revenue cycle management specialist

HR Ways

Client Introduction:Technology firm working with a cutting-edge AI platform is hiring Senior RCM Specialists.﻿Position OverviewHighly skilled RCM Specialist with 4 to 5 years of experience in revenue cycle management and medical billing. This specialist plays a pivotal role by managing a team of six, overseeing claims accuracy, and acting as the final quality gate before claims submission. The position requires strict adherence to data security protocols and a commitment to a minimum one-year contract, with immediate availability.Key Responsibilities:- Supervise and validate all medical claims with 99.95% accuracy before submission, ensuring compliance and minimizing errors.- Manage a team of six professionals to optimize workflow in claims processing and revenue cycle operations.- Collaborate closely with denial management teams to analyze and resolve claim denials effectively.- Ensure strict adherence to HIPAA and data containment security protocols for handling Protected Health Information (PHI).- Review and monitor outputs from RCM software such as Epic Systems and various EHR platforms.- Oversee Electronic Data Interchange (EDI) processes, including X12 transaction compliance and validation.- Implement quality assurance processes and maintain comprehensive documentation for claims review and submission activities.- Train team members on best practices and regulatory requirements related to revenue cycle management.- Work with insurance verification teams to confirm patient coverage and eligibility prior to billing.- Stay informed on industry standards, claim processing updates, and relevant healthcare regulations to ensure ongoing compliance.- Participate in continuous improvement efforts to enhance claims accuracy, security, and operational efficiency.-Maintain commitment to strict security and data handling protocols, prohibiting unauthorized saving, copying, or sharing of PHI.-Ensure readiness for immediate onboarding as of January 1st and uphold contract obligations for at least one year.Requirements:- 5-7 years of strict experience in revenue cycle management and medical billingOther Details:Work Mode: Onsite ﻿﻿﻿Location: ﻿Islamabad ﻿﻿Nature of Employment: ﻿Full-Time ﻿Working Timings/Days: ﻿9 am to 6 pm ﻿Experience: ﻿5-7 Years ﻿About HR Ways:HR Ways is an Award winning Technical Recruitment Firm helping software houses and IT Product companies internationally and locally to find IT Talent. HR Ways is engaged by 300+ Employers worldwide ranging from worlds biggest SaaS Companies to most competitive Startups. We have entities in Dubai, Canada, US, UK, Pakistan, India, Saudi Arabia, Portugal, Brazil and other parts of the world. Join our WhatsApp Channel ﻿https://whatsapp.com/channel/0029VamSiLr5fM5fMtAdCS2M﻿ stay updated or visit www.hrways.co to know more.Job Type: Full-timeWork Location: In person

Senior 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

Zealie

<div>**This is a Remote Position**

About Zealie: 
Zealie is a fast-growing Medical Billing Services company specializing in the Behavioral Healthcare industry. Our clients are substance use disorder treatment, addiction recovery, and mental health treatment centers that are saving lives on a daily basis. Our state of the art proprietary technology provides data analytics and revenue prediction tools to our clients to help them make strategic business decisions to grow their business. We are committed to delivering exceptional products and services to our clients and believe that our Utilization Review team plays a crucial role in achieving this mission. We are seeking motivated individuals with a desire to be a part of a winning team.

Job Summary: 
The Billing Specialist is a crucial role in Revenue Cycle Management. This position ensures accurate and efficient billing processes, effective communication within the team, and implementation of any payer rules.

Responsibilities and Duties:
<ul>
<li>Claim Verification and Submission:</li>
</ul><ul><div><ul><div><ul><li>Receive census information from the Management Team.</li>
<li>Verify hour requirements for all outpatient claims</li>
<li>Ensure that authorization has been obtained for each level of care.</li>
<li>Submit claims for assigned facilities and any pending dates of service with obtained authorization.</li>
</ul></div></ul></div></ul><ul><li>Billing Software Management:</li>
</ul><ul><div><ul><div><ul><li>Add new intakes into the billing software, Collaborate MD.</li>
<li>Verify new admissions&rsquo; demographics and claims addressed with the Verification of Benefits (VOB).</li>
</ul></div></ul></div></ul><ul><li>Process Monitoring and Communication:</li>
</ul><ul><div><ul><div><ul><li>Pull daily billed reports for auditing</li>
<li>Verify that billing has been submitted correctly and efficiently.</li>
<li>Communicate with Team Lead on any outstanding tasks</li>
</ul></div></ul></div></ul><ul><li>Operational Efficiency:</li>
</ul><ul><div><ul><li>Monitor and ensure that all billing processes are accurate and timely.</li>
<li>Collaborate with internal teams to resolve any billing-related issues or discrepancies.</li>
</ul>
</div></ul>Qualifications and Skills:
<ul>
<li>Experience:</li>
</ul><ul><div><ul><div><ul><li>Proven experience in healthcare billing, with a strong understanding of claim verification and submission processes.</li>
<li>Familiarity with billing software, particularly Collaborate MD, is preferred.</li>
</ul></div></ul></div></ul><ul><li>Education:</li>
</ul><ul><div><ul><div><ul><li>High School Graduate or equivalent; additional certification in medical billing or coding is a plus.</li>
</ul></div></ul></div></ul><ul><li>Skills:</li>
</ul><ul><div><ul><div><ul><li>Communication: Excellent verbal and written communication skills to effectively coordinate with team members and address billing issues.</li>
<li>Organizational Skills: Strong ability to manage multiple tasks and priorities in a dynamic environment.</li>
<li>Technical Proficiency: Experience with healthcare billing software and electronic health record (EHR) systems.</li>
<li>Analytical Skills: Ability to analyze billing data, resolve issues, and ensure accurate claim submissions.</li>
<li>Attention to Detail: High level of accuracy and attention to detail in all aspects of billing and claims processing.</li>
</ul></div></ul></div></ul><ul><li>Additional Preferred Experience:</li>
</ul><ul><div><ul><li>Familiarity with the Behavioral Healthcare industry, including billing for substance use disorder treatment and mental health services.</li>
<li>Prior experience working remotely is a plus.</li></ul></div></ul></div>

Billing Specialist

Psychiatry of Texas

RCM Specialist &ndash; Psychiatry &amp; Behavioral Health (Night Shift)Full-Time | Onsite | Night Shift (7:00 PM &ndash; 4:00 AM PKT / U.S. Central Time)About PsychPlus:The current delivery model for mental health care in the United States is broken&mdash;and PsychPlus is on a mission to fix it.PsychPlus is reimagining how mental health care is delivered to every American through a digital-first, modern approach to psychiatry and therapy. We provide care both in-person at our offices across Texas and virtually, allowing patients to receive care when and where it&rsquo;s most convenient.By combining exceptional clinical care with best-in-class technology, we deliver an integrated, patient-centered mental healthcare experience. Join us as we work toward ensuring that every person has access to affordable, accessible, and high-quality mental health care.About the Role:We are seeking a skilled RCM Specialist to manage the complete revenue cycle operations for psychiatry and behavioral health services within the U.S. healthcare system. This is a full-time, onsite role requiring night-shift availability aligned with U.S. Central Time (7:00 PM &ndash; 4:00 AM PKT).The selected candidate will be responsible for the end-to-end billing lifecycle, including claim preparation and submission, denial management, accounts receivable (AR) follow-ups, and payment posting. Success in this role requires strong expertise in psychiatry billing codes, insurance guidelines, and medical billing systems, along with a proactive, detail-oriented approach.Key Responsibilities:<ul><li>Prepare, review, and submit accurate claims for psychiatry and behavioral health services, including therapy sessions, medication management, and psychiatric evaluations</li><li>Ensure correct usage of CPT, ICD-10, and HCPCS codes, with specific expertise in psychiatry codes such as 90791, 90833, 90834, 90837, 99213, and 99214</li><li>Submit electronic and paper claims to commercial insurance, Medicare, and Medicaid</li><li>Perform AR follow-ups and manage aged claims to ensure timely reimbursement</li><li>Investigate, resolve, and resubmit denied or rejected claims by identifying root causes and implementing corrective actions</li><li>Post payments using ERA/EOBs, reconcile billing records, and apply appropriate adjustments or write-offs</li><li>Collaborate with providers and internal teams to resolve discrepancies and obtain missing or incomplete documentation</li><li>Maintain strict compliance with HIPAA regulations and psychiatry billing requirements</li><li>Generate billing and performance reports and support team leadership with tracking and analysis</li></ul>Requirements:<ul><li>Intermediate/A-Levels or Bachelor&rsquo;s degree in Healthcare Administration, Finance, or a related field (preferred)</li><li>3&ndash;5 years of hands-on experience in U.S. medical billing and Revenue Cycle Management (RCM)</li><li>Availability to work night shifts (7:00 PM &ndash; 4:00 AM PKT)</li><li>Strong knowledge of the full RCM lifecycle for mental health and behavioral health services</li><li>Proficiency with EMRs and billing platforms (e.g., CMD or similar systems)</li><li>In-depth understanding of psychiatry billing codes, modifiers, and payer-specific insurance protocols</li><li>Experience with insurance verification, AR analysis, denial management, and payment posting</li><li>Excellent verbal and written communication skills in English</li><li>Proficiency in MS Excel, Google Sheets, and reporting tools</li></ul>Why Join PsychPlus?If you&rsquo;ve made it this far, we&rsquo;re excited to meet you.PsychPlus is a meritocratic, performance-driven startup that moves fast and values ownership and accountability. You may be required to wear multiple hats, adapt quickly, and consistently deliver results. In return, your scope of responsibility and opportunity to make an impact are uncapped.When you succeed at PsychPlus, our patients succeed&mdash;and together we move one step closer to solving the mental health crisis. We hope this role gives you both career-defining experience and the fulfillment that comes from meaningful work.Equal Opportunity EmployerPsychPlus is proud to be an Equal Opportunity Employer. We are committed to fostering an inclusive environment where every team member feels supported and empowered to be their authentic self. All applicants are evaluated solely on their qualifications, without regard to disability or need for accommodation.Job Type: Full-timePay: Rs85,000.00 - Rs140,000.00 per monthApplication Question(s):<ul><li>Do you have direct experience billing psychiatry or behavioral health services, including the use of psychiatry-specific CPT codes (e.g., 90791, 90834, 90837, 99213, 99214)?</li><li>Do you have hands-on experience using U.S. medical billing or RCM software (e.g., CMD, Kareo, Athena, AdvancedMD, eClinicalWorks, or similar platforms)?</li><li>Are you comfortable working onsite in Karachi, Gulshan-e-Iqbal, on a Night shift?</li><li>What are your salary expectations?</li></ul>Experience:<ul><li>U.S. medical billing and Revenue Cycle Management (RCM): 1 year (Required)</li></ul>Work Location: In person

RCM Specialist &ndash; Psychiatry &amp; Behavioral HealthFull-Time | Remote (Only Islamabad, Lahore, Multan)About PsychPlus:The current delivery model for mental health care in the United States is broken&mdash;and PsychPlus is on a mission to fix it.PsychPlus is reimagining how mental health care is delivered to every American through a digital-first, modern approach to psychiatry and therapy. We provide care both in-person at our offices across Texas and virtually, allowing patients to receive care when and where it&rsquo;s most convenient.By combining exceptional clinical care with best-in-class technology, we deliver an integrated, patient-centered mental healthcare experience. Join us as we work toward ensuring that every person has access to affordable, accessible, and high-quality mental health care.About the Role:We are seeking a skilled RCM Specialist to manage the complete revenue cycle operations for psychiatry and behavioral health services within the U.S. healthcare system. This is a remote opportunity, so we require someone who has the equipments to work remotely.The selected candidate will be responsible for the end-to-end billing lifecycle, including claim preparation and submission, denial management, accounts receivable (AR) follow-ups, and payment posting. Success in this role requires strong expertise in psychiatry billing codes, insurance guidelines, and medical billing systems, along with a proactive, detail-oriented approach.Key Responsibilities:<ul><li>Prepare, review, and submit accurate claims for psychiatry and behavioral health services, including therapy sessions, medication management, and psychiatric evaluations</li><li>Ensure correct usage of CPT, ICD-10, and HCPCS codes, with specific expertise in psychiatry codes such as 90791, 90833, 90834, 90837, 99213, and 99214</li><li>Submit electronic and paper claims to commercial insurance, Medicare, and Medicaid</li><li>Perform AR follow-ups and manage aged claims to ensure timely reimbursement</li><li>Investigate, resolve, and resubmit denied or rejected claims by identifying root causes and implementing corrective actions</li><li>Post payments using ERA/EOBs, reconcile billing records, and apply appropriate adjustments or write-offs</li><li>Collaborate with providers and internal teams to resolve discrepancies and obtain missing or incomplete documentation</li><li>Maintain strict compliance with HIPAA regulations and psychiatry billing requirements</li><li>Generate billing and performance reports and support team leadership with tracking and analysis</li></ul>Requirements:<ul><li>Intermediate/A-Levels or Bachelor&rsquo;s degree in Healthcare Administration, Finance, or a related field (preferred)</li><li>3&ndash;5 years of hands-on experience in U.S. medical billing and Revenue Cycle Management (RCM)</li><li>Availability to work remotely (Lahore, Islamabad, Multan)</li><li>Strong knowledge of the full RCM lifecycle for mental health and behavioral health services</li><li>Proficiency with EMRs and billing platforms (e.g., CMD or similar systems)</li><li>In-depth understanding of psychiatry billing codes, modifiers, and payer-specific insurance protocols</li><li>Experience with insurance verification, AR analysis, denial management, and payment posting</li><li>Excellent verbal and written communication skills in English</li><li>Proficiency in MS Excel, Google Sheets, and reporting tools</li></ul>Why Join PsychPlus?If you&rsquo;ve made it this far, we&rsquo;re excited to meet you.PsychPlus is a meritocratic, performance-driven startup that moves fast and values ownership and accountability. You may be required to wear multiple hats, adapt quickly, and consistently deliver results. In return, your scope of responsibility and opportunity to make an impact are uncapped.When you succeed at PsychPlus, our patients succeed&mdash;and together we move one step closer to solving the mental health crisis. We hope this role gives you both career-defining experience and the fulfillment that comes from meaningful work.Equal Opportunity EmployerPsychPlus is proud to be an Equal Opportunity Employer. We are committed to fostering an inclusive environment where every team member feels supported and empowered to be their authentic self. All applicants are evaluated solely on their qualifications, without regard to disability or need for accommodation.Job Type: Full-timePay: Rs90,000.00 - Rs130,000.00 per monthApplication Question(s):<ul><li>Do you have direct experience billing psychiatry or behavioral health services, including the use of psychiatry-specific CPT codes (e.g., 90791, 90834, 90837, 99213, 99214)?</li><li>Do you have hands-on experience using U.S. medical billing or RCM software (e.g., CMD, Kareo, Athena, AdvancedMD, eClinicalWorks, or similar platforms)?</li><li>What are your salary expectations?</li><li>Are you comfortable working remotely? Do you have a laptop or computer with stable internet?</li></ul>Experience:<ul><li>U.S. medical billing and Revenue Cycle Management (RCM): 1 year (Preferred)</li></ul>Work Location: Remote

Ayzel Global

Company OverviewMedBillz is a US-focused medical billing and revenue cycle management company that helps healthcare providers improve compliance, reduce claim denials, and streamline payer enrollment processes.This role is being hired and managed through Ayzel Global, supporting MedBillz&rsquo;s growing US provider base.Role OverviewWe are seeking a Medical Credentialing Specialist with hands-on experience in US provider enrollment and payer credentialing. The role requires managing end-to-end credentialing workflows, ensuring compliance with payer and regulatory requirements, and working closely with billing and operations teams to prevent revenue disruptions.This is a detail-intensive role suited for professionals who understand the administrative and compliance side of US healthcare systems.Key Responsibilities<ul><li>Manage end-to-end provider credentialing and re-credentialing processes</li><li>Enroll providers with Medicare, Medicaid, and commercial payers</li><li>Complete and maintain CAQH profiles (attestation, updates, audits)</li><li>Track credentialing timelines, expirations, and renewals</li><li>Communicate with insurance payers to resolve credentialing issues</li><li>Maintain accurate credentialing records and documentation</li><li>Coordinate with billing teams to ensure claims readiness post-credentialing</li><li>Ensure compliance with US healthcare regulations and payer requirements</li><li>Support audits and credentialing-related inquiries</li></ul>Required Qualifications<ul><li>1&ndash;3+ years of experience in US medical credentialing or provider enrollment</li><li>Hands-on experience with CAQH, Medicare, Medicaid, and commercial payers</li><li>Strong understanding of US healthcare credentialing workflows</li><li>Excellent attention to detail and documentation skills</li><li>Strong written and verbal English communication</li><li>Ability to manage multiple providers and deadlines simultaneously</li></ul>Preferred Skills (Nice to Have)<ul><li>Experience working with US medical billing or RCM companies</li><li>Familiarity with EHRs, practice management systems, or credentialing software</li><li>Experience credentialing across multiple specialties</li><li>Prior experience working with US clients or offshore healthcare teams</li></ul>What We Offer<ul><li>Full-time, stable role within a growing US healthcare services company</li><li>Competitive salary (based on experience)</li><li>Exposure to US healthcare compliance and payer systems</li><li>Structured processes and long-term growth opportunities</li><li>Supportive, systems-driven work environment</li></ul>Work Type<ul><li>Work Type: Full-time</li><li>Location: On-site / Remote (as per company policy)</li><li>Client: US Healthcare Company (MedBillz)</li></ul>Job Type: Full-timePay: Rs85,000.00 - Rs125,000.00 per monthWork Location: In person

Medical Credentialing Specialist

Premier MBC

Job Timing: 06:00 PM To 03:00 AMJob Location: Karachi Shahrah e FaisalJob DescriptionPMBC are US based Medical Billing Revenue Cycle Management Company. We are looking for enthusiastic and experienced Medical Billing Professionals with experience of working with US based Medical Billing Companies.Prospect should have experience in Billing , AR , Denial Management , Appeals , Good Excel and reporting skills.The Candidates should be meet the following Criteria in order to qualify for the job :<ul><li>Working on CPT/ICD coding</li><li>Review patient bills for accuracy and completeness and obtain any missing information</li><li>Knowledge of insurance guidelines especially Medicare and state Medicaid</li><li>Follow up on unpaid claims within standard billing cycle timeframe</li><li>Check each insurance payment is for accuracy and compliance with contract discount</li><li>Call insurance companies regarding any discrepancy in payments if necessary</li><li>Identify and bill secondary or tertiary insurances</li><li>All accounts are to be reviewed for insurance or patient follow-up</li><li>Answer patient or insurance telephone inquiries pertaining to assigned accounts.</li><li>To Communicate Effectively with Team and Clients.</li><li>To perform the Account Receivables, Denial Management, Appeal Management.</li><li>To maintain the protocols and documentation of each performed task.</li><li>Any other task as assigned by the management.</li><li>Strong verbal communication skills (English).</li></ul>Job Specification:<ul><li>Excellent working knowledge of EHR's &amp; Medical Billing Software's like CureMD , Kareo, Practice Fusion, MS Office, Web Fax (Metro Fax), Encoder pro, Payer Portals and other related tools and software&rsquo;s.</li><li>Good knowledge of Medical Billing and Coding</li><li>Denial management and Appeal</li><li>Authorization (Pre, Post, and Retro)</li><li>Research and Management Reporting</li><li>Must be a good team player</li><li>Strong verbal (English) and written communication (Good Typing speed).</li></ul>PMBC provide a great career path and our employee are compensated with competitive compensation commensurate with their experience , Please let us know if you are in market to work as a Senior A/R Medical Billing Specialist . We prefer prospects seeking full time employment.Experience:3 - 5 yearsJob Rewards and Benefits<ul><li>Paid Leaves</li><li>Medical</li><li>EOBI</li><li>Saturday and Sunday Off</li><li>Complementary Food (Dinner)</li></ul>Job Type: Full-timeApplication Question(s):<ul><li>Do you have a degree?</li><li>Can you communicate in English?</li><li>How many years of experience you have in Medical Billing and RCM?</li><li>Can you work in night shifts?</li><li>what is your current salary?</li><li>What is your expected salary?</li></ul>Work Location: In person

AR Executive (Karachi)

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AR Executive (Karachi)