medical billing specialist

Oditi Global Solutions Pvt Ltd

Hiring Open for:<ul><li>AR Follow Up</li><li>Denial management</li><li>Charge Posting</li><li>Payment Posting</li><li>AR Reconciliation</li><li>Credentialing &amp;amp; Contracting</li></ul>Job description Should have minimum of 6 months to 2 years&rsquo; experience Ability to work under minimum supervision and demonstrate strong initiative. Ability to recognize, evaluate, solve problems, and correct errors, and to develop processesthat eliminate redundancy. Ability to conceptualize workflow, develop plans, and implement appropriate actions. Ability to communicate effectively in writing, over the telephone, and in person. Skill in establishing and maintaining effective working relationships with other employees,middle and senior management in the organization. Proficient in Microsoft Office, including Outlook, PPT, Word, and ExcelJob Responsibilities Responsible for calling Insurance companies (in US) on behalf of doctors/physicians andfollow up on outstanding Accounts Receivable To prioritize the pending claims for calling from the aging bucket. Should be able to convincethe claims company (payers) for payment of their outstanding claims. To check the appropriateness of the insurance information given by the patient if it isinadequate or unclear. To make a physical call by following the international norms and applicable rules forconfidentiality and HIPAA compliance Escalate difficult collection situations to management in a timely manner. Should have basic knowledge of the entire Revenue Cycle Management (RCM) Sound knowledge of U.S. Healthcare Domain (Provider side) methods for improvement onthe sameOther Job Duties include Examine denied and underpaid claims to determine the reason for discrepancies. Communicate directly with payers to follow up on outstanding claims, file technical appeals,resolve payment variances, and ensure timely reimbursement. Ability to identify with specific reason underpayments, denials, and cause of payment delay. Works with management to identify, trend, and address the root causes of issues in the A/R. Maintain a thorough understanding of federal and state regulations, as well as payer-specificrequirements and take appropriate action accordingly. Document activity accurately including contact names, addresses, phone numbers, andother pertinent information. Demonstrate initiative and resourcefulness by making recommendations and communicatingtrends and issues to management. Needs to be a strong problem solver and critical thinker to resolve accounts. Must meetproductivity and quality standards. Performs other duties as assigned.Job Type: Full-timePay: Up to ₹40,000.00 per monthWork Location: In person

Medical Billing Specialist

CrecenTech

Overview: CrecenTech Systems Private Limited is seeking a results-driven Senior Business Development Specialist &ndash; Medical Billing to accelerate business growth within the international healthcare and Revenue Cycle Management (RCM) services market. This role is ideal for a professional who excels at developing new business opportunities and building long-term partnerships with healthcare organizations.Key Responsibilities:<ul><li>Identify and pursue new business opportunities for Medical Billing and RCM services</li><li>Conduct outbound prospecting through calls, emails, and professional networking platforms</li><li>Engage with healthcare providers to understand their billing and revenue cycle needs</li><li>Present and promote service offerings, including Medical Billing, Coding, Accounts Receivable, and Denial Management</li><li>Assist in proposal development, pricing negotiations, and contract closures</li><li>Maintain accurate sales pipelines, forecasts, and activity records using CRM tools</li><li>Collaborate with internal teams to ensure smooth client onboarding and seamless service delivery</li><li>Achieve assigned monthly and quarterly business development targets</li><li>Stay informed about healthcare industry trends, billing practices, and compliance standards</li></ul>Required Qualifications:<ul><li>Bachelor&rsquo;s degree in Business, Marketing, Healthcare Management, or a related field</li><li>Minimum of 3 years of experience in business development or sales (experience in medical billing services is a plus)</li><li>Solid understanding of medical billing and revenue cycle workflows</li><li>Excellent communication, negotiation, and relationship-building skills</li><li>Hands-on experience with CRM or sales management tools</li><li>Ability to work with international clients and flexible working hours</li></ul>Preferred Qualifications:<ul><li>Experience selling Medical Billing, Coding, or RCM-related services</li><li>Familiarity with professional networking and lead generation platforms</li><li>Prior exposure to healthcare or medical service environments</li></ul>Benefits:<ul><li>At least two bonuses per year (Eid Bonus)</li><li>Commission Offered</li><li>Performance-Based Bonuses</li><li>Maternity/Paternity Allowance</li><li>Maternity Leaves</li><li>Wedding Allowance</li><li>Annual Leaves Encashment</li><li>Double salary on Gazetted Holidays</li><li>Special Allowance for Emergency</li><li>12 Casual Leaves</li><li>10 Medical Leaves</li><li>10 Annual Leaves</li><li>Dedicated Training</li><li>Birthday celebrations</li><li>Gaming Facility</li><li>Growing &amp; Dynamic Team</li><li>Office Gatherings, Celebrations, and Trips</li><li>5 days a week (work-life balance)</li></ul>Job Location: Link Road Model Town, Lahore Job Timings: 6 PM to 3 AM (5 days a week)Job Type: Full-timeApplication Question(s):<ul><li>How many years of experience do you have in business development or sales?</li><li>Are you comfortable conducting outbound prospecting through calls, emails, and professional networking platforms?</li><li>Are you comfortable working in night Shift?</li><li>What are your expected salary?</li></ul>Experience:<ul><li>Medical Billing: 3 years (Required)</li></ul>Language:<ul><li>English (Required)</li></ul>Location:<ul><li>Lahore Model Town (Required)</li></ul>Work Location: In person

Business Development Specialist – Medical Billing

PMTAC Pvt Ltd

Job Title: SNF Medicare Billing Specialist &ndash; PDPM (Skilled Nursing Facility)Location: Rawalpindi, Pakistan (Onsite) Company: PMTAC Pvt. Ltd. Shift: Night Shift (US Healthcare)Position OverviewPMTAC is seeking an experienced SNF Medicare Billing Specialist with strong knowledge of the Patient-Driven Payment Model (PDPM) and Skilled Nursing Facility (SNF) Medicare Part A billing requirements. The ideal candidate will have hands-on experience with MDS-driven reimbursement, HIPPS coding, and UB-04 claim submission.This role requires a strong understanding of Centers for Medicare &amp; Medicaid Services (CMS) billing guidelines and compliance regulations.Key Responsibilities1. Medicare Eligibility Verification<ul><li>Verify Medicare Part A coverage for SNF residents.</li><li>Confirm qualifying 3-day hospital stay and benefit period.</li><li>Review secondary insurance coverage (Medicaid, Medicare Advantage, commercial payers).</li></ul>2. MDS &amp; PDPM Coordination<ul><li>Review and ensure accurate completion of Minimum Data Set (MDS) assessments.</li><li>Validate:</li><li>Clinical conditions</li><li>Functional status</li><li>Comorbidities</li><li>Confirm HIPPS code generation from MDS.</li><li>Ensure documentation supports PDPM classification.</li><li>Understand and apply the guidelines of the Patient-Driven Payment Model.</li></ul>3. UB-04 (CMS-1450) Claim Preparation<ul><li>Prepare and submit facility claims using the UB-04 (CMS-1450) form.</li><li>Accurately complete required fields including:</li><li>Type of Bill (21X)</li><li>Statement Covers Period</li><li>Revenue Codes (0022&ndash;0029 for PDPM)</li><li>HIPPS Code</li><li>Units (covered days)</li><li>Total Charges</li><li>Occurrence Codes (qualifying hospital stay)</li><li>Ensure proper reporting of PDPM per diem billing structure.</li></ul>4. Claim Submission &amp; Follow-Up<ul><li>Submit claims electronically via EDI/clearinghouse or CMS DDE.</li><li>Work with Medicare Administrative Contractors (MACs).</li><li>Monitor claim status and resolve denials or RTPs.</li><li>Submit corrected claims when MDS or HIPPS codes change.</li></ul>5. Payment Reconciliation &amp; Post-Processing<ul><li>Post Medicare payments and reconcile PDPM variable per diem rates.</li><li>Identify underpayments or discrepancies.</li><li>Coordinate professional claims (CMS-1500) separately from facility billing.</li></ul>6. Compliance &amp; Audit Readiness<ul><li>Ensure clinical documentation supports billed services.</li><li>Maintain compliance with CMS and Medicare billing regulations.</li><li>Assist with audits and ADR responses.</li></ul>Required Qualifications<ul><li>Minimum 2&ndash;3 years of SNF Medicare Part A billing experience.</li><li>Strong knowledge of PDPM reimbursement methodology.</li><li>Experience working with MDS assessments and HIPPS coding.</li><li>Proficiency in UB-04 (CMS-1450) claim preparation.</li><li>Understanding of revenue codes 0022&ndash;0029.</li><li>Familiarity with Medicare Administrative Contractors (MACs).</li><li>Experience with electronic billing systems and clearinghouses.</li><li>Strong attention to detail and regulatory compliance knowledge.</li></ul>Preferred Qualifications<ul><li>RHIT, RHIA, CPC, or CPB certification.</li><li>Experience in long-term care or post-acute care settings.</li><li>Knowledge of Medicare Advantage SNF billing.</li></ul>Core Competencies<ul><li>Knowledge of PDPM case-mix components (PT, OT, SLP, Nursing, NTA).</li><li>Understanding of variable per diem adjustments.</li><li>Ability to analyze MDS-driven reimbursement.</li><li>Strong denial management skills.</li><li>Excellent documentation review and audit readiness skills.</li></ul>Interested candidates with SNF Medicare Billing Specialist are encouraged to apply by sharing their CV at: careers@pmtac.coma.arslan@pmtac.com Subject: SNF Medicare Billing SpecialistJob Type: Full-timePay: Rs80,000.00 - Rs150,000.00 per monthExperience:<ul><li>SNF Medicare PDPM billing: 2 years (Required)</li><li>MDS assessments and HIPPS coding: 2 years (Required)</li><li>UB-04 (CMS-1450) claim preparation: 2 years (Required)</li></ul>License/Certification:<ul><li>RHIT, RHIA, CPC, or CPB certification (Required)</li></ul>Location:<ul><li>Rawalpindi (Required)</li></ul>Work Location: In person

SNF Medicare Billing Specialist – PDPM (Skilled Nursing Facility)

BLMS SMC PVT LTD

Industry: Medical Billing Experience Required: 6 months to 1 year Shift Timing: Night ShiftJob Overview We are looking for a dedicated Female Customer Support Specialist to join our medical billing team for the night shift. The role focuses on handling client inquiries, resolving billing-related issues, and providing accurate support to healthcare providers and patients. The ideal candidate has basic experience in customer support, good communication skills, and a clear understanding of medical billing processes.Key Responsibilities<ul><li>Handle inbound and outbound calls, emails, and chat queries related to medical billing</li><li>Respond to patient and client questions about invoices, claims, payments, and account status</li><li>Coordinate with internal billing and AR teams to resolve issues efficiently</li><li>Document all interactions accurately in the system</li><li>Follow HIPAA and company data security guidelines at all times</li><li>Meet quality, accuracy, and response-time targets</li><li>Escalate complex issues to senior staff when needed</li></ul>Required Skills and Qualifications<ul><li>6 months to 1 year of experience in customer support, preferably in medical billing or healthcare</li><li>Basic understanding of medical billing terms such as claims, EOBs, denials, and payments</li><li>Strong verbal and written communication skills in English</li><li>Ability to work independently during night shifts</li><li>Good listening and problem-solving skills</li><li>Basic computer skills and familiarity with CRM or billing systems</li></ul>Preferred Qualifications<ul><li>Experience working with US healthcare clients</li><li>Prior experience in a BPO or medical billing company</li><li>Comfortable handling calls and written communication</li></ul>Work Conditions<ul><li>Night shift role</li><li>Office-based or remote, depending on company policy</li><li>Full-time position</li></ul>If you&rsquo;re detail-oriented, patient-focused, and comfortable working night shifts, this role is a good opportunity to grow in the medical billing industry.Job Type: Full-timePay: Rs50,000.00 - Rs80,000.00 per monthWork Location: In person

CSR/Sales (Medical Biller)

Active Hires USA

Job Title: Revenue Cycle Management (RCM) SpecialistLocation: Egypt (Work from Home)Company: Go Physical Therapy (USA-based)Job Type: Full-time (Remote, Work from Home)About Us:Go Physical Therapy is a leading physical therapy provider based in the USA, committed to delivering exceptional care to our patients. We are seeking a skilled and experienced RCM Specialist to join our team remotely from Cairo, Egypt. This role is crucial in ensuring the smooth management of our revenue cycle and optimizing our billing processes.Job Overview:As an RCM Specialist, you will be responsible for managing the end-to-end revenue cycle, including patient registration, insurance verification, claim submission, and payment posting. You will collaborate with our team in the USA to ensure timely and accurate billing, minimize claim denials, and improve overall revenue collection. This position offers the flexibility of working from home, allowing you to balance your professional and personal life effectively.Key Responsibilities:<ul><li>Insurance Verification: Confirm patient insurance coverage and eligibility prior to services being rendered.</li><li>Billing &amp; Coding: Ensure accurate coding of medical services and procedures to maximize reimbursement.</li><li>Claim Submission: Prepare and submit claims to insurance companies and other payers efficiently.</li><li>Follow-Up: Track and follow up on unpaid claims, resolving issues related to claim denials or rejections.</li><li>Payment Posting: Accurately post payments from insurance companies and patients to the correct accounts.</li><li>Reporting: Generate and analyze reports related to revenue cycle metrics, such as days in accounts receivable, denial rates, and collection efficiency.</li><li>Compliance: Ensure that all billing practices comply with relevant regulations and industry standards.</li></ul>Qualifications:<ul><li>Experience: Minimum of 1-2 years of experience in revenue cycle management or medical billing.</li><li>Skills:</li><li>Strong understanding of medical billing, coding (ICD-10, CPT), and insurance processes.</li><li>Proficiency in healthcare management software (e.g., EMR/EHR systems).</li><li>Excellent communication and problem-solving skills.</li><li>Ability to work independently and manage multiple tasks effectively.</li><li>Fluency in English: Both written and spoken fluency in English is required to effectively communicate with our USA-based team and clients.</li><li>Soft Skills: Teamwork, adaptability, and attention to detail are highly valued.</li></ul>What We Offer:<ul><li>Competitive salary</li><li>Opportunity to work remotely from home in Egypt</li><li>Professional development and growth opportunities</li><li>A collaborative and supportive work environment</li></ul>Job Type: Full-timePay: E&pound;10,000.00 - E&pound;18,000.00 per monthExperience:<ul><li>Revenue Cycle Management Specialist: 1 year (Required)</li></ul>Language:<ul><li>English (Required)</li></ul>

Revenue Cycle Management (RCM) Specialist - remotely

Qoyod

<div>Role Purpose 

The Billing &amp; Activation Specialist plays a key role in supporting customer onboarding and billing operations by ensuring accurate setup of customer accounts, subscription plans, and billing profiles. This role helps ensure operational accuracy, smooth customer activation, and timely invoicing while providing an excellent foundation for a career in accounting, billing, and SaaS operations. 

Responsibilities 
<ul>
<li>Process customer account activations and subscription setup accurately and efficiently</li>
<li>Create and maintain customer billing profiles, ensuring correct pricing, plans, and subscription details</li>
<li>Review billing data to ensure accuracy and support timely invoicing</li>
<li>Monitor activation workflows and follow up on pending or incomplete requests</li>
<li>Assist in identifying and resolving billing discrepancies or activation issues</li>
<li>Maintain accurate records in internal billing systems and tools</li>
<li>Coordinate with Sales, Customer Support, and Operations teams to ensure smooth customer onboarding</li>
<li>Ensure compliance with internal policies, billing procedures, and service terms</li>
<li>Support continuous improvement of billing and activation processes</li> 
</ul>
Requirements 
<ul>
<li>Bachelor&rsquo;s degree in Accounting, Commerce, Business Administration, Finance, or a related field 
</li>
<li>Basic understanding of accounting principles and financial concepts</li>
<li>Strong attention to detail and accuracy</li>
<li>Good organizational and time management skills</li>
<li>Good communication skills and ability to work collaboratively</li>
<li>Basic proficiency in Microsoft Excel</li></ul></div>

Billing & Activation Specialist

Qualix Solutions

Employment Type: Full-Time, Project-Based ContractDuration: 3 months (with potential for renewal or full-time position)Location: Onsite (PECHS, Karachi)About the RoleQualix Solutions is working on an innovative health tech product for a client building an AI-powered medical documentation and billing platform focused on cardiovascular and vascular procedures. The platform leverages advanced AI to improve documentation accuracy, streamline coding workflows, and optimize insurance reimbursement for hospitals and surgical teams.We are seeking a Medical Coding Specialist to help us accurately code procedures using CPT, HCPCS, ICD-10, and ICD-9 (via crosswalk mapping) codes. This is an opportunity to help shape an AI product from the ground up. You will work directly with our medical, development, and AI engineering teams to build coding logic that drives better documentation and billing outcomes.Our initial focus is on catheterization lab and vascular procedures, but we plan to expand into additional surgical specialties, so strong foundational knowledge of anatomy is essential.Work Environment Requirements<ul><li>Onsite onboarding with our medical and development teams is required before transitioning to remote work.</li><li>Working hours must align with US Eastern or Pacific time zones for team calls and collaboration.</li><li>Reliable internet connection for web conferencing.</li><li>Must appear on camera during video calls.</li><li>A quiet workspace with good lighting and audio quality is essential.</li></ul>ResponsibilitiesMedical Data Review and Annotation<ul><li>Review catheterization lab recordings to capture procedure details, anatomical locations, supplies used, and clinical findings.</li><li>Analyze vascular and echocardiogram ultrasound recordings and reports to identify relevant anatomy and contribute to platform training.</li><li>Correlate supply, anatomy, and clinical details with insurance reimbursement reports for cardiovascular procedures.</li><li>Assign appropriate CPT, HCPCS, ICD-10, and ICD-9 (crosswalked) codes to procedures and findings.</li><li>Research and document codes to address platform issues and minimize insurance delays or denials.</li></ul>Data Enrichment<ul><li>Create decision frameworks that help medical staff and our AI (Large Language Model) select the most precise codes for a given procedure or finding.</li><li>Support updates for the 2026 coding rules refresh.</li></ul>Quality Assurance<ul><li>Identify and resolve inconsistencies or errors in existing coding logic.</li><li>Guide corrections to AI-generated coding suggestions.</li><li>Uphold high standards for accuracy and completeness across all coding processes.</li></ul>Collaboration<ul><li>Provide constructive feedback to developers and AI engineers on coding accuracy.</li><li>Participate in workflow improvement discussions.</li><li>Help refine coding guidelines as the product evolves.</li></ul>Administrative AI Workflow<ul><li>Learn and implement AI tools to streamline daily operations and data entry.</li><li>Engage with various AI platforms that support operations, admin, and marketing functions.</li></ul>RequirementsEducation and Background<ul><li>Medical student, physician (recent graduates welcome), sonographer, medical coder, or other relevant medical field experience.</li><li>Strong foundational knowledge of human anatomy and medical terminology.</li><li>Familiarity with catheterization labs, vascular/hybrid surgery labs, vascular ultrasounds, or echocardiograms is a strong plus.</li><li>Familiarity with operating rooms and surgical procedures is a plus.</li></ul>Skills<ul><li>Understanding of US healthcare insurance billing rules and payer requirements.</li><li>Exceptional attention to detail and ability to follow structured guidelines.</li><li>Basic computer proficiency, including comfort with Excel and web-based tools (training on our platform will be provided).</li><li>Openness to learning new web technologies that can contribute to platform growth.</li><li>Interest and willingness to engage with AI platforms that support operations and workflows.</li></ul>Certifications (Preferred)<ul><li>CPC, CCS, or equivalent medical coding certification.</li></ul>Availability<ul><li>Full-time commitment for a minimum of 3 months.</li><li>Flexibility to align with US Eastern or Pacific time zones for team meetings.</li><li>Good internet access is required for Work-from-home; video sharing and being on camera during conference calls is mandatory.</li></ul>Job Type: Full-timeApplication Question(s):<ul><li>What is your current salary?</li><li>What is your expected salary?</li><li>Is your expected salary negotiable?</li><li>Please rate your English communication skills on a scale of 1 (Novice) to 10 (Expert)?</li></ul>Work Location: In person

Medical Coding Specialist (US Healthcare)

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