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rcm specialist

Healthrix

Overview As an RCM Specialist, you will play a pivotal role in the revenue cycle management process, ensuring that our healthcare operations run smoothly and efficiently. You will be responsible for managing medical billing, coding, and collections to optimize revenue flow while maintaining compliance with industry standards. Your expertise in medical terminology and coding systems will be essential in facilitating accurate documentation and processing of medical records.What you&rsquo;ll do<ul><li>Review and analyze patient records to ensure accurate coding using ICD-9, ICD-10, CPT coding, and DRG (Diagnosis-Related Group) methodologies.</li><li>Process medical billing and collections efficiently to maximize revenue recovery.</li><li>Collaborate with healthcare providers to clarify documentation and coding discrepancies.</li><li>Utilize EMR (Electronic Medical Records) and EHR (Electronic Health Records) systems for data entry and retrieval of patient information.</li><li>Maintain up-to-date knowledge of medical terminology, coding guidelines, and billing regulations.</li><li>Conduct audits of medical records to ensure compliance with legal and regulatory requirements.</li><li>Provide support in resolving billing inquiries from patients or insurance companies promptly.</li><li>Assist in training staff on best practices related to medical coding and billing processes.</li></ul>Basic qualifications<ul><li>Proven experience in medical office settings with a focus on RCM processes.</li></ul>Preferred qualifications<ul><li>Proficiency in DRG, CPT coding, ICD-9, ICD-10, and general medical coding practices.</li><li>Familiarity with EMR and EHR systems for effective patient data management.</li><li>Strong understanding of medical terminology and documentation standards.</li><li>Excellent communication skills for effective collaboration with healthcare teams and patients.</li></ul>Why you&rsquo;ll love it here We are dedicated to fostering an environment where our employees can thrive both professionally and personally. Our commitment extends beyond just the workplace; we offer a range of benefits designed to support your overall well-being.Our benefits include:<ul><li>Comprehensive health coverage options that cater to your needs.</li><li>Opportunities for professional development and continuous learning.</li><li>A supportive workplace culture that values teamwork and collaboration.</li><li>Resources aimed at enhancing your physical and mental health. Join us as we strive to enhance the quality of care through effective revenue cycle management! Your contributions as an RCM Specialist will directly impact our mission to provide exceptional healthcare services while ensuring financial sustainability.</li></ul>Job Type: Full-timeWork Location: In person

RCM Specialist

Abacus Outsourcing

Job Summary: The RCM (Revenue Cycle Management) Specialist is responsible for managing end-to-end billing, claims processing, payment posting, and denial management to ensure accurate and timely reimbursement. This role supports healthcare providers, administrative teams, and patients by ensuring clean claim submission, resolving billing discrepancies, and maintaining compliance with regulatory and payer guidelines.Key Responsibilities:&middot; Review patient demographic, insurance, and clinical documentation to ensure accurate claim creation and billing. &middot; Verify patient insurance eligibility, benefits, and coverage requirements prior to claim submission. &middot; Prepare, submit, and monitor medical claims to payers, ensuring timely and accurate processing. &middot; Investigate and resolve claim denials, rejections, and underpayments by coordinating with payers, providers, and internal teams. &middot; Ensure compliance with federal, state, and payer-specific billing regulations, including coding and HIPAA requirements. &middot; Maintain comprehensive and up-to-date records in practice management and EMR/RCM systems. &middot; Generate reports on claims status, collections, denials, and revenue performance. &middot; Support internal audits and quality improvement initiatives within the revenue cycle. &middot; Provide guidance to team members on billing guidelines, payer policies, and RCM best practices.Qualifications:&middot; Bachelor&rsquo;s degree in healthcare administration, business, life sciences, or related field preferred but not required. &middot; Prior experience in medical billing, RCM, claims processing, or health insurance is preferred. &middot; Strong understanding of medical billing practices, CPT/ICD coding, modifiers, and healthcare reimbursement workflows. &middot; Familiarity with EMR, EHR, and RCM/billing software systems. &middot; Excellent written and spoken English communication skills for interacting with patients, providers, and insurers. &middot; Strong attention to detail, accuracy, and organizational skills. &middot; Ability to maintain confidentiality and handle sensitive financial and medical information.Key Competencies:&middot; Analytical thinking and problem-solving. &middot; Accuracy and attention to detail. &middot; Time management and multitasking. &middot; Interpersonal skills and professionalism. &middot; Strong English communication skills (C1) for documentation, correspondence, and payer interactions.Timings: 7 PM to 4 AM Working Days: 5 Days a weekBenefits:&middot; Weekly 2 days off &middot; EOBI &middot; Medical Life Insurance (IPD + OPD)At Abacus, we&rsquo;re not just a workplace; we&rsquo;re a community built on core values. As advocates of diversity and inclusion, we proudly stand as an Equal Opportunity Employer, ensuring equitable opportunities for all. We uphold the highest standards of accountability, encouraging every team member to take ownership of their work and contribute to our shared goals. Collaboration is fundamental to our success; we believe in the power of teamwork. We foster a culture of continuous learning, where curiosity is celebrated, and growth is nurtured. Respect and empathy guide our interactions, and we embrace bold ideas and open dialogue, believing that innovation flourishes in an environment of openness.Join us at Abacus, where our values not only define our work but also shape our identity as a community!Job Type: Full-time Work Location: In person (Lahore)Job Type: Full-timePay: Rs100,000.00 - Rs130,000.00 per monthWork Location: In person

RCM Specialist- US Health Care

Devflovv

Key Responsibilities:1. Billing and Claims Processing:2. Payment Posting and Reconciliation:3. Aging and Denial Management:4. Data Analysis and Reporting:5. Customer Service and Communication:6. Compliance and Accuracy:Education:&#9679; High school diploma required; Associate&rsquo;s degree in Accounting, Finance, or relatedfield preferred.Experience:&#9679; Minimum of 1 year experience in revenue cycle management, billing, or finance.&#9679; Dental background a plus but not required (knowledge of dental anatomy, dentalterminology, and dental procedures preferred)Skills:&#9679; Strong proficiency in mathematics and data analysis.&#9679; Proficient in Microsoft Excel (advanced) and billing software.&#9679; High attention to detail and accuracy.&#9679; Strong problem-solving skills and ability to resolve discrepancies.&#9679; Good communication skills for customer service and team collaboration.Job Type: Full-timePay: Rs90,000.00 - Rs130,000.00 per monthApplication Question(s):<ul><li>Are you comfortable working in night shift?</li></ul>Work Location: In person

BLMS SMC PVT LTD

About the RoleWe are seeking a detail-oriented and experienced Medical Biller with at least 1 year of experience in medical billing and a strong understanding of Revenue Cycle Management (RCM). The ideal candidate will be responsible for ensuring accurate billing, timely submission of claims, and effective follow-up to maximize reimbursement.Key Responsibilities<ul><li>Prepare, review, and submit medical claims to insurance companies (electronic and paper).</li><li>Verify accuracy of billing data and ensure claims are compliant with industry and payer regulations.</li><li>Perform claim follow-ups, handle denials, and process appeals as necessary.</li><li>Post payments, reconcile accounts, and resolve billing discrepancies.</li><li>Maintain patient confidentiality and adhere to HIPAA compliance standards.</li><li>Collaborate with healthcare providers, patients, and insurance representatives to ensure smooth billing operations.</li><li>Generate and review aging reports to track outstanding balances.</li></ul>Requirements<ul><li>Minimum 1+ year of experience in medical billing.</li><li>Proven experience in RCM (Revenue Cycle Management) processes.</li><li>Strong understanding of CPT, ICD-10, and HCPCS coding principles.</li><li>Familiarity with electronic medical records (EMR) and billing software.</li><li>Excellent attention to detail, problem-solving, and communication skills.</li><li>Ability to work independently and meet deadlines.</li></ul>Preferred Qualifications<ul><li>Certification in medical billing or coding (e.g., CPC, CPB) is a plus.</li><li>Experience with billing systems such as Athena, Kareo, or Epic preferred.</li></ul>Job Type: Full-timePay: Rs40,000.00 - Rs80,000.00 per monthWork Location: In person

Medical Biller

Are you a strategic, results-driven leader with deep experience in US Healthcare operations? Abacus is seeking a dynamic Project Head / Lead to oversee high-impact healthcare accounts, drive operational excellence, and ensure superior client satisfaction.Key Responsibilities:<ul><li>Lead and manage end-to-end operations for US healthcare projects, ensuring SLA adherence and service excellence.</li><li>Drive strategic planning, performance improvement, and cross-functional coordination across QA, Training, and Workforce teams.</li><li>Engage directly with clients, manage expectations, and support long-term account growth.</li><li>Oversee RCM processes, insurance verification workflows, enrollment/inside sales operations, and regulatory compliance.</li><li>Develop and implement SOPs, training modules, and QA frameworks tailored to healthcare processes.</li><li>Analyze performance metrics, identify risks, and implement corrective action plans proactively.</li><li>Manage resource allocation, forecasting, scheduling, and team performance reviews.</li><li>Ensure operational compliance with US healthcare standards and company policies.</li><li>Lead cross-functional initiatives to improve efficiency, quality, and customer satisfaction.</li></ul>Qualifications &amp; Requirements:Education:<ul><li>Bachelor&rsquo;s or Master&rsquo;s degree (Preferred fields: Business, Healthcare Management, or relevant disciplines).</li></ul>Experience:<ul><li>6&ndash;8 years of BPO operations experience, with at least 3&ndash;4 years of leadership managing US healthcare accounts.</li><li>Strong background in healthcare operations, including:</li></ul>&ndash; Revenue Cycle Management (RCM)&ndash; Insurance Verification (mandatory)&ndash; Enrollment &amp; Inside Sales&ndash; Regulatory complianceSkills &amp; Competencies:<ul><li>Excellent client engagement and stakeholder management skills.</li><li>Ability to develop SOPs, training modules, and quality frameworks.</li><li>Strong analytical capability with experience managing KPIs and operational dashboards.</li><li>Exceptional communication skills &ndash; Minimum C1 English proficiency (verbal &amp; written).</li><li>Proven ability to handle complex healthcare workflows and lead multiple teams efficiently.</li><li>Proficiency in MS Office, CRM systems, EMR/EHR tools, and performance monitoring systems.</li></ul>Job Type: Full-timeWork Location: In person

Project Head - Medical Billing

Transcure

Experience Required: Minimum 2 yearsPreferred Background: Medical, Life Sciences, Healthcare, or Medical BillingAbout the RoleWe are looking for a skilled SEO Content Writer with a strong background in the medical or medical billing field. The ideal candidate has a proven ability to create quality, engaging, and SEO-optimized content that drives organic traffic and supports our content strategy.Candidates with expertise in Semantic SEO, topical mapping, and entity-based optimization will be given strong preference.Key Responsibilities<ul><li>Write clear and engaging content on topics related to medical billing, healthcare, medical education, RCM, CPT/ICD coding, and medical specialties.</li><li>Create SEO-optimized blogs, landing pages, website copy, guides, and marketing content following best practices.</li><li>Conduct in-depth keyword and topic research aligned with the medical domain.</li><li>Optimize content for search engines using on-page SEO, metadata, headings, content structure, and user intent alignment.</li><li>Ensure accuracy, credibility, and compliance when presenting medical information.</li><li>Track content performance and update existing pieces to improve rankings and conversions.</li><li>Stay updated with SEO trends, Google algorithm updates, and best practices in content marketing.</li></ul>Required Qualifications<ul><li>Minimum 2 years of proven experience in SEO content writing.</li><li>Strong portfolio showing experience in medical, healthcare, or medical billing.</li><li>Solid understanding of SEO principles, including keyword research, on-page optimization, and competitor analysis.</li><li>Ability to translate complex medical and billing concepts into easy-to-understand content.</li><li>Experience with SEO tools (Ahrefs, SEMrush, Surfer, Google Search Console).</li><li>Excellent writing, editing, and proofreading skills.</li><li>Strong research skills with attention to accuracy and detail.</li></ul>Preferred Qualifications<ul><li>Educational background in Medical, Life Sciences, Pharmacy, Nursing, Biotechnology, or Health Informatics.</li><li>Experience writing for medical billing companies, EHR/RCM SaaS platforms, or healthcare solutions.</li><li>Knowledge of medical terminology, the US healthcare system, and billing workflows.</li><li>Understanding of schema markup and content structuring for advanced SEO (optional but preferred).</li></ul>Familiarity with Semantic SEO, topic clustering, and entity-based content optimization.Note: Please attach your recent work samples and email them to osama.transcure29@gmail.com for priority consideration.Job Type: Full-timePay: Rs70,000.00 - Rs95,000.00 per monthExperience:<ul><li>content writing / copywriting: 2 years (Preferred)</li></ul>Work Location: In person

Content Writer (Full Time - 2:00 PM to 11:00 PM)

OutsourceNZ 

We are a rapidly growing healthcare IT company dedicated to providing end-to-end solutions for medical billing, practice management, and EHR integrations. Our mission is to transform healthcare operations with reliable, scalable, and user-friendly software products.We're looking for a QA Engineer with 3+ years of experience, especially in healthcare billing and RCM systems, who is passionate about product quality, user experience, and improving software processes through meticulous testing.Responsibilities<ul><li>Develop and execute detailed test plans, test cases, and test scripts based on product requirements and workflows.</li><li>Perform manual and automated testing for web-based healthcare billing applications.</li><li>Validate healthcare billing workflows including claims submission, ERA processing, eligibility checks, and patient statements.</li><li>Perform API testing using tools Postman.</li><li>Identify, document, and track bugs using project management tools</li><li>Work closely with developers, business analysts, and product managers to ensure product quality and timely delivery.</li><li>Conduct cross-browser, cross-platform, and responsive UI testing.</li><li>Collaborate in client meetings to understand workflows and replicate real-world scenarios for testing.</li><li>Ensure adherence to HIPAA compliance and healthcare data privacy standards during testing.</li></ul>Required Skills &amp; Qualifications<ul><li>3+ years of experience in QA/testing roles for web applications.</li><li>Strong understanding of healthcare billing systems and terminology (claims, remits, CPT/ICD codes, insurance validation, etc.).</li><li>Experience with manual testing, including functional, regression, integration, and smoke testing.</li><li>Proficiency in API testing (REST/JSON), understanding request/response formats, and validating backend logic.</li><li>Familiarity with databases, especially MySQL, and ability to write queries for data validation.</li><li>Good grasp of SDLC/STLC, QA methodologies, and test documentation.</li><li>Strong analytical, problem-solving, and communication skills.</li><li>Experience working in Agile/Scrum environments.</li><li>Prior experience interacting with clients for requirement clarification and issue resolution.</li></ul>Preferred (Nice to Have)<ul><li>Experience with test automation tools like Selenium, Cypress, or Playwright.</li><li>Knowledge of Postman scripting and test collections.</li><li>Exposure to EHR systems such as ECW or AdvancedMD.</li><li>Understanding of HIPAA regulations, data security, and compliance testing.</li><li>Experience with performance testing or security testing tools is a plus.</li></ul>Job Type: Full-timePay: Rs200,000.00 - Rs500,000.00 per monthExperience:<ul><li>MySQL: 3 years (Required)</li><li>QA healthcare billing &amp; RCM system: 3 years (Required)</li></ul>Location:<ul><li>Lahore (Required)</li></ul>Work Location: In person

Healthcare Billing QA Engineer

Explore 230+ Rcm specialist in Lahore this December. Find roles across top companies and apply now to boost your career.

230 rcm specialist jobs IN Lahore

RCM Specialist

RCM Specialist- US Health Care

RCM Specialist

Medical Biller

Project Head - Medical Billing

Content Writer (Full Time - 2:00 PM to 11:00 PM)

Healthcare Billing QA Engineer