ar specialist in medical billing

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business development associate medical billing

Meds IT Nexus

We are looking for a tech-fluent Customer Service Representative who understands that in 2026, speed is a baseline, but empathy is the differentiator. As the face of our brand, you will move beyond script-reading to become a proactive problem solver. You will leverage AI-driven insights to provide &quot;Optichannel&quot; support&mdash;ensuring a seamless, personalized journey for our customers across every platform they use.Key Responsibilities<ul><li>Proactive Resolution: Use predictive analytics to identify potential customer issues before they escalate (e.g., detecting shipping delays and reaching out first).</li><li>Human-AI Collaboration: Act as the &quot;Human-in-the-Loop,&quot; taking over complex, high-emotion queries transitioned from our Agentic AI bots.</li><li>Contextual Personalization: Utilize real-time sentiment analysis and historical data to tailor every interaction, ensuring customers never have to repeat their history.</li><li>Revenue Advocacy: Identify &quot;moments of truth&quot; during interactions to recommend relevant upgrades or services (upselling/cross-selling) that add genuine value.</li><li>Voice of Customer (VoC) Reporting: Translate daily customer friction points into actionable data for our Product and Marketing teams.</li></ul>Required Tools &amp; Technical StackTo qualify for this position, candidates must demonstrate proficiency or a high &quot;learnability&quot; index for the following 2026 industry standards:CategoryEssential ToolsOmnichannel CRMZendesk AI, Salesforce Service Cloud, or HubSpot Service HubAI Support ToolsIntercom Fin, Glean (knowledge search), or ForethoughtSentiment AnalysisClarabridge, MonkeyLearn, or Qualtrics XMCommunicationSlack, Microsoft Teams, and Cloud Telephony (e.g., Aircall or RingCentral)Co-pilot SystemsExperience with ChatGPT-5/Claude 4 for real-time draft generation and summarizationCore Competencies<ul><li>Digital Literacy: Ability to pivot between multiple software platforms while maintaining a high &quot;First Contact Resolution&quot; (FCR) rate.</li><li>Emotional Intelligence (EQ): High-level de-escalation skills for sensitive or complex cases that require a human touch.</li><li>Data Fluency: Comfortable reading customer health scores and translating them into personalized service strategies.</li><li>Optichannel Agility: Mastery of switching tone and style across voice, video, chat, and social media platforms (Threads, WhatsApp, Bluesky).</li></ul>Qualifications<ul><li>Experience: 1&ndash;3 years in a high-volume customer-facing role (SaaS, FinTech, or E-commerce preferred).</li><li>Education: High School Diploma required; Bachelor&rsquo;s degree or relevant CX certifications (e.g., CCXP) is a significant advantage.</li><li>Stats to Beat: We look for candidates who have consistently maintained a CSAT (Customer Satisfaction) score of 90%+ and an average Resolution Time 15% faster than the industry average.</li></ul>Job Type: Full-timeWork Location: In personWork Location: In person

Business Development Associate Medical Billing

Great Pickup Ltd

Job TitleBusiness Development Manager &ndash; Call Center (Medical Billing / ACA / BPO Campaigns)Company: International BPO &amp; Call Center Services ProviderSalary: Competitive + High Commission + Performance BonusesAbout the CompanyWe are a fast-growing international call center and BPO company providing services to clients in the USA, UK, and Europe. Our operations include customer support, medical billing, ACA campaigns, insurance, and other outbound/inbound call center services.To expand our global client base, we are looking for an experienced Business Development Manager with strong connections in US campaigns such as ACA, Medicare, Medical Billing, Final Expense, Solar, and other call center programs.Key Responsibilities<ul><li>Generate new business opportunities for call center campaigns.</li><li>Secure contracts for ACA, Medicare, Medical Billing, Insurance, Solar, and other US campaigns.</li><li>Build relationships with US-based brokers, aggregators, and campaign providers.</li><li>Negotiate campaign pricing, payouts, and contracts.</li><li>Manage the client onboarding process for new campaigns.</li><li>Coordinate with the operations team to launch and scale campaigns.</li><li>Identify new BPO opportunities in healthcare and insurance sectors.</li><li>Maintain a pipeline of campaign providers and clients.</li></ul>Required Experience✔ Minimum 3&ndash;5 years experience in BPO / call center business development ✔ Strong experience in ACA campaigns or medical billing processes ✔ Existing connections with US campaign providers or brokers ✔ Proven track record of bringing campaigns to call centers ✔ Strong negotiation and communication skills ✔ Understanding of dialer systems, lead generation, and compliance requirementsPreferred ExperienceExperience with campaigns such as:<ul><li>ACA (Affordable Care Act)</li><li>Medicare / Medicare Advantage</li><li>Medical Billing / Revenue Cycle Management</li><li>Final Expense Insurance</li><li>Solar Energy Campaigns</li><li>Debt Settlement / Debt Relief</li><li>Inbound or Outbound Sales Campaigns</li></ul>What We OfferPROFIT SHARING FOR THE RIGHT CANDIDATE✔ Attractive base salary + high commissions ✔ Opportunity to work with international clients ✔ Long-term growth in a rapidly expanding BPO company ✔ Ability to build and manage multiple campaigns simultaneouslyJob Type: Full-timePay: Rs100,000.00 - Rs300,000.00 per monthWork Location: In person

Business Development Manager

Job description:About Us: Meds Nexus PVT. Ltd. is a pioneer in the U.S. healthcare outsourcing industry, offering top-tier Revenue Cycle Management (RCM), Credentialing, and Support Services. Our mission is to empower healthcare providers with seamless solutions that enhance operational efficiency and maximize revenue. As we continue to grow, we are looking for dynamic and ambitious professionals to join our Sales team.Position Overview: We are seeking a motivated and experienced Team Lead &ndash; Sales/Business Development for our Pre-Sales department. The ideal candidate will have 2-3 years of relevant experience in Medical Billing or Credentialing Sales, with strong leadership and client acquisition skills. This role involves leading the sales team, managing daily lead assignments, and coordinating closely with the Marketing team for new lead generation while ensuring performance metrics and KPIs are met using official sales portals.Key Responsibilities:<ul><li>Lead and supervise the Pre-Sales/Business Development team to ensure targets and timelines are met.</li><li>Assign daily leads and follow-up tasks to team members.</li><li>Collaborate with the Marketing team to retrieve and work on the latest qualified leads.</li><li>Monitor, track, and report team performance using Salesforce or any other official CRM/sales portal.</li><li>Provide coaching and guidance to the team for handling inbound/outbound inquiries, lead nurturing, and conversion strategies.</li><li>Assist in refining sales scripts and pitch strategies based on client feedback and market trends.</li><li>Ensure accurate documentation of all sales activities and follow-up tasks.</li><li>Contribute to strategic planning and forecasting for sales growth.</li></ul>Skills and Qualifications:<ul><li>Minimum 2-3 years of experience in U.S. Medical Billing or Credentialing Sales/Pre-Sales.</li><li>Prior experience in a supervisory or team lead role is highly preferred.</li><li>Strong understanding of U.S. healthcare systems, billing, and credentialing services.</li><li>Excellent communication, negotiation, and client handling skills.</li><li>Proficient in MS Office, CRM tools (Salesforce, HubSpot), and VoIP platforms (RingCentral, Avaya/Cisco).</li><li>Analytical mindset with the ability to interpret sales data and drive results.</li><li>Detail-oriented, organized, and able to prioritize tasks effectively.</li><li>Bachelor's Degree in Business, Marketing, or a related field; MBA or equivalent is a plus.</li><li>Availability to work U.S. business hours (5:30 PM &ndash; 2:30 AM PST).</li></ul>Perks &amp; Benefits:<ul><li>Paid Leaves</li><li>HR Bonus</li><li>Inflation Bonus</li><li>Promotion Opportunities</li><li>Annual Increments</li><li>Medical Coverage</li><li>Leave Encashment</li><li>Contributory Saving Plan (CSP)</li><li>Saturday and Sunday Off</li><li>Transportation Allowance (for female staff)</li><li>Complimentary Food (Dinner) &amp; Tea/Green Tea (twice daily)</li></ul>Job Details:<ul><li>Industry: Healthcare/Medical Billing</li><li>Department: Pre-Sales/Sales</li><li>Position: Team Lead &ndash; Sales/Business Development</li><li>Total Positions: 1</li><li>Shift: Night Shift</li><li>Job Type: Full Time/Permanent</li><li>Location: Islamabad/Rawalpindi, Pakistan</li><li>Gender: Open to all</li><li>Education: Bachelor&rsquo;s (preferred: BBA, MBA, BSCS, or related fields)</li><li>Experience: 2-3 Years in Sales/Pre-Sales (Medical Billing/Credentialing domain preferred)</li></ul>Why Join Us?<ul><li>Be a part of a fast-growing and forward-thinking healthcare IT organization.</li><li>Collaborative work environment with opportunities for leadership and career advancement.</li><li>Work with an energetic and high-performing team.</li></ul>Job Type: Full-timeWork Location: In person

Team Lead – Sales/Business Development (Pre-Sales Department)

Position Title: Auditor Specialist &ndash; Revenue Cycle Management (RCM)Department: Medical Billing &amp; CredentialingLocation: RawalpindiCompany: Meds NexusJob Overview The Auditor Specialist for Revenue Cycle Management (RCM) is responsible for overseeing the auditing processes within the medical billing and credentialing functions. The role involves conducting detailed audits, ensuring compliance with regulations, identifying areas for improvement, and implementing corrective actions to optimize revenue cycle performance. The auditor will mentor team members, provide consulting services, manage risks, and collaborate closely with operations and billing teams to enhance the RCM process.Key Responsibilities1. Audit Planning and Execution:- Develop and implement comprehensive audit plans for medical billing and credentialing processes.- Conduct regular audits on charge entries, payment postings, and claim submissions to ensure compliance with industry standards and company policies.- Review coding practices and billing procedures to ensure accuracy in documentation and claims.2. Compliance and Regulatory Adherence:- Ensure all billing and credentialing activities comply with relevant regulations (HIPAA, CMS guidelines, etc.).- Monitor for adherence to payer-specific billing rules and government regulations.- Stay updated on changes in healthcare laws and ensure the team is compliant.3. Consulting and Mentorship:- Serve as a role model and mentor to less experienced personnel on professional standards of performance.- Provide consulting services and lead independent audits and assessments to improve operations and manage risks related to complex technology and processes.- Mentor, train, and enhance the knowledge of Senior/Staff Auditors and other business area teams in auditing and RCM processes.4. Performance Analysis and Reporting:- Analyze audit findings to identify trends, issues, and areas for improvement in the RCM process.- Provide detailed reports on audit outcomes to the HOD Operations, outlining key performance indicators (KPIs), compliance issues, and recommendations for improvement.- Ensure the preparation and delivery of KPI &amp; MTD (Month to Date) reports to track performance, which will directly influence bonuses and incentives for team members.- Work closely with teams to resolve discrepancies and implement solutions to enhance revenue cycle efficiency.5. Follow-up and Remediation:- Follow up on past audit findings to ensure timely and adequate remediation.- Implement corrective action plans based on audit outcomes to enhance overall compliance and financial performance.6. Risk Management and Quality Control:- Identify and mitigate risks associated with the revenue cycle by ensuring strict compliance and best practices in billing and credentialing.- Conduct regular risk assessments and recommend strategies to minimize financial losses or compliance violations.7. Continuous Improvement:- Recommend process improvements to optimize the revenue cycle workflow and enhance operational efficiency.- Lead efforts to implement automation and advanced technology solutions for RCM auditing.- Track performance metrics and recommend actions for improved revenue capture and reduced denials.Qualifications and Skills Education:- Bachelor's degree in Healthcare Administration, Business Administration, Finance, or a related field (required).- Certification in Medical Billing/Coding, RCM, or relevant certifications (e.g., CPC, CPMA) preferred.Experience: - 5+ years of experience in medical billing, credentialing, and RCM auditing, with leadership experience preferred.- Minimum 5 years of full-time working experience in auditing or quality management in RCM or healthcare.Skills: - Knowledge of ISO standards (ISO 9001, ISO 27001) and audit procedures.- Advanced knowledge of Quality Methods, Risk Management, and relevant ISO certifications (ISO 14064-1 experience is an advantage).- Proficiency in billing and auditing software tools (e.g., Epic, Cerner, Kareo, etc.).- Excellent analytical, organizational, and mentoring skills.- Strong communication and leadership abilities.- Professional and mature attitude with the ability to work in fast-paced, dynamic environments.Job Rewards and Benefits:- Paid Leaves- HR Bonus- Loan Policy- Advance Salary- Yearly Loyalty Rewards- Performance-based Bonuses (based on KPI &amp; MTD reports)- Leave Encashment- Inflation Bonus- Promotion- Increments- Medical (TBD)- Employee Contributory Saving Plan- Saturday and Sunday Off- Complimentary Food (Dinner) &amp; Tea/Green Tea (Two times)Job Type: Full-timeWork Location: In person

Auditor Specialist – Revenue Cycle Management (RCM)

Centrix

Business Development Executive &ndash; US Healthcare (females are encouraged to apply)Company: CentriixLocation: Bahria Town Phase 7, Rawalpindi (Onsite)Salary: 100k to 110k + commissionRole OverviewCentriix is looking for a driven Business Development Executive to generate new business opportunities in the U.S. healthcare market.The role involves cold calling, lead generation, appointment setting, and participating in closing deals with medical practices in the United States.Key Responsibilities<ul><li>Conduct outbound cold calls to U.S. cardiology and heart care practices</li><li>Identify decision-makers such as practice managers and physicians</li><li>Generate qualified leads and schedule meetings</li><li>Present Centriix services including medical billing, RCM, and healthcare support</li><li>Conduct discovery conversations to understand practice needs</li><li>Participate in sales calls and assist in closing deals</li><li>Maintain consistent follow-ups with prospects</li><li>Track leads, conversations, and opportunities in CRM</li><li>Meet weekly and monthly outreach and sales targets</li></ul>Requirements<ul><li>Cold calling experience is mandatory</li><li>Fluent English with a neutral/American accent</li><li>Experience speaking with U.S. clients preferred</li><li>Strong persuasion and objection-handling skills</li><li>Basic understanding of B2B sales and healthcare services</li><li>Self-motivated and target-driven</li></ul>⸻What We Offer<ul><li>Competitive base salary + performance commission</li><li>Opportunity to work with U.S. healthcare providers</li><li>Professional sales environment</li><li>Long-term growth opportunities</li></ul>Apply on whatsapp: 03347242418&hellip;&hellip;&hellip;&hellip;&hellip;..Job Type: Full-timePay: Rs100,000.00 - Rs110,000.00 per monthWork Location: In person

Business Development Executive

Exciting Opportunity: Team Lead RCM Operations at Meds Nexus PVT. Ltd.About Us: Meds Nexus PVT. Ltd. is at the forefront of the medical billing and healthcare industry, dedicated to delivering top-notch services to our clients. We pride ourselves on maintaining the highest standards of efficiency, compliance, and innovation. We are currently seeking a talented and driven Team Lead RCM Operations to join our dynamic team.Position Overview: As the Team Lead RCM Operations, you will play a crucial role in managing and guiding a team of Medical Billing Associates. You will be responsible for ensuring the accuracy and efficiency of the revenue cycle management process, from medical coding to claims submissions and payment posting. This is an excellent opportunity for a motivated individual to contribute to our mission and grow within a leading organization.Key Responsibilities:<ul><li>Supervise and mentor a team of Medical Billing Associates, ensuring high performance and adherence to protocols.</li><li>Oversee the end-to-end revenue cycle management process, including medical coding, charge entry, claims submissions, payment posting, and follow-up.</li><li>Conduct regular team meetings to provide updates, address issues, and ensure smooth operations.</li><li>Monitor team performance metrics and implement improvement plans as needed.</li><li>Ensure compliance with federal and state regulations in all billing operations.</li><li>Develop and implement training programs for new hires and existing staff to enhance their skills and knowledge.</li><li>Review operational data to identify trends and areas for improvement, making recommendations to Asst. Manager or Manager Operations.</li></ul>Skills and Qualifications:<ul><li>Strong knowledge of RCM processes and best practices.</li><li>Excellent leadership and team management skills.</li><li>Effective communication and interpersonal abilities.</li><li>Proficiency in conflict resolution and problem-solving.</li><li>Strong analytical and data interpretation skills.</li><li>Experience with medical billing software and tools.</li><li>High attention to detail and accuracy.</li><li>Ability to work in a fast-paced environment and meet deadlines.</li></ul>Job Details:<ul><li>Industry: Healthcare/Medical Billing</li><li>Functional Area: Operations</li><li>Job Shift: Night Shift (First Shift)</li><li>Job Type: Full Time/Permanent</li><li>Job Location: Islamabad, Rawalpindi, Pakistan</li><li>Gender: Open to all</li><li>Minimum Education: Bachelor's Degree</li><li>Preferred Education: BBA/MBA/BSCS/BS/M.Sc/MS or related field</li><li>Career Level: Team Lead</li><li>Minimum Experience: 3+ Years in RCM operations with at least 1-2 years in a supervisory role</li></ul>Job Rewards and Benefits:<ul><li>Paid Leaves</li><li>HR Bonus</li><li>Inflation Bonus</li><li>Promotion</li><li>Increments</li><li>Medical (TBD)</li><li>Saving contribution plan (CSP)</li><li>Saturday and Sunday Off</li><li>Transportation allowances only for female staff</li><li>Complementary Food (Dinner) &amp; Tea/Green Tea (Two times)</li><li>Job Location:</li><li>Office # 1st, 5th Floor, Gold Mark Plaza, Asghar Mall Rd, Asghar Mall Scheme, Rawalpindi, Punjab 46000</li><li>Job Timing:</li><li>05:30 PM To 02:30 AM</li><li>Special Note:</li><li>This job is not for fresh candidates.</li></ul>Why Join Us:<ul><li>Be a part of a leading and innovative organization in the healthcare industry.</li><li>Opportunities for professional growth and development.</li><li>Collaborative and supportive work environment.</li><li>Competitive salary and benefits package.</li></ul>Job Type: Full-timeWork Location: In person

Team Lead RCM Operations

Speak Viral

The Medical Billing Executive is responsible for managing the complete medical billing process, ensuring accurate claim submission, timely reimbursement, and compliance with healthcare regulations. The role requires strong attention to detail, knowledge of medical coding and billing systems, and the ability to resolve claim issues efficiently.Key Responsibilities<ul><li>Prepare and submit accurate medical claims to insurance companies and patients</li><li>Verify patient insurance eligibility and coverage details</li><li>Review medical records and ensure correct coding (ICD, CPT, HCPCS)</li><li>Follow up on unpaid or denied claims and resolve discrepancies</li><li>Handle claim rejections and appeals with proper documentation</li><li>Maintain billing records and ensure compliance with healthcare regulations</li><li>Communicate with insurance providers, patients, and internal teams regarding billing issues</li><li>Generate billing reports and assist in revenue cycle analysis</li><li>Ensure adherence to HIPAA and data privacy standards</li></ul>Required Qualifications<ul><li>Bachelor&rsquo;s degree in Healthcare Administration, Finance, or related field</li><li>1&ndash;3 years of experience in medical billing or healthcare revenue cycle management</li><li>Knowledge of medical terminology, coding systems (ICD-10, CPT), and billing procedures</li><li>Familiarity with billing software and electronic health records (EHR) systems</li><li>Strong analytical and problem-solving skills</li><li>Excellent communication and organizational abilities</li></ul>Job Type: Full-timePay: Rs45,000.00 - Rs75,000.00 per monthApplication Question(s):<ul><li>Will you be able to work in night shift(6pm to 3am)?</li><li>Will you be able to commute to Bahria Town Phase 7 Rawalpindi?</li></ul>Work Location: In person

Medical Billing Executive

Explore 153+ Business development associate medical billing in Rawalpindi this April. Find roles across top companies and apply now to boost your career.