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revenue cycle management 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

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

Nobox Idea

We are looking for a detail-oriented and motivated AR Executive to join our Medical Billing team. The ideal candidate should have strong analytical skills, excellent communication abilities, and a good understanding of the medical billing cycle.Key Responsibilities:<ul><li>Manage Accounts Receivable for assigned clients.</li><li>Follow up with insurance companies regarding pending or denied claims.</li><li>Resolve claim issues and ensure timely payments.</li><li>Maintain accurate documentation and update billing software.</li><li>Communicate professionally with insurance representatives.</li></ul>Requirements:<ul><li>Minimum 1 year of experience in medical billing.</li><li>Strong English communication skills.</li><li>Ability to work night shift.</li><li>Basic understanding of RCM (Revenue Cycle Management).</li><li>Problem-solving attitude and attention to detail.</li></ul>Benefits:<ul><li>Market competitive salary</li><li>Growth and learning opportunities</li></ul>Job Type: Full-timeWork Location: In person

AR Executive (Medical Billing)

We are a growing healthcare RCM company providing high-quality billing and collection services. We are seeking a talented and motivated Accounts Receivable (AR) Executive to join our team and support our end-to-end Revenue Cycle Management operations.Key Responsibilities<ul><li>Conduct AR follow-ups with US insurance companies via calls and online portals.</li><li>Identify reasons for denials and rejections; initiate corrective actions.</li><li>Submit appeals and reprocess claims as required.</li><li>Review and interpret EOBs/ERAs to update accurate payment information.</li><li>Maintain detailed and updated AR notes within the billing system.</li><li>Coordinate with the billing and coding departments to resolve complex claims.</li><li>Meet daily productivity goals while maintaining high accuracy and compliance.</li></ul>Qualifications &amp; Skills<ul><li>Minimum 06 Months of experience in AR (Medical Billing) .</li><li>Strong knowledge of CPT, ICD-10, HCPCS codes, modifiers, and payer rules.</li><li>Excellent English communication skills (verbal &amp; written).</li><li>Strong analytical thinking, problem-solving, and negotiation skills.</li><li>Ability to work in a fast-paced, deadline-driven environment.</li></ul>Job Type: Full-timePay: Rs50,000.00 - Rs100,000.00 per monthWork Location: In person

AR Executive

We are seeking a highly motivated and detail-oriented Accounts Receivable (AR) Specialist (NH) to join our medical billing team. The AR Specialist will be responsible for managing accounts receivable functions, including billing, collections, and resolving outstanding claims. <ul><li>Process and submit medical claims to insurance companies, government agencies, and other third-party payers.</li><li>Communicate with insurance companies, patients, and healthcare providers to resolve billing issues and inquiries.</li><li>Investigate and resolve claim denials, rejections, and discrepancies promptly and work on Appeal Management.</li><li>Collaborate with other departments, such as coding and revenue cycle. management, to streamline billing processes and improve collections efficiency.</li><li>Must know healthcare regulations, insurance policies, and billing procedures.</li><li>Follow up on outstanding accounts receivable balances to ensure timely payment.</li><li>Identify and bill secondary or tertiary insurance.</li></ul>Required Competencies:<ul><li>Nursing Homes plus point.</li><li>Strong written and verbal communication skills.</li><li>Proficiency in Microsoft Office Suite.</li><li>Proficiency in Microsoft Office Suite.</li><li>Excellent organizational skills.</li><li>At least 2 to 3 years of relevant experience.</li></ul>Job Location:<ul><li>Lahore</li><li>Willing to work in night shift </li></ul>Gender:<ul><li>Male / Female</li></ul>Job Type: Full-timePay: From Rs70,000.00 per monthWork Location: In person

AR Specialist (Nursing Homes)

The Garden of Eve

About the roleThe Team Lead in Medical Billing is a leadership position responsible for overseeing and managing a team of medical billers and coders within a healthcare organization. The primary objective of this role is to ensure the accurate and timely submission of medical claims, while adhering to industry regulations and organizational standards. The Team Lead plays a vital role in maintaining the efficiency and effectiveness of the billing process, ensuring compliance with relevant laws, and optimizing the overall revenue cycle managementResponsibilities &amp; Tasks<ul><li>Team Management and Supervision: Lead, mentor, and provide direction to a team of medical billing professionals. This includes conducting regular training, performance evaluations, and offering continuous support to team members to foster skill development and team cohesion.</li><li>Billing Oversight: Ensure that all medical claims are accurately prepared, reviewed, and submitted to insurance companies and payers in accordance with established guidelines and industry standards</li><li>Issue Resolution: Act as the primary point of contact for resolving billing discrepancies, claim denials, rejections, and appeals. Collaborate with insurance companies, patients, and healthcare providers to facilitate timely resolutions.</li><li>Regulatory Compliance: Ensure the team's adherence to all relevant healthcare regulations, including HIPAA, CMS guidelines, and payer-specific requirements, to maintain the integrity and compliance of the billing process.</li><li>Process Improvement: Continuously assess and refine billing procedures to improve efficiency, accuracy, and productivity. Implement best practices to enhance the team&rsquo;s performance and minimize errors or delays in claims processing.</li><li>Reporting and Analysis: Monitor and report on the performance of the team, tracking key metrics such as claim submission accuracy, revenue cycle status, and denial rates. Provide comprehensive reports to management for strategic decision-making.</li><li>Collaboration: Work closely with other departments, including healthcare providers, insurance companies, and patient services, to ensure smooth communication and coordination in the billing process.</li><li>Customer Service: Address billing inquiries from patients and third-party payers, providing clear and accurate information regarding billing procedures, payments, and account status.</li></ul>Position Requirements<ul><li>Education: Bachelor's degree in healthcare administration, business, or a related field (preferred).</li><li>Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification, HIPAA certification.</li><li>Strong knowledge of medical billing and coding procedures, including ICD-10, CPT, and HCPCS codes.</li><li>Experience: 4-6 years of experience as medical biller.</li></ul>Required Skills<ul><li>Leadership</li><li>Time Management</li><li>Revenue Forecasting</li><li>Monitoring and Supervision</li><li>Staff Training &amp; Development</li><li>Problem Solving</li><li>Auditing Proficiency</li><li>Expertise in Medical Billing</li><li>Reporting</li><li>Proficiency in healthcare billing and coding software and EHR systems.</li></ul>Goals / KPIsKPI 1: First Pass Resolution RateKPI 2: Claim Lag TimeKPI 3: Coder ProductivityKPI 4: Clean Claim RateKPI 5: Denial RateKPI 6: Days in Accounts Receivable (A/R)KPI 7: Net Collection Rate.KPI 8: Cost to Collect.KPI 9: Patient Satisfaction Score related to billing.KPI 10: Timeliness of response to patient queries.KPI 11: Resolution rate of patient billing concerns.About 7 Kings Code7 Kings Code has a global presence with our head office in Coral Springs, Florida.We are US based IT Staffing &amp; Software solutions company. We provide excellent customized IT Solutions to fit start-up to enterprise level companies. We support our partners and clients globally in USA, CANADA, EUROPE, INDIA, PAKISTAN &amp; MIDDLE EAST.If you are a motivated and ambitious US Medical Billing professional with a passion for Billing industry, we want to hear from you! Apply now to join our team as an &ldquo;Team Lead US Medical Billing&rdquo;.Share your latest resume / CV to Ibtesam@7kctech.comJob Type: Full-timePay: From Rs100,000.00 per monthWork Location: In person

Team Lead- Medical Billing

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