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medical billing and credentialing specialist

Standard High School & College

Job Title: Medical Billing and Credentialing Specialist Company: Deosai Medical Services Location: I-8, Islamabad (On-site) Job Type: Full-time Reports To: Medical Billing and Credentialing ManagerJob Summary:The Medical Billing and Credentialing Specialist at Deosai Medical Services is responsible for overseeing all billing processes and managing provider credentialing. The role ensures timely and accurate submission of claims to insurance companies while verifying the credentials of healthcare providers to maintain compliance with regulatory standards. This specialist will work closely with providers, insurance companies, and internal teams to optimize billing accuracy and ensure proper credentialing.Key Responsibilities:Billing:<ul><li>Submit and process medical claims to insurance companies in compliance with all regulations.</li><li>Ensure accuracy in coding (CPT, ICD-10, HCPCS), modifiers, and documentation before submission.</li><li>Follow up on denied or rejected claims and manage appeals as necessary.</li><li>Track and resolve outstanding accounts receivables.</li><li>Send out patient bills, handle inquiries, and process payments.</li><li>Maintain accurate patient and insurance records</li></ul>Credentialing:<ul><li>Manage credentialing and re-credentialing processes for healthcare providers.</li><li>Ensure all providers comply with state and federal regulations, including licenses and certifications.</li><li>Complete and submit credentialing applications to insurance carriers and healthcare organizations.</li><li>Track credentialing status and resolve any delays or discrepancies.</li><li>Maintain up-to-date provider contracts, credentialing records, and licensing.</li></ul>Compliance &amp; Reporting:<ul><li>Stay updated on billing and credentialing regulations to ensure compliance.</li><li>Generate reports on billing and credentialing activities.</li><li>Assist with internal audits to ensure adherence to best practices and regulations.</li></ul>Collaboration:<ul><li>Coordinate with healthcare providers to gather necessary documentation for billing and credentialing.</li><li>Collaborate with insurance companies to resolve claims and credentialing issues.</li><li>Work with finance and administrative teams to improve the revenue cycle.</li></ul>Qualifications:<ul><li>High school diploma or equivalent required; Associate&rsquo;s or Bachelor&rsquo;s degree in healthcare administration, business, or related field preferred.</li><li>Proficiency in the English language</li></ul>Experience:<ul><li>2+ years of experience in medical billing, coding, and credentialing.</li><li>Strong knowledge of billing practices, insurance regulations, and credentialing procedures.</li><li>Experience with medical billing software and EHR systems (e.g., Epic, Kareo, AdvancedMD).</li></ul>Skills:<ul><li>Knowledge of CPT, ICD-10, and HCPCS coding standards.</li><li>Familiarity with Medicare, Medicaid, and commercial insurance billing processes.</li><li>Strong organizational skills and attention to detail.</li><li>Excellent communication and interpersonal skills.</li><li>Ability to work independently and as part of a team.</li><li>Proficiency in Microsoft Office Suite (Excel, Word).</li></ul>Job Type: Full-timeWork Location: In person

Medical Billing and Credentialing Specialist

eServMD Pvt. Ltd.

eServMD Pvt Ltd is a service provider company based in Islamabad Pakistan providing services to US-based companies and clients in the field of Electronic Medical Records (EMR), Medical Practice Management, Medical Billing, Real Estate, Accounts &amp; Finance.We are seeking experienced and detail-oriented Credentialing Executive to join our team.Primary Responsibilities:<ul><li>Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications</li><li>Maintain internal provider grid to ensure all information is accurate and logins are available</li><li>Update each provider&rsquo;s CAQH database file timely according to the schedule published by CMS</li><li>Help medical providers to apply or renewal of medical professional licenses; DEA and Controlled Substance etc.</li><li>Complete revalidation requests issued by government payers</li><li>Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid Complete re-credentialing applications for commercial payers</li><li>Work closely with the Revenue Cycle Director and billing staff to identify and resolve any denials or authorization issues related to provider credentialing</li><li>Maintain accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases</li></ul>Requirements<ul><li>1-2 years prior Experience in US Medical Credential</li><li>Minimum Bachelor&rsquo;s Degree in Commerce/Finance/Arts/ Pharmacy/ Microbiology or related</li><li>Excellent in English communication skills both verbal &amp; written, spoken English in American pronunciation is desired</li><li>Good Command over Excel, word and health industry related software tools</li><li>Excellent Organizational, Analytical skills and able to adapt to changing situations</li><li>Proven Knowledge of basic medical terminologies such as coding-ICD10, CPT &amp; HCPC</li><li>Experienced in Managing the Overall Revenue Cycle</li><li>Knowledge about Data Conversion and EMR implementation</li><li>Knowledge about enrollment &amp; credentialing and EDI &amp; ERA/EFT setup</li></ul>Job Timings: 5:00 PM to 2:00 AMJob Type: Full-timeAbility to commute/relocate:Job Type: Full-timeWork Location: In person

Sr. Credentialing Executive

Hazrin

Company DescriptionMedAlign Solutions LLC is a leader in delivering reliable medical billing, coding, and reimbursement solutions tailored for healthcare providers nationwide. Focused on accuracy and efficiency, we streamline the billing process, enabling healthcare professionals to prioritize patient care. Our certified team utilizes advanced technology and industry expertise to ensure timely claims submission, reduce denials, and optimize revenue cycles. With a commitment to personalized support, MedAlign Solutions provides transparent and high-quality services that enhance operational efficiency and help healthcare organizations succeed.Role DescriptionThis is a full-time on-site role for a Prior Authorization Specialist located in Islamabad. In this position, the specialist will manage and oversee the prior authorization process for medical services by reviewing documentation, verifying patient insurance coverage, coordinating with medical staff, and communicating effectively with insurance companies to ensure approval. Additional responsibilities include maintaining accurate records, resolving authorization issues, and staying updated on changes in insurance policies and procedures to ensure compliance.Qualifications<ul><li>Proficiency in handling Prior Authorization, Medical Billing, and Insurance Verification</li><li>Strong organizational and documentation skills to maintain accurate authorization records</li><li>Knowledge of medical terminology, coding, and healthcare regulations</li><li>Effective communication and problem-solving skills for liaising with patients, providers, and insurance companies</li><li>Attention to detail and the ability to manage a high volume of tasks efficiently</li><li>Experience with medical billing software and technology platforms</li><li>Bachelor's degree in healthcare, business, or related field preferred</li><li>Experience in prior authorization or medical billing is highly desirable</li></ul>Job Type: Full-timePay: Rs70,000.00 - Rs90,000.00 per monthExperience:<ul><li>Prior Authorization: 1 year (Preferred)</li></ul>Location:<ul><li>Islamabad (Preferred)</li></ul>Work Location: In person

Prior Authorization Specialist

Zones

<div>Description 
 
 
Company Overview: 
When it comes to IT solution providers, there are a lot of choices. But when it comes to providers with innovative and differentiating end-to-end service offerings, there&rsquo;s really only one: Zones &ndash; First Choice for IT.TM
Zones is a Global Solution Provider of end-to-end IT solutions with an unmatched supply chain. Positioned to be the IT partner you need, Zones, a Minority Business Enterprise (MBE) in business for over 35 years, specializes in Digital Workplace, Cloud &amp; Data Center, Networking, Security, and Managed/Professional/Staffing services. Operating in more than 120 countries, leveraging a robust portfolio, and utilizing the highest certification levels from key partners, including Microsoft, Apple, Cisco, Lenovo, Adobe, and more, Zones has mastered the science of building digital infrastructures that change the way business does business ensuring whatever they need, they can Consider IT Done. Follow Zones, LLC on Twitter @Zones, and LinkedIn and Facebook.
Position Overview: 
The O2C Analyst (Order-to-Cash) is responsible for supporting receivables operations including invoicing, collections follow-ups, queue management and account reconciliation to ensure accurate customer balances and timely cash inflows. The role involves actively tracking outstanding invoices, resolving billing and payment discrepancies, and maintaining clean and up-to-date customer accounts. 
What you&rsquo;ll do as an O2C Specialist (Order-to-Cash): 
Employees employed in the role of O2C Specialist (Order-to-Cash) shall be required to apply their independent mind and demonstrate intellectual abilities in their decision-making.
The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.<ul><li>
Proactively manage and follow up on high complexity accounts &amp; overdue customer invoices, driving collections through structured, policy‑compliant communication via email and phone</li><li>
Investigate, analyze, and resolve billing disputes related to pricing variances, deductions, short payments, and invoicing errors, ensuring timely and well-documented resolution</li><li>
Review and release sales orders held in the credit queue, validating credit limits, approvals, contractual terms, and required documentation in line with credit and compliance policies</li><li>
Perform cash application activities, ensuring customer receipts are accurately applied to invoices and discrepancies are investigated and resolved</li><li>
Conduct detailed customer account reconciliations and clear open, aged, or mismatched balances to maintain accurate AR records</li><li>
Monitor Accounts Receivable aging trends, focusing on reduction of overdue and high‑risk receivables through targeted follow‑up and escalation</li><li>
Track, research, and resolve short payments, deductions, and unapplied cash items in coordination with Sales, Billing, Cash Application, and other internal teams</li><li>
Serve as a point of contact for customer AR inquiries, partnering with Sales and cross‑functional stakeholders to resolve issues impacting invoicing, payments, and collections</li><li>
Maintain complete and accurate documentation of customer communications, actions taken, approvals, and resolutions within the ERP/CRM systems</li><li>
Take ownership of complex disputes, escalations, and long‑outstanding receivables, ensuring appropriate escalation, risk visibility, and resolution strategies are applied</li><li>
Support compliance, audit, and internal control requirements by ensuring adherence to standard operating procedures, segregation of duties, and documentation standards</li></ul>
What you will bring to the team:
Requirements<ul><li>
3 &ndash; 4 years of experience in Accounts Receivable / O2C</li><li>
Strong experience handling:
<ul><li>Collections and follow-ups
</li><li>Customer disputes and payment issues
</li></ul></li><li>Ability to manage overdue balances and escalation cases
</li><li>Understanding of AR aging and payment behavior
</li><li>Experience working with ERP systems
</li><li>Strong communication and follow-up skills
</li></ul>Education<ul><li>
Bachelor&rsquo;s degree in Accounting, Finance, Business Administration (Finance preferred), or an equivalent field
</li></ul>Zones offers a comprehensive Benefits package
At Zones, we are committed to fostering an inclusive and diverse workplace where every team member is valued and supported. We offer life insurance, optional health insurance, EOBI, and a voluntary pension scheme in line with Company policy. Employees also enjoy additional perks such as Complimentary meals, and access to our in-house gym.
We take pride in being an equal opportunity employer and remain dedicated to maintaining a workplace free from discrimination of any kind. If you are passionate about driving innovation in IT, sales, engineering, or operations, Zones provides a dynamic and collaborative environment to help you grow your career.
All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, age, genetic information, or pregnancy.
#LI-SY1</div>

O2C Specialist

claimcare

We are looking for motivated individuals to join us as Business Development Partners in the Medical Billing domain.What You&rsquo;ll Be Doing:<ul><li>Reaching out to doctors, clinics, and healthcare providers to introduce our medical billing services</li><li>Building long-term, trust-based relationships with clients</li><li>Bringing in new business through your network, referrals, and market outreach</li><li>Explaining how our services can help improve their revenue and reduce workload</li><li>Working closely with our internal team to ensure smooth onboarding of clients</li><li>Consistently contributing towards business growth</li></ul>What We&rsquo;re Looking For:<ul><li>Someone with experience in sales or business development (medical billing experience is a plus)</li><li>Strong connections in the healthcare industry (clinics, hospitals, doctors)</li><li>Good communication and convincing skills</li><li>A self-driven person who can work independently</li><li>Basic understanding of medical billing or willingness to learn</li></ul>Benefits:<ul><li>Salary &amp; Compensation is attractive</li><li>Drop Off Facility for Female Staff</li><li>Dinner Facility</li><li>Lucky Draw of Umrha for staff</li><li>Paid Leaves</li><li>Growth Opportunities</li></ul>Interested candidates may share Cv's at email and whatsapp 0304-5646086Pay: Rs80,000.00 - Rs150,000.00 per monthWork Location: In person

Business Development Partner- Medical Billing Industry.

Atlantis BPO Solutions Private Limited

Job description:Company: Atlantis Tech (Pvt) Ltd Location: I-9/3, Islamabad (Onsite) Job Type: Full-Time Shift: 6:00 PM &ndash; 3:00 AM (US Night Shift) Industry: US Healthcare / Revenue Cycle Management (RCM)Atlantis Tech (Pvt) Ltd is hiring an experienced RCM Manager with strong expertise in US medical billing operations.This is a client-facing role, where you will manage assigned healthcare providers, handle client communication, and ensure smooth execution of end-to-end RCM processes.Requirements:<ul><li>10+ years of experience in Medical Billing / RCM</li><li>Including 3-5 years as a Managerial experience (RCM / Billing team)</li><li>Strong knowledge of AR, Denials, and Billing workflows</li><li>Experience handling multiple providers/practices</li><li>Excellent communication &amp; client handling skills</li></ul>Key Role:<ul><li>Manage assigned providers and client communication</li><li>Oversee Billing, AR &amp; Denial Management</li><li>Monitor performance and ensure target achievement</li></ul>Interested candidates can send their updated CV to careers@atlantis.tech or apply directly through Indeed.Subject Line: (RCM Manager)Work Location: In personApplication Question(s):<ul><li>Do you have 10+ years of experience in Medical Billing (RCM)?</li><li>Do you have managerial experience in an RCM/Billing team?</li><li>Have you handled multiple providers/practices simultaneously?</li><li>Are you comfortable handling client communication and meetings independently?</li></ul>Work Location: In person

RCM Manager – Medical Billing

ConnectX

CONNECT X is seeking a creative, data-driven, and strategic Social Media Manager to lead our digital presence in the healthcare and medical billing space. If you have a strong grasp of social media trends, paid advertising, and healthcare marketing dynamics, we want to hear from you.Role OverviewAs a Social Media Manager, you will be responsible for planning, executing, and optimizing social media strategies that enhance brand visibility, drive engagement, and generate qualified leads. You will work closely with internal teams to ensure consistent messaging aligned with business goals.Location: I-9/3, Islamabad (Onsite)Work Hours: 5:00 PM &ndash; 2:00 AMKey Responsibilities<ul><li>Develop and implement comprehensive social media strategies across platforms (Facebook, Instagram, LinkedIn, etc.)</li><li>Plan, create, and publish engaging content tailored to the healthcare and medical billing audience</li><li>Manage and optimize paid advertising campaigns (Meta Ads, Google Ads) to maximize ROI</li><li>Monitor campaign performance and generate analytical reports with actionable insights</li><li>Conduct audience research and apply targeting strategies for better engagement and conversions</li><li>Maintain brand consistency across all channels and campaigns</li><li>Stay updated with industry trends, algorithm changes, and competitor activity</li></ul>Requirements (Must-Have)<ul><li>Proven experience in social media management and digital marketing</li><li>Hands-on experience with paid ads (Meta Ads / Google Ads preferred)</li><li>Prior experience in the healthcare or medical billing industry</li><li>Strong skills in content creation, copywriting, and analytics</li><li>Solid understanding of branding, audience targeting, and campaign optimization</li><li>Ability to work in a fast-paced environment and meet deadlines</li></ul>What We Are Looking For<ul><li>Creative thinker with a strategic mindset</li><li>Detail-oriented with strong analytical skills</li><li>Excellent communication and collaboration abilities</li><li>Self-motivated and proactive</li></ul>How to Apply:Send your resume and portfolio (if available) to hiring@connectx.bizJoin CONNECT X and be part of a growing team driving innovation in the healthcare and medical billing industry!Experience:<ul><li>Social Media Marketing: 2 years (Preferred)</li></ul>Work Location: In person

Social Media Marketing Manager - Healthcare

Explore 486+ Medical billing and credentialing specialist in Islamabad this May. Find roles across top companies and apply now to boost your career.