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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

CrecenTech

CrecenTech Systems Private Limited is hiring a Senior Business Development Specialist &ndash; Medical Billing to support business growth within the international healthcare and Revenue Cycle Management (RCM) services market. This role focuses on developing new business opportunities and building long-term relationships with healthcare organizations.Key Responsibilities<ul><li>Identify and develop 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 billing and revenue cycle requirements</li><li>Present service solutions related to Medical Billing, Coding, Accounts Receivable, and Denial Management</li><li>Support proposal preparation, pricing discussions, and contract closure</li><li>Maintain accurate sales pipelines and activity records using CRM tools</li><li>Coordinate with internal teams to ensure smooth client onboarding and service delivery</li><li>Work toward assigned monthly and quarterly business objectives</li><li>Stay updated on healthcare industry 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>3+ years of experience in business development or sales (experience in medical billing services is a plus)</li><li>Understanding of medical billing and revenue cycle workflows</li><li>Strong professional communication and relationship-building skills</li><li>Experience using CRM or sales management tools</li><li>Ability to work with international clients and flexible schedules</li></ul>Preferred Qualifications<ul><li>Experience selling Medical Billing, Coding, or RCM-related services</li><li>Familiarity with professional networking and lead generation tools</li><li>Prior exposure to healthcare 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

BD Specialist – Medical Billing

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

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

Location: DHA phase 8, Lahore [Onsite] Employment Type: Full-time (05PM - 02AM)Job OverviewTopline Resource Group (TLRG) is looking for a detail-oriented Billing &amp; Payment Posting Specialist to support our Revenue Cycle Management operations. The ideal candidate will be responsible for accurate medical billing, timely claim submission, and precise posting of payments and adjustments to ensure maximum reimbursement and clean accounts receivable.Key Responsibilities<ul><li>Submit and review medical claims (CMS-1500 / UB-04)</li><li>Post insurance &amp; patient payments (EOBs / ERAs)</li><li>Identify and report under/overpayments</li><li>Coordinate with AR and coding teams</li><li>Ensure billing accuracy and compliance</li></ul>Requirements:<ul><li>1&ndash;3 years of experience in medical billing &amp; payment posting</li><li>Strong knowledge of US healthcare RCM</li><li>Familiarity with CPT, ICD-10, and insurance portals</li><li>Experience with EHR/PM systems</li></ul>Preferred Skills<ul><li>Experience with both professional and institutional billing.</li><li>Ability to manage high-volume workloads with accuracy.</li><li>Strong communication and coordination skills.</li><li>Prior experience working with US-based providers or RCM companies.</li></ul>Pay: Rs70,000.00 - Rs90,000.00 per monthExperience:<ul><li>billing &amp; payment posting: 1 year (Preferred)</li></ul>Work Location: In person

Medical Billing & Payment Posting Specialist

Axiom World Pvt Ltd

Job Title: Medical Billing ExecutiveBilling (Production &amp; AR) Executive - US Medical Billing*EPIC Software Knowledge is Mandatory* Location: Davis Road, LahoreTimings: 5:00 PM &ndash; 2:00 AM (Monday to Friday)Experience Required: Minimum 1-2 years in US Medical BillingKey Responsibilties: <ul><li>Charge Creation and follow up on unpaid or denied medical claims with insurance companies</li><li>Analyze claim denials and work on corrections/resubmissions</li><li>Contact insurance representatives via calls and web portals</li><li>Maintain accurate records of follow-ups and claim statuses.</li><li>Coordinate with the coding and billing team to resolve claim issues</li></ul>Requirements:<ul><li>Understanding of the full RCM cycle &ndash; especially the Production and AR process.</li><li>Familiarity with EOBs,ERA, denials, appeals, and timely filing limits.</li><li>Knowledge of Medicare, Medicaid, and commercial payers (UHC, Aetna, BCBS, etc.)</li><li>Experience working with EMR/EHR and billing software</li><li>Strong English communication skills (spoken &amp; written)</li><li>Ability to work independently and meet deadlines under pressure.</li></ul>Job Type: Full-timePay: Rs70,000.00 - Rs100,000.00 per monthWork Location: In person

Medical Billing Executive

Jawa Health Care

Job SummaryThe Prior Authorization Executive is responsible for obtaining pre-approvals from insurance companies for medical procedures, treatments, and medications. This role ensures timely authorization to avoid delays in patient care and reimbursement while maintaining compliance with payer guidelines.Key Responsibilities<ul><li>Initiate and process prior authorization requests via portals, phone calls, or fax</li><li>Verify patient insurance eligibility and benefits before submission</li><li>Review patient records, clinical documents, and physician orders</li><li>Submit accurate authorization requests with required medical documentation</li><li>Follow up with insurance companies for pending approvals</li><li>Handle denials and initiate appeals with proper justification</li><li>Maintain accurate records of all authorization activities</li><li>Communicate authorization status with providers, patients, and internal teams</li><li>Ensure compliance with payer policies, CPT/ICD codes, and medical necessity guidelines</li></ul>Required Skills &amp; Qualifications<ul><li>Bachelor&rsquo;s degree (Healthcare Administration, Business, or relevant field preferred)</li><li>1&ndash;3 years of experience in Prior Authorization / Medical Billing / RCM</li><li>Strong knowledge of:</li><li>Insurance verification</li><li>Prior authorization process</li><li>Medical terminology</li><li>CPT &amp; ICD-10 coding</li><li>Excellent communication and coordination skills</li><li>Strong attention to detail and time management</li><li>Ability to work in a fast-paced, target-driven environment</li><li>Proficiency in MS Office and healthcare software (EMR/EHR systems)</li></ul>Key Competencies<ul><li>Analytical &amp; problem-solving skills</li><li>Multitasking ability</li><li>Strong follow-up and negotiation skills</li><li>Customer service orientation</li><li>Ability to meet deadlines and SLAs</li></ul>KPIs / Performance Metrics<ul><li>Authorization approval rate</li><li>Turnaround time (TAT)</li><li>First-pass success rate</li><li>Accuracy &amp; compliance</li><li>Daily productivity targets</li></ul>Working Conditions<ul><li>Night shift / US healthcare shift</li><li>Office-based</li></ul>Career Path<ul><li>Prior Authorization Executive</li><li>Senior Authorization Executive</li><li>Team Lead &ndash; Authorization</li><li>RCM Manager</li></ul>Job Type: Full-timePay: Rs40,000.00 - Rs60,000.00 per monthWork Location: In person

Prior Authorization Executive

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