medical billing qa auditor

sequel technologies

Location: Bahria Town Phase 7 (On-site; preference for residents of Bahria, DHA, Askari 14, or nearby areas)Company Description Sequel Technologies, a software company providing healthcare IT and medical billing services to the US market.About the Role The QA Auditor &ndash; Billing will be responsible for ensuring the accuracy, consistency, and compliance of all billing-related activities through regular quality audits. This role plays a key role in identifying process gaps, minimizing errors, and supporting continuous improvement within the billing department. The ideal candidate will have strong attention to detail, analytical skills, and a commitment to maintaining high-quality standards. Flexibility to take on additional tasks assigned by the manager is also required.Responsibilities <ul><li>Conduct quality audits on billing tasks to ensure accuracy, compliance, and adherence to standards.</li><li>Identify errors, inconsistencies, and process gaps, and provide actionable recommendations.</li><li>Maintain audit documentation and prepare reports for management review.</li><li>Collaborate with the billing team to improve quality, efficiency, and workflow accuracy.</li><li>Ensure compliance with internal policies and external billing regulations.</li><li>Perform any additional tasks assigned by the manager.</li></ul>Qualifications/Skills <ul><li>1-3 years of experience in medical billing (QA/auditing experience preferred).</li><li>Strong communication and reporting skills.</li><li>High attention to detail and ability to identify process gaps.</li><li>Understanding of billing standards, compliance, and documentation requirements.</li></ul>Timings <ul><li>6:00 PM to 3:00 AM</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, DHA 1/2, Askari 14, Gulraiz, Scheme 3 or Humak? If not, kindly state your area of residency.</li><li>The timings for this role are 5 PM to 2 AM. Are you comfortable with the timings?</li><li>This role requires an on-site interview. Will you be available for that? (we don't entertain online interviews)</li></ul>Experience:<ul><li>Billing : 5 years (Preferred)</li></ul>Work Location: In person

Medical Billing QA Auditor

Meds IT Nexus

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)

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.Job Summary We are seeking a highly skilled Oracle Developer to design, develop, and maintain enterprise-level Oracle database solutions. The ideal candidate will have extensive experience in Oracle PL/SQL programming, database architecture, performance tuning, and working in complex environments with large datasets. This role is critical in supporting our applications and ensuring database reliability, scalability, and performance.Responsibilities<ul><li>Design, develop, and optimize complex PL/SQL queries, stored procedures, triggers, packages, and functions.</li><li>Lead the design and implementation of scalable Oracle database solutions based on business requirements.</li><li>Analyze and optimize database performance, indexing strategies, and query execution plans.</li><li>Collaborate with application developers, business analysts, and QA teams to ensure seamless integration between application logic and database components.</li><li>Participate in code reviews, data modeling, and schema design for new applications or enhancements.</li><li>Monitor and troubleshoot database-related issues and provide timely resolutions.</li><li>Create and maintain technical documentation for database structures, procedures, and best practices.</li></ul>Qualifications/Skills<ul><li>Bachelor's degree in computer science, Information Systems, or related field</li><li>1-2 years of hands-on experience as an Oracle Developer.</li><li>Proficiency in Oracle 11g/12c/19c, PL/SQL, and SQL.</li><li>Experience with Oracle performance tuning and query optimization.</li><li>Strong understanding of relational database design and development principles.</li><li>Experience with tools such as SQL Developer, TOAD, or similar.</li></ul>Timings <ul><li>3:00 PM - 12 AM</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><li>Our interview will be on-site. Will you be available for that? (we don't facilitate online interviews)</li></ul>Location:<ul><li>Rawalpindi (Required)</li></ul>Work Location: In person

Jr. Oracle Developer

Speak Viral

We are seeking a detail-oriented and organized Medical Billing Specialist to manage billing processes, insurance claims, and payment collections for our healthcare facility. The ideal candidate will ensure accurate billing, timely claim submissions, and compliance with healthcare regulations while maintaining excellent communication with patients, insurance providers, and internal teams.Key Responsibilities<ul><li>Prepare, review, and submit medical claims to insurance companies and government payers.</li><li>Verify patient insurance coverage and eligibility.</li><li>Review patient bills for accuracy and completeness before submission.</li><li>Follow up on unpaid or denied claims and resolve billing discrepancies.</li><li>Post payments from insurance companies and patients.</li><li>Maintain accurate billing records and documentation.</li><li>Communicate with patients regarding billing inquiries, payment plans, and account balances.</li><li>Work with coding staff to ensure correct use of medical codes (ICD-10, CPT, HCPCS).</li><li>Ensure compliance with healthcare billing regulations and privacy laws (HIPAA).</li><li>Generate billing reports and assist with revenue cycle management.</li></ul>Required Qualifications<ul><li>High school diploma or equivalent (Associate degree in Healthcare Administration or related field preferred).</li><li>Proven experience as a Medical Billing Specialist or in medical billing and coding.</li><li>Knowledge of medical billing procedures, insurance guidelines, and claim management.</li><li>Familiarity with ICD-10, CPT, and HCPCS coding systems.</li><li>Proficiency in medical billing software and electronic health records (EHR) systems.</li><li>Strong attention to detail and organizational skills.</li><li>Excellent communication and problem-solving abilities.</li></ul>Preferred Skills<ul><li>Certification such as Certified Professional Biller (CPB) or Certified Coding Specialist (CCS).</li><li>Experience with Medicare, Medicaid, and commercial insurance billing.</li><li>Ability to manage multiple tasks and meet deadlines in a fast-paced environment.</li><li>Strong analytical and reconciliation skills.</li></ul>Job Type: Full-timePay: Rs45,000.00 - Rs75,000.00 per monthWork Location: In person

Medical Billing Specialist

We are seeking a results-driven Medical Billing Sales Executive to promote and sell medical billing services to healthcare providers, clinics, hospitals, and physician practices. The ideal candidate will be responsible for identifying new business opportunities, building relationships with healthcare professionals, and demonstrating how medical billing solutions can improve revenue cycle management and operational efficiency.Key Responsibilities<ul><li>Identify and prospect potential clients such as physician practices, clinics, hospitals, and healthcare groups.</li><li>Promote and sell medical billing and revenue cycle management (RCM) services.</li><li>Conduct sales presentations and product demonstrations to healthcare decision-makers.</li><li>Generate and qualify leads through cold calling, networking, referrals, and digital outreach.</li><li>Build and maintain strong relationships with healthcare providers and administrators.</li><li>Understand client billing challenges and propose appropriate billing solutions.</li><li>Prepare proposals, negotiate contracts, and close sales deals.</li><li>Achieve monthly and quarterly sales targets.</li><li>Maintain accurate records of sales activities and client interactions in CRM systems.</li><li>Coordinate with operations and billing teams to ensure smooth onboarding of new clients.</li><li>Stay updated on healthcare billing regulations, insurance processes, and industry trends.</li></ul>Required Skills &amp; Qualifications<ul><li>Bachelor&rsquo;s degree in Business, Healthcare Administration, Marketing, or a related field (preferred).</li><li>2+ years of experience in healthcare sales, medical billing sales, or healthcare services sales.</li><li>Strong knowledge of medical billing processes, insurance claims, and revenue cycle management (RCM).</li><li>Excellent communication, negotiation, and presentation skills.</li><li>Ability to build relationships with healthcare professionals and decision-makers.</li><li>Strong prospecting and lead generation skills.</li><li>Experience using CRM tools and sales tracking systems.</li><li>Self-motivated with a strong focus on achieving sales goals.</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 3am)?</li><li>Will you be able to commute to Bahria Town Phase 7 Rawalpindi?</li></ul>Work Location: In person

Medical Billing Sales Executive

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

Next Gen Technologies Pvt Ltd

Job Title: QA Executive (Call Center &ndash; Night Shift)Job Description: We are hiring a QA Executive for our call center night shift. The candidate will be responsible for monitoring calls, evaluating agent performance, and ensuring quality standards are maintained.Key Responsibilities:<ul><li>Monitor live and recorded calls.</li><li>Evaluate agent performance and maintain QA scores.</li><li>Provide feedback and coaching to agents for improvement.</li><li>Prepare daily/weekly QA reports.</li><li>Ensure agents follow campaign guidelines and company policies.</li></ul>Requirements:<ul><li>Minimum 1 year experience in Call Center QA or relevant role.</li><li>Good listening, analytical, and communication skills.</li><li>Ability to work in night shift.</li></ul>Location: NextGen Arcade, Old Airport Road, near Shah Khalid Stop, RawalpindiSalary: 50K &ndash; 60K + Performance Bonus.Pay: Rs50,000.00 - Rs70,000.00 per monthWork Location: In person

We are Hiring QA for call center

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