Revenue Cycle Management (RCM) Manager

Location: DHA Phase 8, Lahore [Onsite]

Employment Type: Full-time

Work Timing: 05PM – 02AM Pakistan Time

Job Overview

Topline Resource Group (TLRG) is seeking a highly experienced and results-driven Revenue Cycle Management (RCM) Specialist to oversee operations for multiple healthcare clients across different states.

The ideal candidate will have extensive experience managing the end-to-end medical billing revenue cycle, including insurance verification, coding review, claims submission, payment posting, accounts receivable follow-ups, and denial management.

Key Responsibilities

Oversee and manage end-to-end Revenue Cycle Management operations for multiple healthcare provider clients.

Supervise and support internal RCM teams handling:

• Insurance Verification (VOBs)
• Prior Authorizations
• Medical Coding Review
• Charge Entry
• Claims Submission
• Payment Posting
• Accounts Receivable (AR) Follow-ups
• Denial Management

Monitor claim lifecycle performance, ensuring accurate and timely claim submissions and reimbursements.

Analyze EOBs, ERAs, and payer remittance reports to identify trends in denials, underpayments, and claim rejections.

Communicate directly with US insurance payers and client representatives to resolve complex billing issues.

Ensure compliance with payer policies, CMS regulations, and HIPAA guidelines.

Develop and implement process improvements to increase collection rates and reduce AR aging.

Track and manage KPIs including AR aging, denial rate, clean claim rate, and reimbursement turnaround time.

Provide training, mentorship, and performance management for RCM staff.

Coordinate with internal departments including coding, billing, compliance, and client services to ensure seamless revenue cycle operations.

Maintain accurate documentation and reporting for client performance metrics and operational updates.

Required Qualifications

• Bachelor’s degree in Healthcare Administration, Business, or a related field preferred.
• 5+ years of experience in Medical Billing and Revenue Cycle Management.
• Minimum 2 years of experience in a supervisory or team lead role within an RCM environment.
• Strong knowledge of the complete medical billing lifecycle.

Expert-level familiarity with:

• CPT Codes
• ICD-10 Codes
• HCPCS Codes
• Claim submission workflows
• Denial management processes

Experience working with multiple payers including Medicare, Medicaid, and Commercial insurance plans.

Hands-on experience with EHR/EMR and Practice Management systems.

Strong analytical and problem-solving abilities for resolving complex claim and reimbursement issues.

Excellent verbal and written English communication skills for interacting with US clients and payers.

Ability to manage high-volume workloads while maintaining accuracy and compliance.

Preferred Skills

Prior experience managing multiple US healthcare provider accounts across different states.

Experience working in US healthcare BPO or medical outsourcing environments.

Familiarity with payer-specific billing guidelines and state-based insurance requirements.

Strong leadership skills with the ability to build and manage high-performing RCM teams.

Experience with performance reporting, operational dashboards, and AR analytics.

Knowledge of HIPAA compliance, CMS regulations, and payer audit requirements.

Application Question(s):

• We are looking to hire immediately, are you available to join immediately?

Experience:

• RCM: 4 years (Required)

Work Location: In person