ar specialist in medical billing

ai agent developer trainer Jobs in Rawalpindi

ai agent developer trainer

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call center agent (night shift) Jobs in Rawalpindi

call center agent (night shift)

call center agent - night shift Jobs in Rawalpindi

call center agent - night shift

call center trainer aca medicare campaigns

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

CloudRCM Solutions

We are looking for a professional and customer-focused Customer Service Representative (CSR) to join our growing Final Expense Insurance Campaign. The ideal candidate will assist prospective clients, answer inquiries regarding Final Expense insurance plans, verify customer information, schedule appointments for licensed agents when required, and ensure an exceptional customer experience throughout the process.Key Responsibilities<ul><li>Handle inbound and outbound customer calls in a professional and courteous manner.</li><li>Educate customers about Final Expense insurance products and answer general inquiries.</li><li>Verify customer information and maintain accurate records in the CRM system.</li><li>Schedule appointments or transfer qualified customers to licensed insurance agents.</li><li>Follow up with prospective customers as required.</li><li>Resolve customer concerns while maintaining a high level of customer satisfaction.</li><li>Meet daily and monthly performance and quality targets.</li><li>Ensure compliance with company policies and industry regulations.</li><li>Maintain confidentiality of customer information.</li></ul>Requirements<ul><li>Minimum Intermediate; Bachelor's degree is preferred.</li><li>Previous experience in a Final Expense Insurance campaign or call center is preferred.</li><li>Excellent English communication and active listening skills.</li><li>Strong customer service and problem-solving abilities.</li><li>Basic computer skills and familiarity with CRM systems.</li><li>Ability to work in a fast-paced environment and achieve performance goals.</li><li>Positive attitude, professionalism, and strong work ethic.</li></ul>Preferred Qualifications<ul><li>Experience with U.S. insurance campaigns is an advantage.</li><li>Knowledge of Final Expense insurance products and customer handling.</li><li>Ability to build rapport and communicate effectively with senior customers.</li></ul>Benefits<ul><li>Competitive salary package.</li><li>Performance-based incentives.</li><li>Professional and career growth opportunities.</li><li>Supportive and collaborative work environment.</li></ul>Pay: From Rs50,000.00 per monthWork Location: In person

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)

CNEX

CNEX Technology is seeking a qualified and experienced Chinese Language Visiting Trainer to join our team on a part-time/visiting basis. We are looking for a passionate instructor who can deliver high-quality Chinese language training to students of different skill levels.<ul><li>Proficiency in the Chinese language (HSK certification will be preferred).</li><li>Bachelor's degree or relevant qualification in Chinese Language or a related field.</li><li>Previous teaching or training experience is preferred.</li><li>Strong communication and presentation skills.</li><li>Ability to motivate and engage students.</li><li>Professional, punctual, and committed to delivering quality education.</li></ul>CNEX require Chinese Language Visiting Trainer as visiting faculty for two hours in morning and evening sessions.Pay: Rs20,000.00 - Rs40,000.00 per monthWork Location: In person

Chines language visiting trainer

CNEX Technology is seeking a knowledgeable and passionate AI Course Trainer to deliver high-quality training in Artificial Intelligence. The trainer will teach students practical AI concepts, machine learning fundamentals, generative AI tools, prompt engineering, and real-world AI applications. The ideal candidate should have strong technical expertise, excellent communication skills, and a passion for helping students build successful careers in AI.Key Responsibilities<ul><li>Deliver engaging classroom and online AI training sessions.</li><li>Teach the fundamentals of Artificial Intelligence, Machine Learning, and Deep Learning.</li><li>Train students in the effective use of Generative AI tools such as ChatGPT, Gemini, Claude, Microsoft Copilot, and other AI platforms.</li><li>Explain Prompt Engineering techniques for different AI applications.</li><li>Introduce students to AI-powered productivity tools for content creation, research, coding, design, and automation.</li><li>Teach basic Python programming for AI applications.</li><li>Guide students in developing AI-based projects and practical assignments.</li><li>Prepare lesson plans, presentations, quizzes, and training materials.</li><li>Evaluate student performance through assignments, tests, and project reviews.</li><li>Provide career guidance, freelancing tips, and interview preparation.</li><li>Stay updated with the latest AI technologies, trends, and industry developments.</li><li>Required Qualifications</li><li>Bachelor's degree in Computer Science, Artificial Intelligence, Software Engineering, IT, or a related field.</li><li>Professional certifications in AI, Machine Learning, or Data Science are an advantage.</li><li>Strong understanding of AI concepts and Generative AI technologies.</li><li>Experience with Python programming and AI libraries is preferred.</li><li>Familiarity with AI tools such as ChatGPT, Gemini, Claude, Copilot, Midjourney, Canva AI, and Google AI Studio.</li><li>Excellent presentation, communication, and classroom management skills.</li><li>Previous teaching or corporate training experience is preferred.</li></ul>Required Qualifications<ul><li>Bachelor's degree in Computer Science, Artificial Intelligence, Software Engineering, IT, or a related field.</li><li>Professional certifications in AI, Machine Learning, or Data Science are an advantage.</li><li>Strong understanding of AI concepts and Generative AI technologies.</li><li>Experience with Python programming and AI libraries is preferred.</li><li>Familiarity with AI tools such as ChatGPT, Gemini, Claude, Copilot, Midjourney, Canva AI, and Google AI Studio.</li><li>Excellent presentation, communication, and classroom management skills.</li><li>Previous teaching or corporate training experience is preferred.</li></ul>Timing &amp; DaysCNEX Technology require visiting trainer for Two hours Morning or Evening Four days in a week. Its not fixed salary job its share base jobPay: Rs20,000.00 - Rs50,000.00 per monthWork Location: In person

AI Courses Trainer

Strive BPO LLP

Location: Strive BPO LLP 3rd Floor, Above Bank Alfalah, Saidpur Road, Block E, Asghar Mall Scheme, RawalpindiShift Timing: 6:30 PM &ndash; 4:00 AM (Night Shift)Job Type: Full-Time | On-SiteJob DescriptionStrive BPO LLP is hiring experienced Medicare Self Verifiers to join our growing team. If you have experience handling Medicare verification calls and can confidently verify qualified leads while maintaining quality standards, we want to hear from you.Requirements<ul><li>Minimum 6 months of Medicare Self Verification experience</li><li>Excellent English communication skills</li><li>Good listening and objection-handling skills</li><li>Ability to work night shifts</li><li>Punctual, professional, and target-oriented</li><li>Basic computer skills</li></ul>Responsibilities<ul><li>Verify Medicare leads according to campaign guidelines</li><li>Ensure all required information is accurate and complete</li><li>Maintain quality and compliance standards</li><li>Update CRM accurately after each verification</li><li>Meet daily verification targets</li></ul>What We Offer<ul><li>Competitive Basic Salary</li><li>Attractive Performance-Based Incentives</li><li>Monthly Bonuses</li><li>Professional Growth Opportunities</li><li>Friendly &amp; Professional Work Environment</li><li>Paid Training (where applicable)</li></ul>Interview DetailsTiming: 6:30 PM &ndash; 11:00 PM (Monday to Friday)Office Address: Strive BPO LLP 3rd Floor, Above Bank Alfalah, Saidpur Road, Block E, Asghar Mall Scheme, RawalpindiApply Now! Experienced candidates are encouraged to apply immediately.Only experienced Medicare Self Verifiers will be considered.Pay: Rs50,000.00 - Rs90,000.00 per monthWork Location: In person

Medicare Self Verifiers (Experienced Only)

Thathal ITS

Company: Thathal ITSLocation: Rawalpindi / IslamabadWork Model: Hybrid (Remote Monday, Tuesday, Thursday, Friday | On-site Wednesday)Working Hours: US Time Zone (Night Shift in Pakistan)Job Summary We are seeking a detail-oriented Medical Claims Follow-Up Specialist to assist with Revenue Cycle Management (RCM) activities for US healthcare clients.Responsibilities<ul><li>Contact insurance companies to verify claim status and payment information</li><li>Follow up on outstanding and denied medical claims</li><li>Obtain denial reasons and required documentation for claim resolution</li><li>Document call outcomes and update claim notes with accuracy</li><li>Review payer responses and identify next steps for claim processing</li><li>Escalate unresolved issues when necessary</li><li>Maintain productivity targets for claims processed and calls completed</li><li>Coordinate with internal teams regarding claim-related issues</li><li>Ensure compliance with HIPAA and data privacy requirements</li></ul>Requirements<ul><li>Strong spoken and written English communication skills</li><li>Professional communication skills for interacting with insurance representatives</li><li>Strong attention to detail and documentation skills</li><li>Ability to manage multiple claims and follow-up tasks efficiently</li><li>Proficiency with web-based systems, email, and spreadsheets</li><li>Bachelor&rsquo;s degree preferred</li></ul>Preferred Qualifications<ul><li>Experience in medical billing, insurance verification, claims follow-up, or RCM</li><li>Familiarity with Medicare, Medicaid, and commercial insurance payers</li><li>Prior experience working with US healthcare clients</li><li>HIPAA awareness or certification is a plus</li></ul>What We Offer<ul><li>Competitive salary</li><li>Professional training</li><li>Career growth opportunities</li><li>Opportunity to work with US healthcare clients</li></ul>How to ApplySend your CV to hr@thathalits.com and mention &ldquo;Medical Claims Follow-Up Specialist&rdquo; in the subject line.Pay: Rs50,000.00 - Rs70,000.00 per monthWork Location: Hybrid remote in Rawalpindi

Medical Claims Follow-Up Specialist / RCM Associate

Explore 22+ Call center trainer aca medicare campaigns in Rawalpindi this August. Find roles across top companies and apply now to boost your career.