quality assurance manager Jobs in Rawalpindi

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executive (quality assurance)

credentialing team lead

Meds IT Nexus

Job descriptionMeds Nexus is looking for candidates on the night shift with experience as Team Lead Credentialing &amp; EDI. The candidate should be enthusiastic and must have a proven work experience in performing all New Client Account Setups, Research and Development activities, ensuring that the credentialing requirements for government and commercial payers are met, Submit and follow-up on submitted credentialing requests to all contracted commercial payers and government agencies, maintain the close working relations experience will be preferred along with Basic IT skills (databases, MS Office, etc.)Job Responsibilities:3 to 5 years of experience in credentialing departmentAt least 1 year of experience in a Supervisory RoleExperience in credentialing different specialties with major regular and private payers state-wiseReview the approval and termination of professional provider contracts as they relate to the credentialing processEnsure accurate and timely information for re-credentialing, data analysis, and directory generation, as well as recommending changes to the credentialing criteria and processesMaintain all credentialing and re-credentialing policies and processes to ensure that they comply with all applicable regulationsDevelop and implement departmental goals and objectives with input from staff membersDevelop and implement departmental policies and procedures that guide and support the provision of servicesInteract with all customers to ensure prompt and accurate communication as needed to provide the service expected and to meet the goals of the service.Job Types: Contract, Full-timeAbility to commute/relocate:<ul><li>Rawalpindi: Reliably commute or planning to relocate before starting work (Required)</li></ul>Education:<ul><li>Bachelor's (Preferred)</li></ul>Experience:<ul><li>Credentialing &amp; Enrollment + EDI: 5+ years (Preferred)</li></ul>Language:<ul><li>Fluent English (Preferred)</li></ul>Job Type: Full-timeWork Location: In person

Credentialing Team Lead

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)

Revmed

Sr. Sales Lead &ndash; Medical Billing ServicesCompany: REVMED &ndash; Medical Billing &amp; Revenue Cycle Management Location: 5th Road, Rawalpindi Job Type: Full-Time (Onsite)Position OverviewREVMED is seeking a results-driven Sales Lead &ndash; Medical Billing Services to drive new business growth in the US healthcare market. This role is responsible for generating qualified leads, nurturing prospects, and supporting the complete sales cycle from initial outreach to deal closure.The ideal candidate will help expand REVMED&rsquo;s client base of physician practices, specialty clinics, ambulatory surgery centers, and hospitals by promoting our Medical Billing, Revenue Cycle Management (RCM), and Coding, Credentialing, and Accounts Receivable (AR) services.This role serves as a key bridge between marketing and sales, ensuring consistent pipeline generation and revenue growth.Key ResponsibilitiesLead Generation &amp; Prospecting<ul><li>Generate qualified leads through cold calling, email campaigns, LinkedIn outreach, referrals, and industry networking</li><li>Identify physician practices, specialty clinics, ambulatory centers, and hospitals as potential clients</li><li>Research prospects to understand billing challenges and identify decision-makers</li><li>Maintain consistent outbound prospecting activity to build a strong sales pipeline</li></ul>Lead Qualification &amp; Pipeline Management<ul><li>Qualify leads based on service need, authority, budget, and timeline</li><li>Schedule discovery calls and meetings for senior sales leadership</li><li>Maintain accurate CRM records (Salesforce, HubSpot, or similar)</li><li>Conduct regular follow-ups to nurture and convert prospects</li></ul>Client Communication &amp; Presentation Support<ul><li>Conduct introductory calls and present REVMED&rsquo;s medical billing &amp; RCM services</li><li>Share company profile, proposals, and service details</li><li>Assist in preparing customized proposals and presentations</li><li>Support negotiation and closing processes</li></ul>Market Research &amp; Strategy Support<ul><li>Monitor trends in US healthcare, medical billing, and insurance regulations</li><li>Identify new target specialties and market segments</li><li>Provide feedback to management regarding competition and demand</li></ul>QualificationsEducation<ul><li>Bachelor&rsquo;s degree in Business, Marketing, Healthcare Management, or related field</li></ul>Experience<ul><li>2&ndash;5 years of B2B sales experience</li><li>Preferably in Medical Billing, Healthcare Services, or Revenue Cycle Management</li><li>Proven experience in outbound sales and lead generation</li></ul>Skills<ul><li>Strong communication and persuasion skills</li><li>Confidence in cold calling and prospect outreach</li><li>Basic understanding of US medical billing and insurance processes</li><li>CRM proficiency</li><li>Strong organizational and time management skills</li></ul>Preferred Competencies<ul><li>Understanding of US healthcare insurance and revenue cycle processes</li><li>Experience selling services to physician practices or clinics</li><li>Self-motivated and target-driven mindset</li><li>Ability to work independently and within a team</li></ul>Compensation &amp; BenefitsSalary: PKR 150,000 &ndash; 250,000 per monthAdditional Benefits<ul><li>Family Health Insurance up to PKR 900,000</li><li>Handsome commission on sales</li><li>36 Paid Leaves annually</li><li>Leave Encashment</li><li>Annual Increment</li><li>Promotion-Based Increment</li><li>Retention Bonus</li><li>Professional Growth Opportunities into Sales Manager / Business Development roles</li><li>Training in Medical Billing &amp; RCM Services</li></ul>Pay: Rs150,000.00 - Rs250,000.00 per monthWork Location: In person

Senior Sales Lead – Medical Billing Services

MeshSquare

An SEO Content Writer at our firm will be expected to create concise, informative, and engaging content catered to the Medical Billing. This person should have a clear understanding of how search engines operate, This includes knowledge about keywords and the ability to write compelling copy. The candidate for this role must possess the appropriate content writing experience, with medical billing as the area of expertise, and must be skilled at explaining complex concepts in a simple manner.Key Responsibilities:<ul><li>Write articles, website pages, blogs, and other marketing content optimized for SEO to support Medical Billing and Credentialing Services.</li><li>Researched and applied SEO vernacular to enhance user engagement and content visibility.</li><li>Research and remain informed about alterations to industry trends, algorithms, and changes to the seo and marketing content best practices.</li></ul>Qualifications:<ul><li>Hold a Bachelor&rsquo;s in Marketing, English, Communications, or any other relevant field.</li><li>Have over 3-4 years of professional experience in content writing with expertise in.</li><li>Experience in medical billing or knowledge surrounding processes and terminologies used during medical billing.</li><li>Considerable understanding of content marketing principles and content creation.</li></ul>Preferred Skills:<ul><li>Basic understanding of digital marketing strategies and practices.</li><li>Familiar with creating content adapted to fit semantic search engines.</li><li>Proficiency in medical coding (CPT, HCPCS, ICD-10) would be an advantage.</li></ul>Perks &amp; Benefits:<ul><li>Paid Leaves</li><li>HR Bonus</li><li>Inflation Bonus</li><li>Promotion</li><li>Increments</li><li>Medical Coverage</li><li>Leave Encashment</li><li>Contributing Saving 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></ul>Office Timing:<ul><li>5:30 PM to 2:30 AM (Night Shift) On-Site</li></ul>Job Type: Full-timePay: Rs50,000.00 - Rs85,000.00 per monthAbility to commute/relocate:<ul><li>Rawalpindi Asghar Mall: Reliably commute or planning to relocate before starting work (Required)</li></ul>Experience:<ul><li>Content Writing: 3 years (Required)</li></ul>Location:<ul><li>Rawalpindi Asghar Mall (Required)</li></ul>Job Type: Full-timeWork Location: In person

Content Writer (On-site)

Speak Viral

We are seeking a results-driven Medical Billing Sales Agent to promote and sell our medical billing services to healthcare providers, clinics, and medical practices. The ideal candidate will have strong knowledge of healthcare revenue cycle management, excellent communication skills, and a proven track record in B2B sales.Key Responsibilities<ul><li>Identify and prospect new healthcare clients (physicians, specialty clinics, group practices, hospitals).</li><li>Present and explain medical billing services, including claims submission, denial management, AR follow-up, credentialing, and revenue cycle optimization.</li><li>Conduct sales calls, virtual meetings, and in-person presentations.</li><li>Develop customized proposals based on client needs and practice size.</li><li>Negotiate contracts and close sales to meet or exceed monthly/quarterly targets.</li><li>Maintain relationships with existing clients and identify upsell opportunities.</li><li>Track leads, follow-ups, and pipeline activity in CRM systems.</li><li>Stay updated on healthcare regulations, insurance guidelines, and billing compliance standards (HIPAA, CMS policies).</li></ul>Required Qualifications<ul><li>Bachelor&rsquo;s degree in Business, Healthcare Administration, Marketing, or related field (preferred).</li><li>2+ years of experience in medical billing, healthcare sales, or revenue cycle management sales.</li><li>Strong understanding of medical coding (CPT, ICD-10, HCPCS) and insurance processes.</li><li>Proven ability to meet and exceed sales targets.</li><li>Excellent negotiation and presentation skills.</li><li>Proficiency in CRM software and Microsoft Office.</li></ul>Preferred Skills<ul><li>Experience selling to small and mid-sized medical practices.</li><li>Knowledge of electronic health record (EHR) systems.</li><li>Strong networking and relationship-building skills.</li><li>Self-motivated with the ability to work independently and remotely.</li></ul>Key Competencies<ul><li>Sales-driven mindset</li><li>Customer-focused approach</li><li>Strong analytical and problem-solving skills</li><li>High level of professionalism and integrity</li><li>Time management and organizational skills</li></ul>Compensation &amp; Benefits<ul><li>Competitive base salary + commission structure</li><li>Performance bonuses</li><li>Health insurance and retirement benefits</li><li>Paid time off and holidays</li><li>Ongoing sales and product training</li></ul>Job Type: Full-timePay: Rs60,000.00 - Rs90,000.00 per monthApplication Question(s):<ul><li>Will you be able to work in night shift(6pm to 3:30am)?</li><li>Will you be able to commute to Bahria Town Phase 7 Rawalpindi?</li></ul>Work Location: In person

Medical Billing Sales Agent

Mercium Limited

Job Description:Job Description &ndash; Sales Manager (Logistics Industry with Complete CRM Knowledge)Position Title:Sales ManagerDepartment:Sales &amp; Business DevelopmentReports To:General Manager / DirectorLocation:Islamabad / RawalpindiJob PurposeThe Sales Manager will be responsible for driving revenue growth, managing the sales team, strengthening customer relationships, and ensuring full utilization of the company&rsquo;s CRM system. The role requires deep industry knowledge of logistics and international trade along with complete command over CRM-based sales operations, reporting, forecasting, and performance monitoring.Key Responsibilities⸻1. Sales Strategy &amp; Revenue Growth<ul><li>Develop and execute monthly, quarterly, and annual sales plans.</li><li>Achieve assigned revenue and margin targets.</li><li>Build and manage strong sales pipelines.</li><li>Identify new trade lanes, industries, and client segments.</li><li>Convert prospects into long-term active clients.</li><li>Ensure profitable pricing and approval compliance.</li></ul>2. Logistics &amp; Trade Industry KnowledgeStrong hands-on knowledge of:<ul><li>Freight forwarding (Air, Sea &amp; Road)</li><li>Import and export procedures</li><li>Customs clearance process</li><li>Warehousing and transportation</li><li>Incoterms (EXW, FOB, CIF, DDP, DAP, FCA, CPT, CIP)</li><li>Shipping documentation:</li><li>BL / AWB</li><li>Commercial Invoice</li><li>Packing List</li><li>Certificate of Origin</li><li>GD &amp; customs documentation</li><li>Costing components:</li><li>Freight</li><li>Origin charges</li><li>Destination charges</li><li>Customs duties &amp; taxes</li><li>Trade compliance basics</li></ul>⸻3. CRM Management &ndash; Core ResponsibilityThe Sales Manager must have complete operational knowledge of CRM systems and ensure 100% CRM discipline across the sales team.CRM Knowledge Must Include:Lead Management<ul><li>Lead creation and source tracking (website, email, WhatsApp, calls, referrals).</li><li>Lead assignment and routing.</li><li>Lead qualification (hot / warm / cold).</li><li>Follow-up scheduling and reminders.</li></ul>Opportunity Management<ul><li>Convert qualified leads into opportunities.</li><li>Define deal value, services, trade lanes, and expected revenue.</li><li>Track opportunity stages:</li><li>New lead</li><li>Quotation shared</li><li>Negotiation</li><li>Won / Lost</li><li>Maintain accurate closing probability.</li></ul>Customer &amp; Account Management<ul><li>Maintain complete customer profiles.</li><li>Record trade history, pricing, and service scope.</li><li>Track active vs inactive clients.</li><li>Monitor retention and repeat business.</li><li>Maintain contact persons and communication history.</li></ul>Quotation &amp; Pricing Tracking<ul><li>Upload quotations in CRM.</li><li>Link quotations with opportunities.</li><li>Track accepted vs rejected quotations.</li><li>Maintain pricing version control.</li><li>Coordinate approvals with management.</li></ul>Activity Tracking<ul><li>Log all:</li><li>Calls</li><li>Meetings</li><li>Emails</li><li>Follow-ups</li><li>Ensure no deal exists outside CRM.</li><li>Monitor salesperson productivity via CRM data.</li></ul>Sales Pipeline &amp; Forecasting<ul><li>Maintain real-time pipeline value.</li><li>Forecast monthly revenue based on probability.</li><li>Track expected vs achieved revenue.</li><li>Identify risk deals in advance.</li></ul>CRM Reporting &amp; Dashboards<ul><li>Generate and analyze:</li><li>Lead conversion ratio</li><li>Pipeline vs target</li><li>Salesperson performance</li><li>Monthly revenue forecast</li><li>Lost business analysis</li><li>Present CRM-based reports to management.</li></ul>CRM Discipline &amp; Compliance<ul><li>Ensure zero manual or offline tracking.</li><li>Enforce CRM usage as mandatory.</li><li>Train sales team on CRM best practices.</li><li>Monitor incorrect or fake entries.</li><li>Maintain CRM hygiene and accuracy.</li></ul>⸻4. Team Leadership &amp; Performance Management<ul><li>Lead and manage sales executives and team leads.</li><li>Set clear KPIs through CRM.</li><li>Monitor daily activity targets:</li><li>Calls</li><li>Meetings</li><li>Leads</li><li>Closures</li><li>Conduct weekly performance reviews.</li><li>Coach team on negotiation, pitching, and closing.</li><li>Build accountability culture.</li></ul>⸻5. Coordination &amp; Internal Alignment<ul><li>Coordinate with:</li><li>Operations team for feasibility</li><li>Finance team for pricing &amp; credit limits</li><li>Customer service for execution</li><li>Ensure smooth handover from sales to operations.</li><li>Maintain client satisfaction post-closure.</li></ul>Key Performance Indicators (KPIs)<ul><li>Monthly revenue target achievement</li><li>Pipeline value vs target</li><li>CRM usage compliance (100%)</li><li>Lead-to-conversion ratio</li><li>Client acquisition &amp; retention</li><li>Margin quality</li><li>Sales team performance</li></ul>Required Skills &amp; Competencies<ul><li>Strong leadership and decision-making</li><li>Excellent communication (English &amp; Urdu)</li><li>Advanced CRM handling skills</li><li>Strong negotiation ability</li><li>Analytical and reporting mindset</li><li>Target-driven approach</li><li>Commercial awareness</li><li>Time and priority management</li></ul>Qualifications<ul><li>Bachelor&rsquo;s degree in Business, Marketing, Supply Chain, or related field</li><li>MBA preferred</li></ul>Experience<ul><li>5&ndash;8 years experience in logistics / freight forwarding / shipping industry</li><li>2&ndash;3 years in Sales Manager or Team Lead role</li><li>Mandatory hands-on CRM experience (Salesforce, Zoho, HubSpot, Bitrix, Monday, or equivalent)</li></ul>What We Offer<ul><li>Market-competitive salary</li><li>Performance-based commission structure</li><li>Leadership growth opportunity</li><li>Exposure to international clients</li><li>Structured and professional environment</li></ul>Job Type: Full-timeWork Location: In personJob Type: Full-timeWork Location: In person

Sales Manager

Luqon IT solutions

Luqon IT Solutions is looking for motivated and skilled Lead Generation Specialists to join our growing team for a US-based Energy Campaign. If you have strong communication skills and experience in the call center industry, this is a great opportunity to work in a professional environment and grow your career.Key Responsibilities<ul><li>Make outbound calls to potential customers in the US energy market</li><li>Generate and qualify leads for the sales team</li><li>Provide basic information about energy services and gauge customer interest</li><li>Maintain a professional and customer-focused communication style</li><li>Accurately record call details and lead information in the CRM system</li><li>Meet daily and monthly lead generation targets</li></ul>Requirements<ul><li>Minimum 1 year of experience in the call center industry (lead generation experience preferred)</li><li>Excellent English communication skills</li><li>Ability to work in a target-driven environment</li><li>Strong interpersonal and persuasion skills</li><li>Positive attitude, punctuality, and ability to work in a team</li></ul>What We Offer<ul><li>Competitive Basic Salary</li><li>Attractive Incentives and Performance Bonuses</li><li>Supportive and professional work environment</li><li>Career growth opportunities</li><li>Training and skill development</li></ul>Job Location: Ground Floor Plaza #74, Civic Centre, Phase 4, Bahria Town, RawalpindiJob Timings: 7:00 PM &ndash; 4:00 AMInterested candidates may send their resumes to: beebal.dmello@luqon.comJob Type: Full-timeWork Location: In person

Lead Generation Specialist

Explore 260+ Credentialing team lead in Rawalpindi this March. Find roles across top companies and apply now to boost your career.