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certified rcm consultant

Eplanet Global

Eplanet Global Subsidiary; MediBillMD is Hiring Position: RCM Billing ConsultantWe are looking for a Certified RCM Billing Consultant to join our growing team in Karachi.Requirements:Mandatory certification in any of the following:<ul><li>CPB (Certified Professional Biller ; AAPC)</li><li>CMRS (Certified Medical Reimbursement Specialist; AMBA)</li><li>CBCS (Certified Billing &amp; Coding Specialist ; NHA)</li><li>Strong knowledge of RCM processes, billing, and reimbursement</li><li>Prior experience in US medical billing will be preferred</li></ul>or apply at careers@eplanetglobal.com with the subject line &quot;RCM Billing Consultant&quot;Job Type: Full-timePay: From Rs250,000.00 per monthApplication Question(s):<ul><li>Do you have one of these certifications? CPB (Certified Professional Biller; AAPC) or</li></ul>CMRS (Certified Medical Reimbursement Specialist; AMBA) or CBCS (Certified Billing &amp; Coding Specialist; NHA)?Work Location: In person

Certified RCM Consultant

Eplanet Global Pakistan

<div>
 
 
 Position Overview:
 
 
 
 We are seeking an experienced and certified
 
 RCM Consultant
 
 to join our team. The ideal candidate will have in-depth knowledge of the US healthcare system, revenue cycle management processes, and medical billing practices. This role requires a professional with proven expertise in managing end-to-end RCM operations, ensuring compliance, and optimizing reimbursement cycles.
 
 
 
 Key Responsibilities:
 
 
 <ul>
 <li>
 Oversee and manage
 
 end-to-end RCM processes
 
 including charge entry, claim submission, payment posting, denial management, and AR follow-up.
 </li>
 <li>
 Ensure compliance with
 
 US healthcare billing regulations
 
 and payer-specific requirements.
 </li>
 <li>
 Analyze denial trends, recommend corrective actions, and implement
 
 process improvements
 
 .
 </li>
 <li>
 Collaborate with clients, physicians, and insurance companies to resolve claim issues and maximize reimbursements.
 </li>
 <li>
 Maintain accurate documentation and reporting of billing activities.
 </li>
 <li>
 Provide
 
 expert consultation
 
 on RCM strategies and process optimization.
 </li>
 <li>
 Train and mentor junior billing staff as needed.
 </li>
 <li>
 Stay updated on
 
 industry standards, regulations, and coding changes
 
 (ICD, CPT, HCPCS).
 </li>
 </ul>
 
 
 Requirements:
 
 
 <ul>
 <li>
 
 Mandatory certification
 
 in one of the following:
 </li>
 <li>
 CPB&reg; (Certified Professional Biller &ndash; AAPC)
 </li>
 <li>
 CMRS&reg; (Certified Medical Reimbursement Specialist &ndash; AMBA)
 </li>
 <li>
 CBCS&reg; (Certified Billing &amp; Coding Specialist &ndash; NHA)
 </li>
 <li>
 
 Minimum 3 years of proven experience
 
 in US medical billing / RCM.
 </li>
 <li>
 Strong knowledge of
 
 billing software, clearinghouses, and EHR systems
 
 .
 </li>
 <li>
 Excellent understanding of insurance guidelines (Medicare, Medicaid, commercial payers).
 </li>
 <li>
 Strong
 
 analytical, problem-solving, and communication skills
 
 .
 </li>
 <li>
 Ability to work independently and within a team.
 </li>
 </ul>
 
 
</div>

Inbox Business Technologies

<div>
 We at Inbox Business Technologies are hiring a Principal Consultant - Fraud &amp; Risk Assessment to contribute to fraud prevention frameworks, forensic reviews, and advisory projects across digital payment channels and mobile banking platforms. The ideal candidate will work closely with the Principal Consultant to support client engagements, training, and executive-level presentations.
 
 
 
 Responsibilities
 
 
 
 <ul>
 <li>
 Lead fraud risk assessment programs across multiple industries and geographies.
 </li>
 <li>
 Develop fraud prevention strategies, policies, and frameworks aligned with regulatory and compliance standards.
 </li>
 <li>
 Oversee large-scale investigations into financial crimes, cyber fraud, and operational risks specific to digital banking platforms, mobile payments, and e-wallets prevalent in a specific country.
 </li>
 <li>
 Provide advisory to C-level executives on emerging fraud detection technologies, digital payment risks, governance, and risk mitigation.
 </li>
 <li>
 Mentor and manage teams of consultants and analysts to deliver high-impact client solutions.
 </li>
 <li>
 Stay updated on emerging fraud schemes, digital payment risks, and regulatory changes.
 
 
 </li>
 </ul>
 
 Requirements
 
 
 
 <ul>
 <li>
 12+ years of experience in fraud risk management, internal audit, or financial crime advisory.
 </li>
 <li>
 Strong knowledge of global compliance frameworks (AML, FATF, SOX, Basel II/III, GDPR).
 </li>
 <li>
 Expertise in fraud detection systems, data analytics, and forensic methodologies.
 </li>
 <li>
 Knowledge of local regulatory frameworks (SAMA, CMA, CBB) and compliance standards relating to fraud prevention and cybersecurity of KSA would be a plus.
 </li>
 <li>
 Excellent leadership, stakeholder management, and client advisory skills.
 </li>
 <li>
 Strong presentation and communication skills for C-suite engagement.
 </li>
 <li>
 Familiarity with Arabic language and regional banking operations is a plus.
 </li>
 <li>
 Bachelor's or Master's degree from reputable universities.
 
 
 </li>
 </ul>
 
 Key Certifications:
 
 
 
 <ul>
 <li>
 Certified Fraud Examiner (CFE)
 </li>
 <li>
 Certified Internal Auditor (CIA)
 </li>
 <li>
 Additional regional or industry-specific certifications (e.g., SAMA certifications, Certified Financial Crime Specialist) are advantageous.
 </li>
 </ul>
</div>

Principal Consultant - Fraud & Risk Assessment

Hubkom

Multiple Career Opportunities &ndash; Join HUBKOM (Pvt) LtdLocation: Karachi, Pakistan Job Type: Full-time Compensation: Rs. 35,000 &ndash; Rs. 120,000 per month (role-dependent)Company OverviewAt HUBKOM (Pvt) Ltd, we are proud to be a trusted partner for healthcare providers across the United States, specializing in medical call answering, patient scheduling, and revenue cycle management (RCM). Our mission is to help practices operate efficiently, enhance patient communication, and optimize financial outcomes.Every day, our team supports thousands of patients and healthcare professionals, ensuring accuracy, reliability, and compassion in every interaction. Built on a foundation of excellence, innovation, and integrity, HUBKOM (Pvt) Ltd is more than just a workplace &mdash; it&rsquo;s a family where growth and purpose go hand in hand.Position SummaryWe are expanding our team and offering career opportunities across several key functions. Whether you are just beginning your career or bringing proven expertise in revenue cycle management, HUBKOM (Pvt) Ltd provides a professional environment where you can learn, contribute, and grow.We are currently hiring for the following positions:<ul><li>Interns &ndash; Entry-level roles with structured training and hands-on learning in healthcare operations.</li><li>Billing Executives &ndash; Responsible for accurate preparation and submission of medical claims.</li><li>Posting Executives &ndash; Focused on timely and accurate posting of payments and adjustments.</li><li>Accounts Receivable (AR) Specialists &ndash; Manage the end-to-end billing cycle, follow-ups, denials, and appeals to ensure providers are reimbursed properly.</li><li>Prior Authorization Executives &ndash; Handle insurance approvals and authorizations, ensuring patients receive timely care and providers receive proper coverage.</li></ul>General Candidate Requirements<ul><li>Proficiency in spoken and written English (essential).</li><li>Strong communication and interpersonal skills.</li><li>Solid computer literacy and proficient typing ability.</li><li>Detail-oriented with excellent time management skills.</li><li>Ability to work independently and collaboratively in a fast-paced environment.</li><li>A proactive attitude and willingness to learn.</li><li>Prior RCM or healthcare experience preferred for executive-level roles; no prior experience required for interns (training provided).</li></ul>Compensation &amp; BenefitsAt HUBKOM (Pvt) Ltd, we don&rsquo;t just offer jobs &mdash; we offer long-term careers. Joining us means:<ul><li>A competitive salary package ranging from Rs. 35,000 to Rs. 120,000 per month, depending on role and experience.</li><li>Comprehensive onboarding and training to ensure success in your role.</li><li>A collaborative and supportive work culture where your efforts are recognized.</li><li>Career advancement opportunities across multiple departments.</li><li>The chance to contribute to work that directly benefits thousands of patients every single day.</li></ul>Work Schedule &amp; Location<ul><li>Full-time, Night Shift role.</li><li>Candidates must be based in Karachi or willing to relocate before joining.</li></ul>Join Our TeamAt HUBKOM (Pvt) Ltd, you will find more than a workplace &mdash; you will find a professional family committed to excellence and proud to make a difference in the lives of thousands of patients every day.Job Type: Full-timePay: Rs60,000.00 - Rs100,000.00 per month

Revenue Cycle Management Specialist (Medical Billing)

JBS - People & Culture

<div>
 
 
 Job Tittle
 
 : SAP ABAP Consultant
 
 
 
 Location:
 
 Karachi
 
 
 
 Business Unit:
 
 JBS Consulting
 
 
 
 
 
 We are seeking an SAP ABAP/Integration Consultant who is responsible for designing, developing, and supporting integration solutions between SAP and non-SAP systems, leveraging SAP BTP Integration Suite, Cloud Connector, and other middleware technologies. The role ensures secure, scalable, and reliable data exchange to support business processes.
 
 
 
 
 
 
 Key Responsibilities
 
 
 
 &middot; Design, configure, and implement integration scenarios using SAP Integration Suite (CPI, API Management, etc.).
 
 
 &middot; Integrate SAP ERP/S4HANA with third-party applications (e.g., E-Invoicing, banking, logistics, CRM).
 
 
 &middot; Develop integration flows (iFlows), mappings, and adapters.
 
 
 &middot; Troubleshoot and resolve integration issues across landscapes.
 
 
 &middot; Ensure adherence to SAP security and compliance guidelines.
 
 
 &middot; Collaborate with functional teams to understand integration requirements.
 
 
 &middot; Develop and maintain ABAP programs (Reports, Interfaces, Conversions, Enhancements, Forms &ndash; RICEFW).
 
 
 &middot; Implement User Exits, BADIs, BAPIs, Enhancements, and OData services.
 
 
 &middot; Support Fiori/UI5 development by providing backend OData services.
 
 
 
 
 
 
 Required Skills
 
 
 
 &middot; Strong experience with SAP Integration Suite (CPI, API).
 
 
 &middot; Hands-on with iFlows, adapters (IDoc, SOAP, REST, SFTP, OData, JDBC).
 
 
 &middot; Good knowledge of S/4HANA, ECC, and SAP Business Technology Platform (BTP).
 
 
 &middot; Familiarity with Edge Integration Cell and hybrid integration is a plus.
 
 
 &middot; Strong troubleshooting and performance tuning skills.
 
 
 &middot; 2-4 years of SAP integration experience.
 
 
 &middot; SAP Certified Development Associate &ndash; SAP Integration Suite (preferred).
 
 
 &middot; Prepare technical specifications based on functional requirements.
 
 
 &middot; Strong hands-on experience in ABAP/4, Object-Oriented ABAP, SmartForms, Adobe Forms.
 
 
 &middot; Experience with CDS views, OData, Fiori services in S/4HANA.
 
</div>

SAP ABAP Consultant

24/7 DDCT

Position SummaryWe are seeking a highly experienced Senior Lead Credentialing Specialist to oversee, guide, and develop the credentialing department. This role is responsible for setting standards, training staff, and ensuring full compliance with payer, regulatory, and accreditation requirements across multiple states. The ideal candidate will combine deep technical expertise in credentialing and provider enrollment with proven leadership and mentoring skills. Extensive credentialing experience for providers in the states of Illinois and Ohio is required, along with exceptional communication skills to interact effectively with providers, payers, and internal teams.Key Responsibilities<ul><li>Department Leadership: Direct, mentor, and train the credentialing team; create development plans and provide ongoing coaching to elevate performance.</li><li>Strategic Oversight: Establish policies, workflows, and best practices to maintain a high-quality, efficient credentialing operation.</li><li>Full-Cycle Credentialing: Oversee all provider credentialing and re-credentialing activities for physicians, allied health professionals, and facilities.</li><li>Payer Enrollment Management: Lead complex enrollments with Medicare, Medicaid, and commercial insurance networks, ensuring timely approvals and renewals.</li><li>State-Specific Expertise: Manage and troubleshoot credentialing and payer enrollment specifically for Illinois and Ohio, ensuring compliance with each state&rsquo;s unique requirements.</li><li>Compliance &amp; Quality: Ensure adherence to state, federal, and accreditation standards (e.g., NCQA, URAC, JCAHO, HIPAA) and maintain rigorous documentation standards.</li><li>Process Improvement: Identify gaps, recommend solutions, and implement technology or workflow enhancements to reduce turnaround times.</li><li>Cross-Functional Collaboration: Serve as the key liaison between providers, payers, operations, and senior leadership to resolve escalated issues.</li><li>Reporting &amp; Analytics: Deliver regular status reports, KPIs, and audit findings to executive management and stakeholders.</li><li>Training &amp; Knowledge Sharing: Develop training materials and conduct sessions to keep the team current on regulatory changes, payer policies, and credentialing best practices.</li></ul>Requirements<ul><li>Bachelor&rsquo;s degree in healthcare administration, business, or a related field (Master&rsquo;s preferred).</li><li>7+ years of progressive credentialing experience, including at least 3 years in a senior, lead, or managerial role.</li><li>Mandatory experience with credentialing and provider enrollment for the states of Illinois and Ohio.</li><li>Extensive knowledge of provider enrollment, payer regulations, Medicare/Medicaid guidelines, and multi-state credentialing.</li><li>Demonstrated ability to train, mentor, and build high-performing teams.</li><li>Strong understanding of healthcare compliance standards and accreditation requirements.</li><li>Excellent verbal and written communication skills, with the ability to present information clearly to diverse stakeholders.</li><li>Proficiency with credentialing software systems and advanced MS Office skills.</li></ul>Preferred Qualifications<ul><li>CPCS or CPMSM certification strongly preferred.</li><li>Experience managing credentialing for large physician groups, hospital networks, or healthcare BPO/RCM operations.</li></ul>*NOTE*Competitive compensation offered, with a potential salary increase of 30&ndash;40% over current CTC, based on relevant prior experience.Job Type: Full-timePay: Rs450,000.00 - Rs550,000.00 per month

Senior Lead Credentialing Specialist - US Hours

Systems Limited

Dynamics 365 Finance Functional Consultant
 
We are seeking a skilled Dynamics 365 Finance Functional Consultant to join our team. In this role, you will be responsible for implementing and supporting Microsoft Dynamics 365 Finance solutions for our clients. You will gather business requirements, design processes, configure the system, and provide functional expertise to ensure successful deployments.
 
Key Responsibilities: 
Analyze business needs and translate them into D365 Finance solutions
 
Configure and customize D365 Finance modules (GL, AP, AR, Fixed Assets, Budgeting, Tax, cash and bank management, Credit and collection, Subscription billing, electronic reporting, Consolidation etc.)
 
Work with stakeholders to gather requirements and deliver functional specifications
 
Provide end-user training, documentation, and post-implementation support
 
Collaborate with technical teams for integrations and customizations
 
Requirements: 
Proven experience as a D365 Finance Functional Consultant
 
Strong understanding of finance and accounting principles
 
Experience in end-to-end D365 Finance implementations
 
Excellent communication and problem-solving skills
 
Education: 
ACCA, CA (Finalist), CA (Inter), CMA and MBA (at least 8 Years of experience)

D365 Functional Consultant (F&O)

Explore 132+ Certified rcm consultant in Karachi this September. Find roles across top companies and apply now to boost your career.

132 certified rcm consultant jobs IN Karachi

Certified RCM Consultant

Certified RCM Consultant

Principal Consultant - Fraud & Risk Assessment

Revenue Cycle Management Specialist (Medical Billing)

SAP ABAP Consultant

Senior Lead Credentialing Specialist - US Hours

D365 Functional Consultant (F&O)