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quality assurance analyst – rcm & credentialing medical billing usa Jobs in Karachi

accounts receviable executive (medical billing) Jobs in Karachi

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quality assurance analyst rcm credentialing medical billing usa

Boston NeuroBehavioral Associates

<div><div>Citadel Healthcare Management (PVT) LTD. provides healthcare management services for practices across North America. Our dedicated team supports a wide range of medical administration tasks, working collaboratively across multiple disciplines.
Our mission is to offer employees meaningful opportunities to apply their expertise, grow in their careers, and contribute to the organization&rsquo;s ongoing success.
We are committed to creating a workplace where employees feel valued, supported, and motivated. By fostering a collaborative and engaging environment, we ensure that every contribution is recognized and appreciated.
At Citadel, diversity and inclusion are at the heart of our culture. We welcome individuals from all backgrounds&mdash;regardless of gender, ethnicity, age, religion, lifestyle, or disability&mdash;and embrace the unique perspectives and experiences they bring. Through teamwork, innovation, and continuous professional development, we empower our employees to thrive and drive progress within the organization. 
As Quality Assurance Analyst &ndash; RCM &amp; Credentialing - of CHM you will be liable to perform the following job duties: 
Essential Duties and Responsibilities:<ul><li>
Perform daily auditing of RCM accounts worked by staff to ensure accuracy based on QA policies and procedures</li><li>
Review credentialing files for accuracy, completeness, and compliance with state/federal regulations and internal policies</li><li>
Enter, update, and maintain or audit provider data within credentialing databases and tracking systems</li><li>
Gather and document general documentation issues for educational feedback purposes</li><li>
Maintain QA findings and complete monthly summary reports based on daily audit results, and distribute them to management</li><li>
Communicate quality deficiencies to staff and provide detailed feedback where necessary</li><li>
Identify and trend recurring errors and report them to management to support training and process improvement</li><li>
Work closely with department management to review and improve workflows and ensure account resolution efficiency</li><li>
Assist in the training of new staff related to QA policies and procedures</li><li>
Report payor issues, system issues, or staff-related issues to management</li><li>
Respond to inquiries from other departments as needed</li><li>
Ensure compliance with information systems security policies, attend required training, and report any security concerns</li><li>
Adhere to the company code of conduct, ethics policies, and compliance requirements, including reporting any violations appropriately</li><li>
Complete QA summary files and support overall QA reporting processes</li><li>
Support company values and perform other duties as assigned</li></ul></div><ul><li><div>
Benefits</div></li><li><div><ul><li><div><ul><li>
Provident Fund</li><li>
Leave Encashment</li><li>
Gratuity</li><li>
Health Insurance</li><li>
Inflation Bonus</li><li>
Housing Allowance</li><li>
Patient seen Bonus</li><li>
Eid Bonus</li></ul></div></li></ul></div></li></ul>
Salary: 
60,000PKR - 80,000PKR
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Quality Assurance Analyst – RCM & Credentialing Medical Billing USA

Boston Neurobehavioral Associates

<div>
 
 
 
 Citadel Healthcare Management (PVT) LTD.
 
 provides healthcare management services for practices across North America. Our dedicated team supports a wide range of medical administration tasks, working collaboratively across multiple disciplines.
 
 
 
 
 Our mission is to offer employees meaningful opportunities to apply their expertise, grow in their careers, and contribute to the organization&rsquo;s ongoing success.
 
 
 
 
 We are committed to creating a workplace where employees feel valued, supported, and motivated. By fostering a collaborative and engaging environment, we ensure that every contribution is recognized and appreciated.
 
 
 
 
 At Citadel, diversity and inclusion are at the heart of our culture. We welcome individuals from all backgrounds&mdash;regardless of gender, ethnicity, age, religion, lifestyle, or disability&mdash;and embrace the unique perspectives and experiences they bring. Through teamwork, innovation, and continuous professional development, we empower our employees to thrive and drive progress within the organization.
 
 
 
 
 
 As
 
 Quality Assurance Analyst &ndash; RCM &amp; Credentialing
 
 - of CHM you will be liable to perform the following job duties:
 
 
 &nbsp;
 
 
 Essential Duties and Responsibilities:
 
 
 <ul>
 <li>
 
 Perform daily auditing of RCM accounts worked by staff to ensure accuracy based on QA policies and procedures
 
 </li>
 <li>
 
 Review credentialing files for accuracy, completeness, and compliance with state/federal regulations and internal policies
 
 </li>
 <li>
 
 Enter, update, and maintain or audit provider data within credentialing databases and tracking systems
 
 </li>
 <li>
 
 Gather and document general documentation issues for educational feedback purposes
 
 </li>
 <li>
 
 Maintain QA findings and complete monthly summary reports based on daily audit results, and distribute them to management
 
 </li>
 <li>
 
 Communicate quality deficiencies to staff and provide detailed feedback where necessary
 
 </li>
 <li>
 
 Identify and trend recurring errors and report them to management to support training and process improvement
 
 </li>
 <li>
 
 Work closely with department management to review and improve workflows and ensure account resolution efficiency
 
 </li>
 <li>
 
 Assist in the training of new staff related to QA policies and procedures
 
 </li>
 <li>
 
 Report payor issues, system issues, or staff-related issues to management
 
 </li>
 <li>
 
 Respond to inquiries from other departments as needed
 
 </li>
 <li>
 
 Ensure compliance with information systems security policies, attend required training, and report any security concerns
 
 </li>
 <li>
 
 Adhere to the company code of conduct, ethics policies, and compliance requirements,&nbsp;including reporting any violations appropriately
 
 </li>
 <li>
 
 Complete QA summary files and support overall QA reporting processes
 
 </li>
 <li>
 
 Support company values and perform other duties as assigned
 
 </li>
 </ul>
 <ul>
 <li>
 
 
 
 
 Benefits
 
 
 
 
 </li>
 <li>
 <ul>
 <li>
 <ul>
 <li>
 
 
 
 Provident Fund
 
 
 
 </li>
 <li>
 
 
 
 Leave Encashment
 
 
 
 </li>
 <li>
 
 
 
 Gratuity
 
 
 
 </li>
 <li>
 
 
 
 Health Insurance
 
 
 
 </li>
 <li>
 
 
 
 Inflation Bonus
 
 
 
 </li>
 <li>
 
 
 
 Housing Allowance
 
 
 
 </li>
 <li>
 
 
 
 Patient seen Bonus
 
 
 
 </li>
 <li>
 
 
 
 Eid Bonus
 
 
 
 </li>
 </ul>
 </li>
 </ul>
 </li>
 </ul>
 
 Salary:
 
 
 60,000PKR - 80,000PKR
</div>

Sybrid Careers

<div>
 <ul>
 <li>
 Education: Bachelor&rsquo;s or Master&rsquo;s degree in Business, Marketing, or a related field.
 </li>
 <li>
 Location: Karachi Office
 </li>
 <li>
 Shift: 6:00 PM &ndash; 3:00 AM (Monday to Friday)
 </li>
 <li>
 Experience: 5&ndash;10 years of aggressive sales experience, specifically within the Medical Billing/RCM sector.
 
 
 </li>
 </ul>
 
 Core Responsibilities
 
 
 
 <ul>
 <li>
 Strategic Growth: Developing and executing high-level sales strategies to penetrate the international RCM market.
 </li>
 <li>
 Lead Generation: Identifying and capturing new business opportunities to expand our global footprint.
 </li>
 <li>
 Team Leadership: Mentoring and managing a high-performing sales team to exceed organizational benchmarks.
 </li>
 <li>
 Revenue Management: Overseeing the sales pipeline, accurate forecasting, and hitting aggressive revenue targets.
 </li>
 <li>
 Operational Excellence: Building strategic partnerships and streamlining sales operations for maximum efficiency.
 </li>
 </ul>
</div>

AVP Sales (Medical Billing – RCM)

Eplanet Global

Job Title: AR Specialist &ndash; Medical BillingLocation: Karachi (Onsite) Experience: 2&ndash;5 Years (US Healthcare AR) Shift: US Shift (Night) Salary Range: 150K&ndash; 160K PKR (depending on experience)Job Summary:I am looking for a skilled AR Specialist (Medical Billing) with hands-on experience in US healthcare revenue cycle management. The candidate will be responsible for managing insurance follow-ups, claim resolutions, and ensuring maximum reimbursement by working on denied, rejected, and unpaid claims.Key Responsibilities:<ul><li>Work on Accounts Receivable (AR) for US healthcare clients</li><li>Perform insurance follow-ups on unpaid/underpaid claims (via calls/portals)</li><li>Analyze and resolve denied and rejected claims</li><li>Handle payment posting discrepancies and reconciliation</li><li>Ensure timely appeals filing for denied claims</li><li>Work on aging reports (30/60/90/120+ days) and prioritize collections</li><li>Coordinate with billing and coding teams to fix claim issues</li><li>Maintain accurate documentation of follow-ups and actions taken</li><li>Meet daily/weekly productivity and collection targets</li></ul>Required Skills &amp; Qualifications:<ul><li>Bachelor&rsquo;s degree (preferred)</li><li>2&ndash;5 years of US Medical Billing AR experience</li><li>Strong understanding of RCM (Revenue Cycle Management)</li><li>Knowledge of CPT, ICD-10, HCPCS codes</li><li>Familiarity with insurance portals (e.g., Availity, Navinet)</li><li>Experience with denial management &amp; appeals</li><li>Good communication skills for US insurance calling</li><li>Proficiency in MS Excel and billing software</li></ul>Preferred:<ul><li>Experience in specialties (e.g., Radiology, DME, Internal Medicine, etc.)</li><li>Exposure to EHR/EMR systems (e.g., Kareo, AdvancedMD, eClinicalWorks)</li></ul>KPIs / Performance Metrics:<ul><li>AR aging reduction</li><li>Collection ratio / recovery rate</li><li>Denial resolution turnaround time</li><li>Productivity (claims handled per day)</li><li>Quality &amp; accuracy of follow-ups</li></ul>Job Type: Full-timePay: Rs150,000.00 - Rs160,000.00 per monthWork Location: In person

AR Specialist – Medical Billing

Caregenix Solutions

Role: RCM Specialist Location: Cherry Plaza, DHA Phase 2, Karachi Shift: 6:00 PM &ndash; 3:00 AM (US Hours) Compensation: Competitive Salary + Fuel Allowance / TransportRequirements: <ul><li>3&ndash;5 years of proven experience in Medical Billing / Revenue Cycle Management.</li><li>Strong understanding of US healthcare billing processes, insurance claims, and denials management.</li><li>Excellent English communication skills (written &amp; spoken).</li><li>Leadership skills and ability to mentor junior team members.</li><li>Detail-oriented, analytical, and results-driven.</li></ul>What We Offer:<ul><li>A competitive compensation package</li><li>Opportunities for career growth and leadership roles</li><li>A collaborative and supportive work environment</li></ul>Job Type: Full-timePay: Up to Rs150,000.00 per monthApplication Question(s):<ul><li>What is your expected pay?</li></ul>Work Location: In person

RCM Specialist/Medical billing Specialist

Workflow Hub

Job Summary:Workflow Hub is seeking an experienced and driven Senior Medical Biller. This position supports a multi-specialty medical practice based in Manhattan, United States, with specialties in Primary Care, Cardiology, Neurology, Preventive Care, and Women&rsquo;s Health. The ideal candidate will take charge of end-to-end revenue cycle management, optimize operational performance, and drive excellence in communication across payers, patients, and internal teams.Key Responsibilities:<ul><li>Review patient charts and assign appropriate ICD-10, CPT, and HCPCS codes</li><li>Prepare and submit accurate insurance claims to payers</li><li>Verify patient insurance eligibility and benefits</li><li>Follow up on unpaid or denied claims in a timely manner</li><li>Handle claim corrections, resubmissions and appeals</li><li>Generate and send patient statements</li><li>Maintain compliance with healthcare regulations and billing standards</li></ul>Requirements:<ul><li>1&ndash;3 years of medical billing experience (internal medicine preferred)</li><li>Strong knowledge of ICD-10, CPT, and HCPCS coding systems</li><li>Familiarity with E/M (Evaluation &amp; Management) coding</li><li>Experience with EMR/EHR systems and billing software</li><li>Understanding of insurance guidelines (Medicare, Medicaid, commercial payers)</li><li>Excellent attention to detail and Organizational skills</li><li>Strong communication and problem-solving abilities</li></ul>Preferred Qualifications<ul><li>Prior experience in an internal medicine practice</li><li>Ability to handle high-volume billing tasks</li><li>Knowledge of denial management and revenue cycle processes</li></ul>How to ApplyPlease submit your resume and a brief cover letter to: billing@mmedicalarts.comJob Type: Full-timePay: From Rs100,000.00 per monthExperience:<ul><li>RCM: 5 years (Preferred)</li></ul>Language:<ul><li>English (Required)</li></ul>Work Location: In person

Senior Medical Biller / Internal Medicine

Mac Care

We are seeking a detail-oriented and analytical Insurance Verification &amp; Eligibility Specialist to join our Revenue Cycle team. The ideal candidate will be responsible for verifying patient insurance coverage, determining eligibility, obtaining prior authorizations, and ensuring accurate documentation to support timely claim submission and payment. This role is critical in reducing claim denials, accelerating reimbursements, and supporting overall financial performance in a U.S. healthcare environment.Key Responsibilities: Insurance Verification &amp; Eligibility:<ul><li>Verify patient insurance coverage (commercial, Medicare, Medicaid, and other payers) prior to appointments or services.</li><li>Confirm benefits, deductibles, co-insurance, co-payments, policy limitations, and exclusions.</li><li>Review and interpret payer portals, EHR systems, and clearinghouses for real-time eligibility updates.</li><li>Ensure accurate documentation of verified benefits in the system.</li></ul>Authorization &amp; Pre-Certification:<ul><li>Obtain prior authorizations as required by payers for specific procedures, diagnostic tests, or treatments.</li><li>Communicate with insurance companies to resolve authorization discrepancies or incomplete information.</li><li>Track authorization status and follow up to secure approvals before service dates.</li></ul>Communication &amp; Coordination:<ul><li>Coordinate with providers, schedulers, and billing teams to ensure all insurance-related requirements are met prior to patient appointments.</li><li>Communicate coverage issues, payer requirements, or eligibility concerns to relevant teams promptly.</li><li>Provide guidance to patients regarding coverage expectations, if required.</li></ul>Documentation &amp; Data Accuracy:<ul><li>Maintain complete and accurate patient insurance information in the practice management or billing system.</li><li>Document all interactions, verification results, and authorization details in compliance with organizational policies.</li><li>Identify and correct missing or outdated insurance information.</li></ul>Denial Prevention &amp; RCM Support:<ul><li>Identify potential coverage issues that may result in claim denials.</li><li>Work closely with AR and Billing teams to support clean claim submission.</li><li>Review denial trends related to coverage or eligibility and provide feedback to the team.</li></ul>Qualifications &amp; Requirements:Education:<ul><li>Bachelor&rsquo;s degree preferred, but not mandatory.</li><li>High school diploma or equivalent required.</li></ul>Experience:<ul><li>1&ndash;2 years of experience in U.S. Healthcare Revenue Cycle Management (Insurance Verification, Eligibility, Front-End RCM).</li><li>Experience with commercial insurances, Medicare, Medicaid, and managed care plans preferred.</li><li>Familiarity with EMR systems, clearinghouses, and payer portals.</li></ul>Job Type: Full-timeWork Location: In person

Insurance Verification-Eligibility Specialist

Explore 787+ Quality assurance analyst rcm credentialing medical billing usa in Karachi this April. Find roles across top companies and apply now to boost your career.

787 quality assurance analyst rcm credentialing medical billing usa jobs In Karachi

Quality Assurance Analyst – RCM & Credentialing Medical Billing USA

Quality Assurance Analyst – RCM & Credentialing Medical Billing USA

AVP Sales (Medical Billing – RCM)

AR Specialist – Medical Billing

RCM Specialist/Medical billing Specialist

Senior Medical Biller / Internal Medicine

Insurance Verification-Eligibility Specialist