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ar specialist in medical billing Jobs in Rawalpindi

ar specialist in medical billing

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billing executive / senior billing executive Jobs in Rawalpindi

billing/pricing associate Jobs in Rawalpindi

billing/pricing associate

billing executive senior billing executive

PMTAC Private Limited

<div>
 We are seeking experienced Billing Executives with expertise in GI procedures, Anesthesia, and Pathology. The ideal candidate will have a strong focus on billing, modifier usage, reading reports to calculate accurate anesthesia units, Payment Posting, claim follow-up, denial management, and efficient resolution of denied claims while staying informed about new payers and policies. The candidate must also have experience with AdvantX Practice Management Solutions and Waystar Clearing House.
 
 
 
 Key Responsibilities
 
 
 
 <ul>
 <li>
 Must have sound knowledge of billable CPT and ICD codes for GI procedures, Anesthesia, and Pathology.
 </li>
 <li>
 Should be familiar with LCD and NCD policies for payers to ensure billing compliance with insurance guidelines.
 </li>
 <li>
 Must understand reading reports to calculate accurate anesthesia units, modifier usage for GI procedures, Anesthesia, and Pathology CPT codes.
 </li>
 <li>
 Ensure accurate processing of claims, including eligibility verification and benefit coordination.
 </li>
 <li>
 Communicate with insurance providers and patients to resolve claim-related issues.
 
 
 </li>
 </ul>
 
 Stay updated on new payers, policies, and industry changes affecting claims.
 
 
 
 
 Qualifications
 
 
 
 <ul>
 <li>
 Minimum graduation
 </li>
 <li>
 Experience in GI procedures, Anesthesia, and Pathology billing, Payment Posting, Follow-up
 </li>
 <li>
 He must also have experience with AdvantX Practice Management solutions, and WayStar Clearing House.
 </li>
 <li>
 Strong knowledge of insurance processes, billing guidelines, and new payer policies.
 </li>
 <li>
 Excellent communication, problem-solving, and organizational skills.
 </li>
 <li>
 Proficiency in Excel.
 
 
 </li>
 </ul>
 
 Why Join Us
 
 
 
 <ul>
 <li>
 Work in a professional and supportive environment.
 </li>
 <li>
 Opportunity for career growth and development.
 </li>
 <li>
 Competitive salary and monthly bonuses.
 </li>
 <li>
 Comprehensive training to ensure your success in the role.
 </li>
 <li>
 Medical Insurance for self, spouse, and children.
 </li>
 <li>
 Increments on successful completion of probation period.
 </li>
 <li>
 Bi-annual increments
 </li>
 <li>
 Travel allowance (For Female Employees)
 
 
 </li>
 </ul>
 
 Job Time:
 
 6:00 pm - 3:00 am (On-site)
 
 
 
 Job Location:
 
 Rawalpindi, Pakistan
 
 
 If you are passionate about making a difference, possess exceptional communication skills, and are ready to take on new challenges, we encourage you to apply.
 
 
 
 How To Apply
 
 
 
 <ul>
 <li>
 Please send your updated resume and a brief cover letter outlining your suitability for the position to careers@pmtac.com
 </li>
 <li>
 We also accept Walk-In Interviews: Monday to Friday | 6:00 pm - 10:00 pm PKT
 
 
 </li>
 </ul>
 
 Office Address:
 
 
 Office# 7, 1st floor, Software Technology Park, Meridian Mall, NADRA Service Centre Rehmanabad Murree Road Rawalpindi.
 
</div>

Billing Executive / Senior Billing Executive

<div>
 
 Position Overview
 
 
 
 PMTAC 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 Responsibilities
 
 
 
 <ul>
 <li>
 Medicare Eligibility Verification
 </li>
 <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>
 <li>
 MDS &amp; PDPM Coordination
 </li>
 <li>
 Review and ensure accurate completion of Minimum Data Set (MDS) assessments.
 </li>
 <li>
 Validate:
 </li>
 <ul>
 <li>
 Clinical conditions
 </li>
 <li>
 Functional status
 </li>
 <li>
 Comorbidities
 </li>
 </ul>
 <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>
 <li>
 UB-04 (CMS-1450) Claim Preparation
 </li>
 <li>
 Prepare and submit facility claims using the UB-04 (CMS-1450) form.
 </li>
 <li>
 Accurately complete required fields including:
 </li>
 <ul>
 <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>
 </ul>
 <li>
 Ensure proper reporting of PDPM per diem billing structure.
 </li>
 <li>
 Claim Submission &amp; Follow-Up
 </li>
 <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>
 <li>
 Payment Reconciliation &amp; Post-Processing
 </li>
 <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>
 <li>
 Compliance &amp; Audit Readiness
 </li>
 <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.com
 
 
 
 <ul>
 <li>
 arslan@pmtac.com Subject: SNF Medicare Billing Specialist
 </li>
 </ul>
</div>

SNF Medicare Billing Specialist – PDPM (Skilled Nursing Facility)

sequel technologies

Location: Bahria Town Phase 7, Rawalpindi (Preference will be given to candidates living in Bahria Town, DHA, or nearby areas.)About Sequel TechnologiesSequel Technologies is a healthcare technology company that provides EHR software solutions and medical billing services to healthcare providers and clinics in the United States. Our team supports physicians by improving clinical documentation workflows and healthcare software systems.Position OverviewWe are seeking a Clinical Representative with a background in healthcare to support the configuration, optimization, and training of EHR/EMR clinical workflows. The role involves working with healthcare providers and internal teams to ensure accurate documentation, efficient workflows, and compliance with healthcare regulations.Key ResponsibilitiesClinical Workflow Configuration<ul><li>Create and customize clinical templates, encounter forms, documentation tools, and order sets for different medical specialties.</li><li>Support the design and improvement of EHR/EMR workflows, including SOAP notes, macros, lab orders, and procedure documentation.</li><li>Configure medication workflows, alerts, and clinical decision support tools.</li></ul>Training &amp; User Support<ul><li>Conduct remote training sessions for US-based providers and internal staff on clinical documentation workflows and system features.</li><li>Assist users in understanding documentation processes such as HPI, ROS, Physical Exam, Assessment, and Plan.</li><li>Provide training on AI tools, e-prescribing, and integrated clinical modules.</li></ul>Quality Assurance &amp; Compliance<ul><li>Perform quality checks on clinical workflows, documentation templates, and integrated modules.</li><li>Ensure documentation follows healthcare compliance standards such as HIPAA, CMS, and MIPS.</li><li>Support internal compliance reviews and audits.</li></ul>Client &amp; Task Management<ul><li>Respond to internal and external support tickets and ensure timely resolution.</li><li>Maintain accurate documentation of tasks and ensure deadlines are met.</li><li>Monitor client feedback and help improve service quality.</li></ul>Collaboration &amp; Product Improvement<ul><li>Work closely with clinicians to understand specialty-specific documentation needs.</li><li>Collaborate with internal teams to improve workflows and documentation processes.</li><li>Participate in product testing and User Acceptance Testing (UAT).</li></ul>Required Qualifications<ul><li>BDS, DPT, or Pharm-D (completed degree required).</li><li>Knowledge of clinical documentation and healthcare workflows.</li><li>Experience with EHR/EMR systems or healthcare IT is preferred.</li><li>Familiarity with medical billing, coding, and compliance standards is an advantage.</li><li>Strong communication and problem-solving skills.</li></ul>⚠ Only candidates with completed degrees (BDS, DPT, or Pharm-D) should apply.Working Hours<ul><li>Summer: 5:00 PM &ndash; 2:00 AM</li><li>Winter: 6:00 PM &ndash; 3:00 AM</li></ul>Benefits<ul><li>OPD &amp; IPD healthcare coverage</li><li>Entertainment allowance</li><li>Cellular allowance</li><li>Provident fund</li></ul>Job Types: Full-time, FresherAbility to commute/relocate:<ul><li>Rawalpindi: Reliably commute or planning to relocate before starting work (Required)</li></ul>Application Question(s):<ul><li>Are you a resident of Bahria Town Phase 7/8, or DHA 1/2? If not, kindly state your area of residency.</li></ul>Location:<ul><li>Rawalpindi (Required)</li></ul>Work Location: In person

Clinical Representative (Healthcare IT / EHR)

Location: Bahria Town Phase 7, Rawalpindi (Preference will be given to candidates living in Bahria Town, DHA, or nearby areas.)About the CompanySequel Technologies is a growing healthcare technology company that provides healthcare IT solutions and medical billing services to clinics and healthcare providers in the United States. Our team supports medical practices by improving patient communication and administrative workflows.Position OverviewWe are hiring a Patient Calling Representative to support patient communication and appointment coordination for US-based healthcare providers. This role involves interacting with patients over the phone, assisting with appointment scheduling, and ensuring that patient information is accurately recorded in the system.This position is suitable for fresh graduates or candidates with strong communication skills who are comfortable handling phone calls in a professional environment.Key Responsibilities<ul><li>Make outbound calls to patients to schedule appointments and perform follow-ups.</li><li>Handle incoming patient calls and respond to basic questions.</li><li>Confirm upcoming appointments and provide reminder calls when required.</li><li>Collect and update patient demographic information in the system.</li><li>Maintain accurate call logs, notes, and reports.</li><li>Communicate with patients in a professional, polite, and patient-focused manner.</li><li>Escalate complex issues or concerns to the relevant department when necessary.</li></ul>Requirements<ul><li>Minimum education: High School diploma or Graduate (any discipline).</li><li>Strong verbal communication and listening skills.</li><li>Basic computer skills including MS Office and data entry.</li><li>Comfortable speaking with patients over the phone for extended periods.</li><li>Professional attitude with strong customer service orientation.</li><li>Willingness to learn and adapt to new processes.</li></ul>Preferred (Not Mandatory):<ul><li>Previous experience in telecalling, call center, or customer support.</li><li>Basic familiarity with healthcare terminology.</li></ul>Working Hours<ul><li>Summer: 5:00 PM &ndash; 2:00 AM</li><li>Winter: 6:00 PM &ndash; 3:00 AM</li></ul>Benefits<ul><li>OPD &amp; IPD healthcare coverage</li><li>Entertainment allowance</li><li>Cellular allowance</li><li>Provident fund</li></ul>Job Types: Full-time, FresherAbility to commute/relocate:<ul><li>Rawalpindi: Reliably commute or planning to relocate before starting work (Required)</li></ul>Application Question(s):<ul><li>Are you a resident of Bahria Town Phase 7/8, or DHA 1/2? If not, kindly state your area of residency.</li><li>What is your current salary?</li><li>What is your expected salary?</li><li>The timings for this role are 6:00 PM - 3:00 AM (Winters) &amp; 5:00 PM - 2:00 AM (Summers). Are you comfortable with the timings.</li></ul>Location:<ul><li>Rawalpindi (Required)</li></ul>Work Location: In person

Patient Calling Representative (Healthcare Support)

HMN HOLIDAYS TRAVEL & TOURS

HMN Holidays Travel &amp; Tours is looking for a confident, energetic, and customer-focused Female Visa Sales &amp; Customer Support Executive to join our team.Office LocationOffice No. 1, 3rd Floor, Plaza No. 59, Spring North Commercial, Bahria Town Phase 7, RawalpindiJob Responsibilities<ul><li>Handle incoming Facebook, Instagram, WhatsApp, and phone inquiries.</li><li>Call potential clients and follow up on leads.</li><li>Guide clients regarding visit visas, tourist visas, and travel services.</li><li>Convert inquiries into confirmed bookings.</li><li>Coordinate with the visa team for document collection and application processing.</li><li>Maintain daily follow-up records and client database.</li><li>Provide excellent customer service and timely responses.</li></ul>Requirements<ul><li>Female candidate (preferred)</li><li>Intermediate or Bachelor's degree</li><li>Good communication skills in Urdu and basic English</li><li>Confident speaking on phone calls</li><li>Basic computer knowledge (MS Word, Excel, Email)</li><li>Experience in travel, visa consultancy, telesales, or customer service will be preferred</li><li>Fresh candidates with excellent communication skills are also encouraged to apply</li></ul>Salary &amp; Benefits<ul><li>Basic Salary: PKR 25,000 per month</li><li>Performance Commission: PKR 5,000 on every confirmed eligible visa lead (as per company policy)</li><li>Performance-based growth opportunities</li><li>Professional training and career development</li><li>Friendly and supportive working environment</li></ul>Office TimingMonday to SaturdayPay: From Rs25,000.00 per monthWork Location: In person

VISA SALES & CUSTOMER SUPPORT EXECUTIVE (Female)

Eco Grants UK Ltd

We are seeking an experienced Call Center Manager to lead and manage our call center operations supporting UK and USA campaigns. The successful candidate will have a proven track record of managing high-performing teams, achieving KPIs, improving operational efficiency, and developing staff.Key Responsibilities<ul><li>Manage the day-to-day operations of the call center.</li><li>Lead, motivate, and supervise a team of call center agents and team leaders.</li><li>Develop and monitor daily, weekly, and monthly KPIs.</li><li>Recruit, interview, hire, and onboard new call center staff.</li><li>Plan and deliver training, coaching, and ongoing development programs.</li><li>Conduct employee performance evaluations and appraisals.</li><li>Monitor call quality and ensure compliance with company standards.</li><li>Prepare and present daily, weekly, and monthly operational reports to senior management.</li><li>Analyse performance metrics and recommend process improvements.</li><li>Select, implement, and manage call center software, CRM systems, dialers, and reporting tools.</li><li>Ensure productivity, service quality, and customer satisfaction targets are achieved.</li><li>Resolve escalated customer issues and operational challenges.</li><li>Work closely with senior management to achieve business objectives.</li></ul>Requirements<ul><li>Minimum 5 years of call center experience, including at least 2 years in a managerial or supervisory role.</li><li>Experience managing UK and/or USA campaigns.</li><li>Proven experience leading teams of 20+ agents is preferred.</li><li>Strong leadership, coaching, and people management skills.</li><li>Excellent spoken and written English.</li><li>Experience with CRM systems, predictive dialers, VoIP platforms, and call center software.</li><li>Strong analytical skills with experience preparing operational reports and dashboards.</li><li>Ability to manage recruitment, training, workforce planning, and performance management.</li><li>Highly organised, target-driven, and capable of working in a fast-paced environment.</li></ul>What We Offer<ul><li>Competitive salary package</li><li>Performance-based bonuses</li><li>Leadership development opportunities</li><li>Professional working environment</li><li>Long-term career progression</li></ul>Work Location: Office-Based &ndash; RawalpindiPay: From Rs70,000.00 per monthWork Location: In person

Call Center Manager

Code Reve

Senior WordPress Developer (Full Stack)Company: Antlers Agency Location: Bahria 7, Rawalpindi (Onsite) Shift: 6:00 PM &ndash; 3:00 AM (Night Shift ) Salary: PKR 100,000 &ndash; 160,000 per month (Based on Expertise) Job Type: Full-TimeJob SummaryCode Reve is looking for a Senior Full Stack WordPress Developer with 5+ years of professional experience who can handle complex WordPress architectures and develop secure, scalable APIs.This role requires strong backend expertise along with modern frontend development capabilities. The ideal candidate should be comfortable working on custom solutions for US-based clients and building systems beyond standard WordPress implementations.Key Responsibilities<ul><li>Develop custom WordPress themes and plugins from scratch</li><li>Build scalable backend architectures using PHP &amp; MySQL</li><li>Develop and integrate custom REST APIs</li><li>Create secure third-party API integrations (CRMs, payment gateways, SaaS tools)</li><li>Convert Figma/XD designs into responsive, pixel-perfect websites</li><li>Customize and extend WooCommerce functionality</li><li>Optimize website performance, scalability, and security</li><li>Manage website deployments, migrations, and server configurations</li><li>Troubleshoot complex technical issues</li></ul>Required Experience &amp; Skills<ul><li>5+ years of experience in WordPress Development</li><li>Strong command of PHP (OOP), MySQL</li><li>Experience building custom REST APIs</li><li>Deep understanding of WordPress core, hooks, filters, theme hierarchy</li><li>Experience with custom post types &amp; Advanced Custom Fields (ACF)</li><li>Strong frontend skills (HTML5, CSS3, JavaScript)</li><li>WooCommerce customization experience</li><li>Experience with API authentication (JWT, OAuth, etc.)</li><li>Knowledge of Git/version control</li><li>Experience working with VPS / Cloud hosting environments</li></ul>Preferred Qualifications<ul><li>Experience with Headless WordPress</li><li>Knowledge of React / Vue (for API-based integrations)</li><li>Understanding of SEO &amp; performance optimization</li><li>Experience working with international clients</li></ul>Why Join Antlers Agency?<ul><li>Competitive salary</li><li>Opportunity to work on high-level US projects</li><li>Growth-focused and professional work environment</li><li>Long-term career development</li></ul>Job Types: Full-time, ContractPay: Rs90,000.00 - Rs150,000.00 per monthApplication Question(s):<ul><li>What is your Current and Expected salary?</li><li>Are you available to join immediately?</li></ul>Experience:<ul><li>WordPress Development: 5 years (Required)</li></ul>Work Location: In person

Senior WordPress Developer (Full Stack)

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