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PMTAC Private Limited

<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)

<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

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)

Explore 4+ Billing pricing associate in Rawalpindi this August. Find roles across top companies and apply now to boost your career.

4 billing pricing associate jobs In Rawalpindi

SNF Medicare Billing Specialist – PDPM (Skilled Nursing Facility)

Billing Executive / Senior Billing Executive

Clinical Representative (Healthcare IT / EHR)

Patient Calling Representative (Healthcare Support)