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manager of operation rcm

Meds IT Nexus

Join Our Team at Meds Nexus PVT. Ltd. as a Manager of OperationsPosition: Manager OperationsCompany Overview: Meds Nexus PVT. Ltd. is a leading organization in the medical billing and healthcare industry. We are dedicated to providing exceptional services to our clients, ensuring efficiency and compliance in all aspects of medical billing and revenue cycle management. We are looking for a dynamic and experienced Manager of Operations to join our team and lead our operations with excellence.Key Responsibilities:<ul><li>Lead and manage a team of Medical Billing Associates, Team Leads, and Assistant Managers.</li><li>Oversee operations of multiple medical billing services, including medical coding, charge entry, claims submissions, payment posting, follow-up, and reimbursement management.</li><li>Regularly communicate with healthcare providers to ensure smooth operations and resolve billing-related issues.</li><li>Provide updates on operations in daily meetings.</li><li>Act as the main liaison with managers and administrators of assigned client components on day-to-day billing operations.</li><li>Ensure all billing operations are conducted in compliance with federal laws and departmental protocols.</li><li>Assist in developing and implementing operating policies and procedures in line with federal and state regulations.</li><li>Supervise personnel, including work allocation, attendance, and problem resolution.</li><li>Evaluate performance and make recommendations for personnel actions.</li><li>Motivate employees to achieve peak productivity and performance.</li><li>Review and interpret operational data to assess the need for procedural revisions and enhancements.</li><li>Participate in designing and implementing systems to enhance revenue and operating efficiency.</li><li>Advise senior management on planning, implementing, and evaluating modifications to existing operations, systems, and procedures.</li><li>Provide training for new and existing staff on operating policies, protocols, systems, procedures, standards, and techniques.</li><li>Perform miscellaneous job-related duties as assigned and report to Senior Management Officer.</li><li>Foster a positive and collaborative team environment, promoting a culture of excellence and continuous improvement.</li></ul>Required Skills:<ul><li>RCM Administration</li><li>Practice Management</li><li>Accounts Receivable Techniques &amp; Strategies</li><li>Denial Management</li><li>Conflict Management</li><li>Excel Reporting</li><li>Revenue Cycle Management Research</li><li>English Communication</li><li>Problem-Solving</li><li>Team Management</li><li>Process Management</li></ul>Job Details:<ul><li>Industry: Medical Billing</li><li>Functional Area: Operations</li><li>Total Positions: 1</li><li>Job Shift: Night</li><li>Job Type: Full Time/Permanent</li><li>Job Location: Islamabad, Rawalpindi, Pakistan</li><li>Gender: Female/Male</li><li>Minimum Education: Bachelor's Degree</li><li>Degree Title: BBA/MBA/BSCS/BS/M.Sc/MS or related</li><li>Career Level: Last Position/Role as Manager of Operations</li><li>Minimum Experience: 7+ Years (at least 1 years of managerial experience)</li></ul>Compensation: Market-competitive Preferred Software: eCW, NextGen, AdvancedMD, Valant, OfficeAlly Preferred Specialties: ENT &amp; Allergy, Mental Health, Therapy Services&middot; Job Location:&middot; Office # 1st, 5th Floor, Gold Mark Plaza, Asghar Mall Rd, Asghar Mall Scheme, Rawalpindi, Punjab 46000&middot; Job Timing:&middot; 05:30 PM To 02:30 AM&middot; Special Note:&middot; This job is not for fresh candidates.Join us at Meds Nexus PVT. Ltd. and be a part of a team that values excellence, integrity, and innovation in healthcare operations. If you meet the above criteria and are ready to take on a challenging and rewarding role, we would love to hear from you.To Apply: Please send your resume and cover letter to careers@medsnexus.com with the subject line &quot;Application for Manager of Operations.&quot;We look forward to your application!Job Type: Full-timeWork Location: In person

Manager of Operation RCM

Exciting Opportunity: Assistant Team Lead CRM 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 Assistant Team Lead RCM Operations to join our dynamic team.Position Overview: As the Assistant 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><li>Education: Minimum Intermediate or higher in any field.</li><li>Experience: 2-3 years of hands-on experience in customer support/sales or both preferred</li><li>Communication: Excellent verbal and written English skills</li><li>Tech Proficiency: Familiarity with MS Office (Word, Excel, PowerPoint), RingCentral, Avaya/Cisco IP Phones</li><li>Industry Knowledge: Prior experience in the U.S. Healthcare industry is a plus-</li><li>Availability: Must be available to work U.S. business hours (6:00 PM &ndash; 3:00 AM PST)</li></ul>Perks &amp; Benefits:&middot; Paid Leaves&middot; HR Bonus&middot; Inflation Bonus&middot; Promotion&middot; Increments&middot; Medical Coverage&middot; Leave Encashment&middot; Contributory Saving Plan (CSP)&middot; Saturday and Sunday Off&middot; Transportation allowances only for female staff&middot; Complementary Food (Dinner) &amp; Tea/Green Tea (Two times)Job Details:<ul><li>Industry: Healthcare/Medical Billing</li><li>Functional Area: Operations</li><li>Total Positions: 3</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: Assistant Team Lead</li><li>Minimum Experience: 3+ Years in RCM operations with at least 1-2 years in a supervisory role</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>To Apply: If you are ready to take on a challenging and rewarding role, we want to hear from you! Please send your resume and cover letter to careers@medsnexus.com with the subject line &quot;Application for Assistant Team Lead RCM Operations.&quot;We look forward to your application!Best regards,Job Type: Full-timeWork Location: In person

Assistant Team Lead CRM Operation

The Inventor Solutions

Position Title: Senior Billing Specialist &ndash; Dental RCM Location: On-site (Rawalpindi) Shift: Night Shift (9:00 PM to 6:00 AM) Company: The Inventor Solutions Experience Required: Minimum 2&ndash;3 years in Dental BillingJob Summary:We are seeking an experienced Senior Billing Specialist to join our Dental RCM team. The ideal candidate must have a strong command over the end-to-end billing process for dental practices, including claims submission, payment posting, AR follow-ups, and denial management. This is an on-site, full-time night shift position.Key Responsibilities:<ul><li>Submit dental claims (electronic and paper) to insurance carriers accurately and on time</li><li>Review EOBs/ERAs and post payments to the billing system</li><li>Perform Account Receivable follow-ups for unpaid or denied claims</li><li>Correct and resubmit rejected claims</li><li>Verify insurance benefits and coverage when required</li><li>Communicate with insurance companies via phone and online portals</li><li>Collaborate with verification and credentialing teams to ensure clean claims</li><li>Generate aging reports and track AR performance</li><li>Train and support junior billing staff if assigned</li><li>Maintain patient and provider confidentiality at all times</li><li>Update and maintain billing software with relevant payer information</li></ul>Qualifications:<ul><li>2 to 3 years of proven experience in dental billing (U.S. market)</li><li>Strong knowledge of CDT codes, dental procedures, and insurance guidelines</li><li>Familiarity with dental billing software (such as Dentrix, Eaglesoft, Open Dental, etc.)</li><li>Understanding of HIPAA and RCM compliance requirements</li><li>Excellent written and verbal communication skills</li><li>Detail-oriented and comfortable working under deadlines</li><li>Ability to work independently and as part of a team</li><li>Must be able to work on-site during night shift (9:00 PM to 6:00 AM)</li></ul>Work Location: In person

Senior Billing Specialist - Dental Billing

MedX RCM

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 Company Description
 
 
 
 
 
 MedX RCM is a private medical billing company delivering tailored, technology-enabled solutions to healthcare organizations nationwide. Our mission is to optimize billing processes by reducing claims errors, minimizing denials, and accelerating reimbursement timelines, helping clients enhance their monthly revenue. In today&rsquo;s complex healthcare environment, we provide innovative strategies to improve clinical workflows, modernize patient experiences, increase revenue, and reduce operational costs. Serving organizations of all sizes across various specialties, MedX RCM is committed to supporting better healthcare outcomes.
 
 
 
 
 
 
 Role Description
 
 
 
 
 
 MedX RCM is seeking a dynamic individual to join our team as a Sales and Marketing Associate. This is a full-time, on-site position based in Rawalpindi. The Associate will actively contribute to sales initiatives, engage new clients, nurture relationships with existing customers, and support marketing campaigns. Responsibilities include providing exceptional customer service, conducting market research, assisting in creating marketing content, and delivering product training sessions to clients and team members. Collaboration with internal teams to identify opportunities, address client needs, and contribute to the company's growth will be a key focus.
 
 
 
 
 
 
 Qualifications
 
 
 
 
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 Proven skills in Communication and Customer Service to effectively engage clients and resolve inquiries.
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 Experience in Sales and Sales &amp; Marketing to identify growth opportunities and execute marketing strategies.
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 Ability to deliver Training as needed for clients and internal teams to ensure service understanding and knowledge-sharing.
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 Strong interpersonal skills with the ability to work in a team-oriented, on-site environment.
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 Proficiency in using CRM software and marketing tools is an advantage.
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 Familiarity with the healthcare or medical billing industry would be highly beneficial.
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 Bachelor's degree in Marketing, Business, or a related discipline preferred.
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 </ul>
</div>

Sales And Marketing Associate

sequel technologies

Location: Bahria Town Phase 7, Rawalpindi (Preference for residents of Bahria, DHA, or nearby areas)Company Description Sequel Technologies, a software company providing healthcare IT and medical billing services to the US market.Responsibilities<ul><li>Manage end-to-end provider enrollment and credentialing with commercial and government payers (Medicare, Medicaid)</li><li>Prepare, review, and submit enrollment applications and supporting documentation accurately and on time.</li><li>Track application status, follow up with payers, and resolve rejections or delays.</li><li>Maintain and update provider data across EHR, billing, and credentialing systems.</li><li>Handle EDI, ERA, and EFT enrollments with payers and clearinghouses.</li><li>Collaborate with billing and RCM teams to resolve claim denials related to enrollment issues.</li><li>Ensure compliance with payer requirements and regulatory standards (e.g., CMS, HIPAA).</li><li>Maintain credentialing databases (e.g., CAQH, PECOS, NPPES) and ensure provider records are current.</li><li>Support onboarding of new providers/clients by aligning enrollment with system setup.</li><li>Generate and maintain reports on enrollment status, timelines, and issues.</li><li>Perform audits to ensure data accuracy and completeness</li></ul>Qualifications/Skills<ul><li>Bachelor&rsquo;s degree in Healthcare Administration, Business, or related field (or equivalent experience)</li><li>2+ years of experience in provider enrollment, credentialing, or medical billing/RCM</li><li>Strong understanding of payer enrollment processes and insurance requirements</li><li>Experience with EHR/EMR systems and medical billing platforms</li><li>Familiarity with CAQH, PECOS, NPPES, clearinghouses, and payer portals</li><li>Knowledge of EDI, ERA, EFT, and claims workflows</li><li>High attention to detail and accuracy in handling documentation and data</li><li>Strong organizational and time management skills with ability to manage multiple enrollments</li><li>Excellent communication skills for working with providers, payers, and internal teams</li><li>Problem-solving ability to address enrollment and reimbursement issues</li><li>Proficiency in Microsoft Excel and reporting tools</li></ul>Timings<ul><li>5:00 PM &ndash; 2:00 AM (Summers)</li><li>6:00 PM - 3:00 AM (Winters)</li></ul>Benefits<ul><li>Healthcare (OPD + IPD)</li><li>Entertainment Allowance</li><li>Cellular Allowance</li><li>Provident Fund</li></ul>Job Type: Full-timeApplication 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>Work Location: In person

Enrollment Specialist

Speak Viral

The Credentialing Executive is responsible for managing the provider enrollment and credentialing process with insurance companies, hospitals, and other healthcare organizations. This role ensures all providers are properly credentialed and enrolled to receive timely reimbursement for medical services, maintaining compliance with payer and regulatory requirements.Key Responsibilities:&middot; Prepare, review, and submit credentialing and re-credentialing applications for healthcare providers with commercial and government insurance payers (e.g., Medicare, Medicaid, BCBS, Aetna, UnitedHealthcare, Cigna, etc.).&middot; Maintain up-to-date records of providers in credentialing databases and online systems.&middot; Track the status of credentialing and enrollment applications, follow up with payers, and resolve any discrepancies or issues.&middot; Verify provider credentials, including licenses, board certifications, DEA, malpractice insurance, and other necessary documents.&middot; Coordinate with internal billing teams to ensure providers are properly linked and active with payers before billing.&middot; Update and maintain CAQH profiles, NPI registrations, and PECOS enrollments.&middot; Manage expirables (licenses, insurance, certifications) and notify providers of renewals.&middot; Ensure compliance with federal, state, and payer-specific regulations.&middot; Generate and maintain credentialing reports and dashboards.&middot; Communicate professionally with providers, practice managers, and insurance representatives.Required Qualifications:&middot; Bachelor&rsquo;s degree in Healthcare Administration, Business, or a related field (or equivalent work experience).&middot; 1&ndash;3 years of experience in medical credentialing, provider enrollment, or medical billing.&middot; Knowledge of CAQH, NPPES, PECOS, and payer portals.&middot; Strong understanding of commercial and government payer processes.&middot; Excellent communication and organizational skills.&middot; Proficiency in MS Office (Excel, Word, Outlook) and credentialing software.&middot; Ability to handle multiple tasks, prioritize, and meet deadlines.Preferred Qualifications:&middot; Experience with US-based healthcare systems or RCM/BPO companies.&middot; Certification in credentialing (e.g., CPCS, CPMSM) is a plus.&middot; Knowledge of medical billing and compliance regulations (HIPAA, CMS).Key Competencies:&middot; Attention to detail and accuracy&middot; Strong problem-solving and analytical skills&middot; Professional communication and interpersonal skills&middot; Time management and ability to work independently&middot; Team collaborationPay: Rs30,000.00 - Rs50,000.00 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

Credentialing Executive

Kickstart Your Career as a Verification of Benefits (VOB) Specialist at Meds Nexus Pvt. Ltd.!Are you ready to grow with one of Pakistan&rsquo;s fastest-growing medical billing companies? Meds Nexus Pvt. Ltd., located in the heart of Rawalpindi, is hiring Verification of Benefits (VOB) Specialists to join our dynamic team. If you're passionate about healthcare processes, have sharp attention to detail, and possess excellent spoken English skills, this is your opportunity!Job DescriptionAs a VOB Specialist, your core responsibility will be to verify patients&rsquo; insurance eligibility and benefits before their medical visits. You will play a crucial role in supporting our clients in the U.S. healthcare industry by ensuring accurate and timely benefit verification.Key Responsibilities:<ul><li>Contact U.S.-based insurance companies to verify patient coverage details</li><li>Maintain and track the verification workflow for each patient</li><li>Document call notes with precision and take corrective measures as needed</li><li>Update actions and notes on the client&rsquo;s revenue cycle management (RCM) platform</li><li>Follow client-specific documentation standards and protocols</li><li>Uphold Meds Nexus&rsquo; data protection and information security guidelines</li><li>Demonstrate integrity and adhere to the highest standards of ethical conduct</li></ul>Desired Candidate ProfileWe&rsquo;re looking for someone who is detail-oriented, proactive, and well-versed in U.S. medical billing processes.Requirements:<ul><li>Minimum 2+ years of experience as a VOB Specialist with a medical billing service provider</li><li>Strong knowledge of the U.S. revenue cycle, Eligibility &amp; Benefits Verification, and Prior Authorization</li><li>Ability to understand and apply client-specific business rules</li><li>Skilled in generating reports and maintaining accurate records</li><li>Strong communication skills with a neutral/clear accent</li><li>Graduate degree in any field</li><li>Problem-solving attitude with a willingness to learn and grow</li></ul>Job Rewards and Benefits:<ul><li>Paid Leaves</li><li>HR Bonus</li><li>Inflation Bonus</li><li>MTD (Month-To-Date) Bonus</li><li>Promotion</li><li>Increments</li><li>Medical Coverage</li><li>Leave Encashment</li><li>Contributory Saving Plan (CSP)</li><li>Annual Trip</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: 5:30 PM to 2:30 AMWhy Join Meds Nexus?Join our team and become part of a forward-thinking organization that values innovation, promotes continuous learning, and provides real opportunities for career advancement. At Meds Nexus, your hard work is not only appreciated&mdash;it&rsquo;s recognized and rewarded.Apply now and take the next step in your medical billing career with Meds Nexus Pvt. Ltd.!Job Type: Full-timeWork Location: In personJob Type: Full-timeWork Location: In person

VOB Specialist

Explore 371+ Manager of operation rcm in Rawalpindi this April. Find roles across top companies and apply now to boost your career.