM)</li><li>HIPPS Code</li><li>Units (covered days)</li><li>Total Charges</li><li>Occurrence Codes (qualifying hospital stay)</li><li>Ensure proper reporting of PDPM per diem billing structure.</li></ul>4. Claim Submission &amp; Follow-Up<ul><li>Submit claims electronically via EDI/clearinghouse or CMS DDE.</li><li>Work with Medicare Administrative Contractors (MACs).</li><li>Monitor claim status and resolve denials or RTPs.</li><li>Submit corrected claims when MDS or HIPPS codes change.</li></ul>5. Payment Reconciliation &amp; Post-Processing<ul><li>Post Medicare payments and reconcile PDPM variable per diem rates.</li><li>Identify underpayments or discrepancies.</li><li>Coordinate professional claims (CMS-1500) separately from facility billing.</li></ul>6. Compliance &amp; Audit Readiness<ul><li>Ensure clinical documentation supports billed services.</li><li>Maintain compliance with CMS and Medicare billing regulations.</li><li>Assist with audits and ADR responses.</li></ul>Required Qualifications<ul><li>Minimum 2&ndash;3 years of SNF Medicare Part A billing experience.</li><li>Strong knowledge of PDPM reimbursement methodology.</li><li>Experience working with MDS assessments and HIPPS coding.</li><li>Proficiency in UB-04 (CMS-1450) claim preparation.</li><li>Understanding of revenue codes 0022&ndash;0029.</li><li>Familiarity with Medicare Administrative Contractors (MACs).</li><li>Experience with electronic billing systems and clearinghouses.</li><li>Strong attention to detail and regulatory compliance knowledge.</li></ul>Preferred Qualifications<ul><li>RHIT, RHIA, CPC, or CPB certification.</li><li>Experience in long-term care or post-acute care settings.</li><li>Knowledge of Medicare Advantage SNF billing.</li></ul>Core Competencies<ul><li>Knowledge of PDPM case-mix components (PT, OT, SLP, Nursing, NTA).</li><li>Understanding of variable per diem adjustments.</li><li>Ability to analyze MDS-driven reimbursement.</li><li>Strong denial management skills.</li><li>Excellent documentation review and audit readiness skills.</li></ul>Interested candidates with SNF Medicare Billing Specialist are encouraged to apply by sharing their CV at: careers@pmtac.coma.arslan@pmtac.com Subject: SNF Medicare Billing SpecialistJob Type: Full-timePay: Rs80,000.00 - Rs150,000.00 per monthExperience:<ul><li>SNF Medicare PDPM billing: 2 years (Required)</li><li>MDS assessments and HIPPS coding: 2 years (Required)</li><li>UB-04 (CMS-1450) claim preparation: 2 years (Required)</li></ul>License/Certification:<ul><li>RHIT, RHIA, CPC, or CPB certification (Required)</li></ul>Location:<ul><li>Rawalpindi (Required)</li></ul>Work Location: In person

SNF Medicare Billing Specialist – PDPM (Skilled Nursing Facility)

Core Responsibilities1) ERP Product Ownership &amp; Governance<ul><li>Act as the Business Central functional owner (end-to-end)</li><li>Maintain and govern:</li><li>Chart of Accounts, posting groups, dimensions (profit center / services vs distribution)</li><li>Setup tables and master data standards (customers, vendors, items)</li><li>User roles, permissions, and segregation of duties</li><li>Run formal change control:</li><li>Requirements intake &rarr; functional design &rarr; sandbox testing &rarr; UAT &rarr; production deployment</li><li>Release notes, documentation, training, and post-deploy validation</li></ul>2) Order-to-Cash (O2C) Enablement<ul><li>Optimize the Sales Order &rarr; shipment/drop-ship &rarr; invoicing process</li><li>Reduce invoicing delays by establishing:</li><li>Exception queues (e.g., shipped-not-invoiced, drop-ship shipped-not-received, on-hold statuses)</li><li>Standard operating rules for credit card vs invoice billing flows</li><li>Partner with AR to improve:</li><li>Invoice distribution rules (email automation, customer preferences)</li><li>Portal submission workflow design and tracking</li><li>Deduction/dispute visibility and aging hygiene</li></ul>3) Purchase-to-Pay (P2P) Controls &amp; Workflow Improvement<ul><li>Improve PO creation and reservation practices for drop-ship and stock scenarios</li><li>Strengthen visibility and controls around:</li><li>Open PO aging and &ldquo;received-not-invoiced&rdquo; backlog</li><li>Vendor prepayments/deposits and related BC setup/workflows</li><li>Vendor master changes and documentation expectations</li><li>Partner with AP and Purchasing to reduce rework and improve cycle times</li></ul>4) Services Division Enablement (ERP + Reporting)<ul><li>Ensure Services is fully enabled in BC through correct dimensioning / profit center architecture</li><li>Partner with Services leadership to:</li><li>Establish standardized services billing flow (quotes &rarr; sales orders &rarr; invoicing)</li><li>Improve services margin reporting and operational dashboards</li><li>Align integration points with CMMS (MobiWorks) where applicable</li></ul>5) Extensions / Integrations / Enhancements Oversight (Functional Side)<ul><li>Maintain a current inventory of all extensions, integrations, and customizations</li><li>Define and enforce standards:</li><li>Business owner, purpose, process impact, testing requirements, and rollback plan</li><li>Coordinate with internal IT and/or external partners for:</li><li>Enhancement requests and prioritization</li><li>Sandbox validations and release governance</li></ul>6) Reporting &amp; Analytics Enablement<ul><li>Make Business Central a reliable source of truth for:</li><li>Margin by customer/vendor, division profitability, AR/AP aging, drop-ship performance</li><li>Support Power BI and management reporting by ensuring:</li><li>Clean dimensions and posting logic</li><li>Consistent data definitions and reconciliations (subledger &rarr; GL)</li></ul>7) Training, Adoption &amp; SOPs<ul><li>Create and maintain SOPs for key workflows (O2C, P2P, R2R touchpoints)</li><li>Train end users (Finance, Customer Service, Purchasing, Warehouse, Services)</li><li>Reduce dependency on offline trackers/spreadsheets by building system-native views and exception handling</li></ul>Key Interfaces (Who You&rsquo;ll Work With)<ul><li>CFO / Controller (financial integrity, close, reporting)</li><li>AR / AP leads (execution + controls)</li><li>Purchasing and Warehouse leaders (drop-ship + fulfillment workflows)</li><li>Customer Service / Sales operations (order processing, exceptions)</li><li>Services leadership (profit center reporting and billing)</li><li>IT / developers / ERP partners (extensions, integrations, releases)</li></ul>QualificationsRequired<ul><li>5+ years of hands-on functional experience with Microsoft Dynamics 365 Business Central</li><li>Prior background in accounting or finance, or, thorough understanding of accounting and finance processes</li><li>Strong understanding of core ERP flows:</li><li>O2C, P2P, inventory, AR/AP subledgers, posting logic, and dimensions</li><li>Demonstrated experience:</li><li>Designing accounting and finance workflows and controls (approvals, master data governance, exception handling)</li><li>Running UAT, documentation, training, and change management</li><li>Excellent ability to translate business problems into structured ERP solutions</li></ul>Preferred<ul><li>Distribution / wholesale environment experience (drop-ship heavy a plus)</li><li>Experience supporting multi-division / profit-center reporting (Services + Distribution)</li><li>Power BI enablement and data definition discipline</li><li>Experience with portals/invoice submission complexity and payment workflow optimization</li><li>Exposure to ERP implementation, re-implementation, or major remediation projects</li></ul>Job Type: Full-timePay: From Rs350,000.00 per monthApplication Question(s):<ul><li>Do you have prior background in accounting or finance, or, thorough understanding of accounting and finance processes?</li><li>Do you have strong understanding of core ERP flows like O2C, P2P, inventory, AR/AP subledgers, posting logic, and dimensions?</li><li>Have you demonstrated experience in designing accounting and finance workflows and controls (approvals, master data governance, exception handling), running UAT, documentation, training, and change management?</li><li>Can you translate business problems into structured ERP solutions?</li></ul>Experience:<ul><li>hands-on functional Microsoft Dynamics 365 Business Central: 5 years (Required)</li></ul>Work Location: In person

Microsoft Dynamics Business Central Finance - Manager

PMTAC is hiring HR intern (3 months) for evening shift (5:30 pm - 2:30 am).Responsibilities&middot; Assist with day to day operations of the HR functions and duties&middot; Provide clerical and administrative support&middot; Compile and update employee records (hard and soft copies)&middot; Process documentation and prepare reports relating to personnel activities (staffing, recruitment, training, grievances, performance evaluations etc)&middot; Coordinate HR projects (meetings, training, surveys etc) and take minutes&middot; Deal with employee requests regarding human resources issues, rules, and regulations&middot; Coordinate communication with candidates and schedule interviews&middot; Assist our recruiters to source candidates and update our databaseRequirements&middot; Good Command over Microsoft Excel&middot; Excellent organizational skills&middot; Strong communications skills&middot; Bachelors in Human Resources or related fieldJob Type: Internship Contract length: 3 monthsPay: Rs35,000.00 per monthAbility to commute/relocate:<ul><li>Rawalpindi: Reliably commute or planning to relocate before starting work (Required)</li></ul>Education:<ul><li>Bachelor's (Required)</li></ul>Location:<ul><li>Rawalpindi (Required)</li></ul>Work Location: In person

HR Intern

Title: Accounts ExecutiveMain Responsibilities: Bookkeeping and Financial ReportingJob Description:We are seeking two accounts executive to join our team. If you have a background in bookkeeping and financial reporting, we encourage you to apply!Requirements:<ul><li>BS Accounting &amp; Finance</li><li>CA Intermediate (ICAP)</li></ul>Skills:<ul><li>Knowledge of QuickBooks is preferred.</li><li>Proficiency in bookkeeping and financial reporting.</li><li>Experience: Relevant experience in accounting and reporting will be an advantage.</li></ul>Market competitive salary | Probation increments | Monthly performance based bonus | Monthly HR bonus | Biannual increments | Medical coverage | Opportunity for personal growthJob Time: 5:30 pm to 2:30 am PKT Job Location: Rawalpindi, PakistanJob Type: Full-timePay: Rs50,000.00 - Rs60,000.00 per monthEducation:<ul><li>Bachelor's (Required)</li></ul>Experience:<ul><li>Accounting: 1 year (Required)</li></ul>Location:<ul><li>Rawalpindi (Required)</li></ul>Willingness to travel:<ul><li>100% (Required)</li></ul>Work Location: In person

Accounts Executive

Join PMTAC Pvt Ltd and explore 4   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

PMTAC Pvt Ltd

About Company

SNF Medicare Billing Specialist – PDPM (Skilled Nursing Facility)

Microsoft Dynamics Business Central Finance - Manager

HR Intern

Accounts Executive