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

Physicians Revenue Group

Job Type: Full-Time | Onsite Shift Timing: Night Shift (07:00 PM &ndash; 04:00 AM) Weekly Off: Saturday &amp; Sunday Location: LahoreJob OverviewWe are hiring fresh graduates to join our US healthcare operations team as Prior Authorization Executives. This role is ideal for candidates with strong English communication skills, basic computer knowledge, and an interest in building a career in US healthcare and revenue cycle management (RCM). Candidates must be willing to work night shifts and learn authorization workflows.Key Responsibilities<ul><li>Assist in prior authorization processes for medical procedures, medications, and services</li><li>Verify patient insurance eligibility and benefits</li><li>Submit authorization requests through insurance portals, fax, or calls</li><li>Follow up on authorization statuses with insurance companies</li><li>Maintain accurate documentation and authorization records</li><li>Coordinate with internal billing, coding, and clinical teams</li><li>Use MS Excel for tracking authorization status and reports</li><li>Communicate professionally with insurance representatives when required</li></ul>Eligibility &amp; Requirements<ul><li>Qualification: Bachelor&rsquo;s degree (completed)</li><li>Fresh graduates are encouraged to apply</li><li>Fluency in English (spoken &amp; written) is mandatory</li><li>Basic knowledge and practical use of MS Excel</li><li>Basic call center or customer service experience (preferred but not mandatory)</li><li>Must be a permanent resident of Lahore</li><li>Must not be a student</li><li>Willingness to work night shift (US shift)</li></ul>Skills Required<ul><li>Good verbal and written communication skills</li><li>Basic computer, typing, and data entry skills</li><li>Attention to detail and accuracy</li><li>Willingness to learn US healthcare authorization workflows</li><li>Ability to work in a professional office environment</li><li>Team-oriented and adaptable attitude</li></ul>Why Join Us<ul><li>Fixed night shift with weekends off</li><li>Excellent opportunity for fresh graduates to start a career in US healthcare &amp; prior authorization</li><li>Structured training and learning support</li><li>Professional, supportive, and growth-focused work environment</li><li>Long-term career progression in medical billing and RCM</li></ul>Job Type: Full-timeWork Location: In person

Authorization Executive (Fresher)

Progressive Resource

We are seeking a highly motivated and experienced AR Executive to join our US-based medical billing team. The ideal candidate must have a strong background in US healthcare billing, with mandatory experience in Podiatry specialty and a deep understanding of the Revenue Cycle Management (RCM) process, especially Accounts Receivable (AR).If you are detail-oriented, driven, and passionate about medical billing, we&rsquo;d love to have you on our team.Requirements✔ Minimum 1 year of experience in US Medical Billing ✔ Experience with Podiatry Specialty is mandatory ✔ Strong understanding of the full RCM cycle, particularly AR follow-up ✔ Familiarity with EOBs, denials, appeals, and timely filing limits ✔ Knowledge of Medicare, Medicaid, and commercial payers (UHC, Aetna, BCBS, etc.) ✔ Experience with EMR/EHR and billing software ✔ Excellent English communication skills (spoken and written) ✔ Ability to work independently, stay organized, and meet deadlines under pressureLocation: Jail Road, Lahore Shift: 6:00 PM &ndash; 3:00 AM (Night Shift) Job Type: Full-TimeJob Type: Full-timePay: Rs60,000.00 - Rs80,000.00 per monthApplication Question(s):<ul><li> Do you have any experience with Podiatry Speciality?</li><li>Do you have experience working on ECW?</li></ul>Work Location: In person

AR Executive – US Medical Billing (Podiatry Specialty)

BLMS SMC PVT LTD

Job Description:About the Role We&rsquo;re looking for a detail-oriented Medical Biller with at least one year of billing experience and a solid understanding of Revenue Cycle Management. In this role, you&rsquo;ll handle accurate claim preparation, timely submissions, and consistent follow-up to help ensure the organization receives proper reimbursement.Key Responsibilities<ul><li>Prepare, review, and submit electronic and paper claims.</li><li>Check billing data for accuracy and confirm that all claims meet payer and industry rules.</li><li>Follow up on claims, address denials, and submit appeals when needed.</li><li>Post payments, reconcile accounts, and resolve billing issues.</li><li>Protect patient information and follow all HIPAA requirements.</li><li>Work with providers, patients, and insurance representatives to keep billing moving smoothly.</li><li>Review aging reports and track outstanding balances.</li></ul>Requirements<ul><li>At least 1 year of medical billing experience.</li><li>Hands-on experience with RCM processes.</li><li>Strong knowledge of CPT, ICD-10, and HCPCS coding.</li><li>Familiarity with EMRs and billing software.</li><li>Strong attention to detail, problem-solving ability, and clear communication.</li><li>Able to work independently and meet deadlines.</li></ul>Preferred Qualifications<ul><li>Billing or coding certification (CPC, CPB, or similar).</li><li>Experience with systems like Athena, Kareo, or Epic.</li></ul>Job Type: Full-timePay: Rs40,000.00 - Rs60,000.00 per monthWork Location: In person

Billing and Payment Specialist

EV Bikes

We are seeking an experienced Lead Generation Specialist with a proven background in medical billing and Revenue Cycle Management (RCM). This role focuses on generating 10&ndash;20 qualified, sales-ready leads per month for US-based medical practices.Key Responsibilities<ul><li>Execute cold email campaigns targeting US medical practices</li><li>Manage email automation, follow-ups, and inbox deliverability</li><li>Conduct LinkedIn outreach to healthcare decision-makers</li><li>Build, clean, and verify targeted lead lists (practice owners, administrators, billing managers)</li><li>Qualify leads based on billing challenges and readiness to switch providers</li><li>Deliver confirmed, sales-ready leads to the sales team</li></ul>Required Experience &amp; Skills<ul><li>Proven lead generation experience specifically for medical billing or RCM services</li><li>Strong understanding of medical billing workflows, denials, and accounts receivable (AR)</li><li>Hands-on experience with tools such as Instantly, Smartlead, Apollo, Lusha, and LinkedIn Sales Navigator</li><li>Strong knowledge of cold email deliverability (SPF, DKIM, DMARC, email warming)</li></ul>Job Timing: 6 PM to 3 AM (Mon to Friday - Gulberg Lahore)Job Type: Full-timePay: Rs60,000.00 - Rs70,000.00 per monthWork Location: In person

Lead Generation Specialist

Argon Tech

We are seeking a highly organized and client-focused Medical Billing Account Manager to serve as the primary liaison between healthcare providers and our medical billing team. The ideal candidate will manage client accounts, oversee end-to-end revenue cycle performance, and ensure accurate, timely, and compliant medical billing operations.This role requires strong knowledge of medical billing, insurance claims, denial management, and payer workflows, along with exceptional communication and relationship management skills.Key Responsibilities<ul><li>Client &amp; Account Management</li><li>Act as the primary point of contact for assigned medical billing clients</li><li>Build strong, long-term relationships with healthcare providers and practice administrators</li><li>Conduct regular client meetings to review billing performance, KPIs, and revenue trends</li><li>Address client questions, concerns, and escalations in a timely and professional manner</li></ul>Revenue Cycle Oversight<ul><li>Oversee the full medical billing lifecycle: charge entry, coding review, claim submission, payment posting, denial management, and collections</li><li>Monitor claim acceptance rates, denial trends, AR aging, and reimbursement timelines</li><li>Identify revenue leakage and recommend process improvements to maximize collections</li><li>Ensure accurate and timely resolution of denied and underpaid claims</li></ul>Operational Coordination<ul><li>Coordinate with internal billing, coding, AR, and compliance teams</li><li>Ensure client-specific payer rules, fee schedules, and workflows are followed</li><li>Support onboarding of new clients, including data migration and workflow setup</li><li>Maintain accurate documentation of client requirements and SOPs</li></ul>Reporting &amp; Analytics<ul><li>Prepare and present monthly and quarterly billing performance reports</li><li>Track KPIs such as clean claim rate, days in AR, denial rate, and collection percentage</li><li>Provide actionable insights to clients to improve revenue cycle outcomes</li></ul>Compliance &amp; Quality Assurance<ul><li>Ensure compliance with HIPAA, payer guidelines, and healthcare regulations</li><li>Monitor billing accuracy and audit reports to maintain high quality standards</li><li>Stay current on changes in CPT, ICD-10, HCPCS codes, and payer policies</li></ul>Required Qualifications<ul><li>5+ years of experience in medical billing or revenue cycle management</li><li>3+ year of experience in an account management or client-facing role (preferred)</li><li>Strong knowledge of insurance claims, EOBs, denials, and payer processes</li><li>Experience working with EHR and practice management systems</li><li>Understanding of CPT, ICD-10, and HCPCS coding fundamentals</li><li>Excellent verbal and written communication skills</li><li>Strong analytical and problem-solving abilities</li><li>Ability to manage multiple client accounts simultaneously</li></ul>Preferred Qualifications<ul><li>Experience managing multi-specialty billing</li><li>Familiarity with RCM metrics and reporting tools</li><li>Prior experience working in a medical billing company or healthcare services organization</li><li>Bachelor&rsquo;s degree in Healthcare Administration, Business, or related field</li><li>Certified Professional Biller (CPB) or similar certification (a plus)</li></ul>Key Skills &amp; Competencies<ul><li>Client relationship management</li><li>Medical billing and claims expertise</li><li>Denial management and revenue recovery</li><li>Attention to detail and accuracy</li><li>Time management and prioritization</li><li>Data analysis and reporting</li><li>Collaborative team player</li><li>Customer service mindset</li></ul>Job Type: Full-timeAbility to commute/relocate:<ul><li>Lahore Johar Town: Reliably commute or willing to relocate with an employer-provided relocation package (Preferred)</li></ul>Application Question(s):<ul><li>Please share your current salary, expected and notice period. </li></ul>Experience:<ul><li>revenue cycle management: 5 years (Preferred)</li></ul>Work Location: In person

Medical Billing Account Manager

PCS Pakistan

About Practice Care Solutions (PCS)Practice Care Solutions (PCS) is a healthcare services company specializing in end-to-end Revenue Cycle Management (RCM) and practice support solutions for US-based healthcare providers.PCS helps physician practices, clinics, and healthcare organizations optimize revenue, reduce administrative burden, and improve operational efficiency through services such as:<ul><li>Medical billing and coding</li><li>Provider credentialing and enrollment</li><li>Accounts receivable and denial management</li><li>Eligibility and benefits verification</li><li>Compliance-driven RCM solutions</li></ul>By combining industry expertise, technology, and dedicated teams, PCS enables healthcare providers to focus on patient care while we manage their revenue operations.Job SummaryPractice Care Solutions (PCS) Pakistan is seeking a highly motivated and experienced Business Development Professional to expand our US healthcare client base. The ideal candidate will have strong hands-on experience in Revenue Cycle Management (RCM), including medical billing and provider credentialing, as well as a proven background in business development and sales for US healthcare outsourcing services.Candidates with direct business development experience selling medical billing and credentialing services to US-based healthcare providers will be strongly preferred.Key ResponsibilitiesUS Market Business Development<ul><li>Identify, target, and acquire US-based healthcare clients, including physician practices, clinics, hospitals, MSOs, and medical billing companies</li><li>Develop new business opportunities through cold calling, email campaigns, LinkedIn outreach, networking, and referrals</li><li>Conduct virtual meetings, presentations, and service demos with US healthcare decision-makers</li><li>Build and manage a strong sales pipeline focused on RCM, medical billing, and credentialing services</li></ul>Sales &amp; Client Acquisition<ul><li>Negotiate pricing, contracts, and service agreements with US healthcare providers. Sell end-to-end Revenue Cycle Management services, including:</li><li>Medical billing &amp; coding</li><li>Accounts receivable (AR) follow-ups</li><li>Provider credentialing &amp; enrollment</li><li>Eligibility &amp; benefits verification</li><li>Payment posting and denial management</li><li>Understand client pain points related to billing inefficiencies, credentialing delays, revenue leakage, and compliance</li><li>Propose customized RCM and billing solutions based on practice size, specialty, and payer mix</li></ul>Relationship &amp; Account Management<ul><li>Build and maintain long-term relationships with US clients and key stakeholders</li><li>Act as the primary point of contact during onboarding and early-stage client engagement</li><li>Coordinate with internal operations, billing, and credentialing teams to ensure smooth client transition</li><li>Ensure high levels of client satisfaction and retention</li></ul>Market Intelligence &amp; Strategy<ul><li>Stay updated on US healthcare regulations, CMS guidelines, payer policies, and credentialing requirements</li><li>Monitor industry trends related to medical billing, credentialing, and RCM outsourcing</li><li>Analyze competitors and market demand to refine business development strategies</li><li>Provide regular feedback and insights to management on market opportunities and challenges</li></ul>Education<ul><li>Bachelor&rsquo;s degree in Business, Marketing, Healthcare Administration, or a related field</li><li>MBA or relevant healthcare/RCM certifications will be a plus</li></ul>Experience<ul><li>3+ years of Business Development or Sales experience in US healthcare outsourcing</li><li>Demonstrated experience in Revenue Cycle Management, including:</li><li>Medical billing services</li><li>Provider credentialing and enrollment</li><li>Proven track record of closing US-based healthcare clients</li><li>Prior experience selling medical billing and credentialing services will be highly preferred</li></ul>Required Skills &amp; Competencies<ul><li>Strong understanding of US Revenue Cycle workflows, medical billing, coding, insurance processes, and credentialing</li><li>Excellent English communication, presentation, and negotiation skills</li><li>Experience working in US time zones</li><li>Expertise in lead generation, pipeline management, and closing deals</li><li>Proficiency in CRM tools, MS Office, and LinkedIn Sales Navigator</li><li>Ability to work independently in a performance-driven environment</li></ul>What We Offer<ul><li>Competitive salary with benefits</li><li>Growth opportunities in a fast-growing US healthcare outsourcing environment</li><li>Exposure to international clients and the US healthcare ecosystem</li><li>A professional, collaborative, and performance-driven work culture</li></ul>Job Type: Full-timePay: Rs100,000.00 - Rs120,000.00 per monthWork Location: In person

Business Development Executive

Explore 1282+ Revenue cycle management specialist in Lahore Pakistan this January. Find roles across top companies and apply now to boost your career.