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revenue cycle management specialist

Top Line Resource Group (TLRG)

Location: DHA Phase 8, Lahore [Onsite]Employment Type: Full-timeWork Timing: 05PM &ndash; 02AM Pakistan TimeJob OverviewTopline Resource Group (TLRG) is seeking a highly experienced and results-driven Revenue Cycle Management (RCM) Specialist to oversee operations for multiple healthcare clients across different states.The ideal candidate will have extensive experience managing the end-to-end medical billing revenue cycle, including insurance verification, coding review, claims submission, payment posting, accounts receivable follow-ups, and denial management.Key ResponsibilitiesOversee and manage end-to-end Revenue Cycle Management operations for multiple healthcare provider clients.Supervise and support internal RCM teams handling:<ul><li>Insurance Verification (VOBs)</li><li>Prior Authorizations</li><li>Medical Coding Review</li><li>Charge Entry</li><li>Claims Submission</li><li>Payment Posting</li><li>Accounts Receivable (AR) Follow-ups</li><li>Denial Management</li></ul>Monitor claim lifecycle performance, ensuring accurate and timely claim submissions and reimbursements.Analyze EOBs, ERAs, and payer remittance reports to identify trends in denials, underpayments, and claim rejections.Communicate directly with US insurance payers and client representatives to resolve complex billing issues.Ensure compliance with payer policies, CMS regulations, and HIPAA guidelines.Develop and implement process improvements to increase collection rates and reduce AR aging.Track and manage KPIs including AR aging, denial rate, clean claim rate, and reimbursement turnaround time.Provide training, mentorship, and performance management for RCM staff.Coordinate with internal departments including coding, billing, compliance, and client services to ensure seamless revenue cycle operations.Maintain accurate documentation and reporting for client performance metrics and operational updates.Required Qualifications<ul><li>Bachelor&rsquo;s degree in Healthcare Administration, Business, or a related field preferred.</li><li>5+ years of experience in Medical Billing and Revenue Cycle Management.</li><li>Minimum 2 years of experience in a supervisory or team lead role within an RCM environment.</li><li>Strong knowledge of the complete medical billing lifecycle.</li></ul>Expert-level familiarity with:<ul><li>CPT Codes</li><li>ICD-10 Codes</li><li>HCPCS Codes</li><li>Claim submission workflows</li><li>Denial management processes</li></ul>Experience working with multiple payers including Medicare, Medicaid, and Commercial insurance plans.Hands-on experience with EHR/EMR and Practice Management systems.Strong analytical and problem-solving abilities for resolving complex claim and reimbursement issues.Excellent verbal and written English communication skills for interacting with US clients and payers.Ability to manage high-volume workloads while maintaining accuracy and compliance.Preferred SkillsPrior experience managing multiple US healthcare provider accounts across different states.Experience working in US healthcare BPO or medical outsourcing environments.Familiarity with payer-specific billing guidelines and state-based insurance requirements.Strong leadership skills with the ability to build and manage high-performing RCM teams.Experience with performance reporting, operational dashboards, and AR analytics.Knowledge of HIPAA compliance, CMS regulations, and payer audit requirements.Application Question(s):<ul><li>We are looking to hire immediately, are you available to join immediately?</li></ul>Experience:<ul><li>RCM: 4 years (Required)</li></ul>Work Location: In person

Revenue Cycle Management (RCM) Manager

Physicians Revenue Group

Job Type: Full-Time | Onsite Shift Timing: Night Shift (06:00 PM &ndash; 03:00 AM) Weekly Off: Saturday &amp; Sunday Location: LahoreJob OverviewWe are seeking an experienced Authorization Specialist to join our US healthcare operations team. The ideal candidate will have hands-on experience in prior authorization processes within the US healthcare system and a strong understanding of Revenue Cycle Management (RCM). This role requires excellent communication skills, attention to detail, and the ability to independently manage authorization workflows.Key Responsibilities<ul><li>Handle end-to-end prior authorization processes for medical procedures, medications, and services</li><li>Verify patient insurance eligibility, coverage, and benefits</li><li>Submit authorization requests via insurance portals, fax, and outbound calls</li><li>Follow up with insurance companies to ensure timely approvals</li><li>Review and interpret payer guidelines for authorization requirements</li><li>Maintain accurate documentation and authorization records in the system</li><li>Coordinate with billing, coding, and clinical teams to resolve authorization-related issues</li><li>Manage denials related to authorization and initiate re-submissions or appeals when required</li><li>Track and report authorization status using MS Excel or internal systems</li><li>Communicate professionally with insurance representatives and internal stakeholders</li></ul>Eligibility &amp; Requirements<ul><li>Qualification: Bachelor&rsquo;s degree (required)</li><li>Experience: Minimum 1&ndash;3 years of experience in prior authorization / RCM (US Healthcare)</li><li>Strong command of English (spoken &amp; written)</li><li>Hands-on experience with insurance portals and authorization workflows</li><li>Proficiency in MS Excel (tracking, reporting, basic formulas)</li><li>Experience in handling calls with insurance companies</li><li>Must be a permanent resident of Lahore</li><li>Willingness to work night shift (US shift)</li></ul>Skills Required<ul><li>Strong communication and interpersonal skills</li><li>In-depth understanding of prior authorization processes</li><li>Analytical and problem-solving skills</li><li>High attention to detail and accuracy</li><li>Ability to manage workload independently and meet deadlines</li><li>Team-oriented with a professional attitude</li></ul>Why Join Us<ul><li>Fixed night shift with weekends off</li><li>Competitive salary based on experience</li><li>Growth opportunities in US healthcare and RCM</li><li>Structured processes and supportive work environment</li><li>Long-term career progression in medical billing</li></ul>Job Type: Full-timeAbility to commute/relocate:<ul><li>Lahore: Reliably commute or planning to relocate before starting work (Preferred)</li></ul>Education:<ul><li>Bachelor's (Preferred)</li></ul>Experience:<ul><li>Authorization Specialist: 2 years (Preferred)</li></ul>Work Location: In person

Authorization 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><li>Do you have experience with appointment setting &amp; follow ups ?</li></ul>Experience:<ul><li>Medical Billing: 3 years (Required)</li></ul>Language:<ul><li>English (Required)</li></ul>Location:<ul><li>Lahore (Required)</li></ul>Work Location: In person

Business Development Specialist – Medical Billing

Orka

Orkatok is looking for Medical Billing Specialist. The candidate MUST have at least 3 year of experience in RCM AR or in complete Billing. Excellent English communications skills and command on the language is a MUST. 5 days a week work with all US holidays off.The office is located in Bahria Town, Lahore.Job Type: Full-timePay: Rs70,000.00 - Rs80,000.00 per monthWork Location: In person

Medical Billing Ecective

eBillingWorks

We&rsquo;re looking for pros to join our team in DHA Phase 3, Lahore!Requirements: Must have proven experience in U.S. Medical Billing/RCM cold calling.Shift: 6 PM &ndash; 3 AMSalary: 50k &ndash; 120k (based on experience) + Performance CommissionsReady to earn? Send your resume via WhatsApp to 0308-4949850.Serious inquiries only. Experience in this field is mandatory.Pay: Rs50,000.00 - Rs150,000.00 per monthWork Location: In person

Experienced Medical Billing Cold Callers

Hard stone enterprises

<ul><li>The Candidate must have 6 months to 2 years of experience. </li><li>Should have the ability to plan the AR and steer it up effectively.</li><li>Must know about Denial Management, Appeals, and Payment posting.</li><li>Can analyse ERAs &amp; EOBs and, when possible, suggest potential remedies.</li><li>Good verbal and written English communication skills.</li><li>May communicate with the insurance and other parties involved in the RCM.</li></ul>Job Type: Full-timePay: Rs75,000.00 - Rs90,000.00 per monthAbility to commute/relocate:<ul><li>Lahore: Reliably commute or planning to relocate before starting work (Required)</li></ul>Work Location: In person

AR Specialist (Medical Billing)

ebs ameri

We are Looking for minimum of (2-4) years experienced persons in Medical Billing who have good understanding &amp; exposure of complete RCM.Requirements: &middot; Experience of handling billing of multiple medical specialties. &middot; Good understanding &amp; grip of common billing softwares. &middot; Ability to handle production and AR issues independently. &middot; Good in analysis &amp; reporting &middot; Good in practice audits &middot; Good communication skills with ability to handle emails, calls &amp; clients meeting effectively. &middot; Ability to build and manage a great team. &middot; Keen interest in research and development.Job Type: Full-timePay: Rs90,000.00 - Rs120,000.00 per monthWork Location: In person

RCM Specialists (Medical Billing)

Explore 708+ Revenue cycle management specialist in Lahore this May. Find roles across top companies and apply now to boost your career.