revenue cycle management specialist

King Abdullah Bin Abdulaziz University Hospital

<div>Job Purpose:
Revenue Cycle Management Specialist and coder II plays a crucial role in ensuring a seamless patient experience within the hospital's financial ecosystem. Responsible for overseeing various aspects such as Coding, Scheduling, Registration, Check-in, Eligibility Verification, Pre-Authorization &amp; Notification, as well as Payments, Deductibles &amp; Co-payments, this role demands meticulous attention to detail and excellent interpersonal skills . 
Key Accountabilities &amp; Responsibilities:
<div><ul><li>Responsible for the efficient and effective operation of the patient access department, including coding, scheduling, registration, check-in, eligibility, pre-authorization and notification, and payments, deductibles, and co-payments.
</li></ul><ul><li>Oversees the work of patient access staff and ensures that they are providing high-quality customer service to patients.
</li></ul><ul><li>Monitors patient access metrics and implements process improvements to enhance efficiency and reduce wait times.
</li></ul><ul><li>Works with other hospital departments to ensure that patients have a smooth and seamless experience throughout their care journey.
</li></ul><ul><li>Respects patients and their families to promote a patient-centered care culture.
</li></ul><ul><li>Participates in and supports quality improvement and patient safety activities as an individual or as part of a multidisciplinary team.
</li></ul></div>Performs other job related duties, as assigned 
Job Qualifications and Experience: 
- Bachelor Degree in Business Administration, Healthcare profession (i.e. Nursing, Pharmacy) or any related field.
- 2 years of Experience (Must be in RCM and Coding).</div>

Revenue Cycle Management Specialist II

Physicians Revenue Group

We are looking for an experienced Accounts Receivable (AR) Executive with a strong background in Revenue Cycle Management (RCM) for the U.S. healthcare process.Position: AR Executive &ndash; RCM Specialist Location: Onsite &ndash; Lahore Experience: 2+ years (U.S. Healthcare experience preferred)Key Skills:<ul><li>Solid knowledge of U.S. healthcare RCM, including Denial Management &amp; Payment Posting</li><li>Proficiency in medical billing software</li><li>Excellent communication skills</li></ul>Job Type: Full-timePay: Rs50,000.00 - Rs70,000.00 per monthAbility 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>2years: 1 year (Preferred)</li></ul>Location:<ul><li>Lahore (Preferred)</li></ul>Work Location: In person

Billing Executive - Night shift

PRG Pakistan is Hiring! | AR Executive &ndash; RCM Specialist (Onsite | Lahore)Are you an experienced Accounts Receivable (AR) Executive with a strong background in Revenue Cycle Management (RCM) for the U.S. healthcare process? Join our team at PRG Pakistan and take the next step in your career!Position: AR Executive &ndash; RCM Specialist Location: Onsite &ndash; Lahore Experience Required: 2+ years (U.S. Healthcare preferred)Key Requirements:<ul><li>Solid understanding of the U.S. healthcare RCM process, including:</li><li>Denial Management</li><li>Payment Posting</li><li>Proficiency in medical billing software</li><li>Excellent communication skills</li></ul>How to Apply: Send your resume to: zainab8278@prgmd.com Or WhatsApp at: 0308-8882130Job Type: Full-timePay: Rs55,000.00 - Rs70,000.00 per monthAbility 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>2year: 1 year (Preferred)</li></ul>Location:<ul><li>Lahore (Preferred)</li></ul>Work Location: In person

AR Executive / RCM Specialist -Medical Billing

BLMS SMC PVT LTD

Job PurposeThe RCM Manager is responsible for overseeing the entire revenue cycle management process for the organization, focusing on medical billing, claims processing, payment posting, denial management, and compliance. This role ensures that the company maximizes revenue while maintaining accuracy, efficiency, and compliance with healthcare regulations.Key Responsibilities<ul><li>Lead, manage, and mentor the revenue cycle team, including billing specialists and AR follow-up staff.</li><li>Develop and implement policies and procedures for efficient billing and collections.</li><li>Monitor and analyze key performance metrics (e.g., AR days, denial rates, collections).</li><li>Oversee claim submissions, payment posting, and follow-up to ensure timely reimbursement.</li><li>Collaborate with providers, payers, and internal teams to resolve billing discrepancies and denials.</li><li>Ensure compliance with federal, state, and payer-specific billing regulations.</li><li>Prepare financial and operational reports for senior management.</li><li>Identify process improvement opportunities to optimize revenue cycle performance.</li><li>Stay current with industry changes, payer requirements, and best practices in medical billing and RCM.</li></ul>Requirements<ul><li>Bachelor&rsquo;s degree in Healthcare Administration, Business, Finance, or related field (or equivalent experience).</li><li>5+ years of experience in medical billing and revenue cycle management.</li><li>Strong knowledge of healthcare reimbursement, payer rules, and compliance standards.</li><li>Proficiency in medical billing software and electronic health record (EHR) systems.</li><li>Excellent leadership, communication, and analytical skills.</li><li>Ability to work in a fast-paced, results-driven environment.</li></ul>Performance Expectations<ul><li>Maintain AR days below industry benchmarks.</li><li>Achieve a high rate of clean claim submissions.</li><li>Reduce denial rates through proactive management and root cause analysis.</li><li>Improve overall collection rates and financial performance.</li></ul>Job Type: Full-timePay: Rs150,000.00 - Rs300,000.00 per monthWork Location: In person

RCM Manager/Lead

Prima Systems

Digital Prima Systems is a reputable healthcare technology company specializing in providing innovative solutions for medical billing and revenue cycle management. We are committed to assisting healthcare providers in optimizing their financial operations and ensuring timely reimbursement for services rendered.Responsibilities:<ul><li>Insurance Claims Processing:</li><li>Review and prepare accurate insurance claims for submission to various payers.</li><li>Verify patient insurance coverage, benefits, and eligibility.</li><li>Ensure proper coding (CPT, ICD-10, HCPCS) and documentation for claims accuracy.</li><li>Submit claims electronically or by paper according to payer requirements.</li><li>Payment Posting and Reconciliation:</li><li>Post payments received from insurance companies and patients into the billing system.</li><li>Reconcile payments against billed amounts to identify discrepancies.</li><li>Investigate and resolve any discrepancies in payments, adjustments, or denials.</li><li>Accounts Receivable Management:</li><li>Monitor and follow up on unpaid or denied claims to ensure timely resolution.</li><li>Contact insurance companies to inquire about claim status and facilitate payment.</li><li>Review aging reports regularly to prioritize and address delinquent accounts.</li><li>Initiate appeals for denied or underpaid claims and track the appeal process.</li><li>Patient Billing and Communication:</li><li>Generate patient statements and invoices for outstanding balances.</li><li>Work with patients to establish payment plans or arrangements.</li><li>Provide clear and compassionate communication regarding billing inquiries or issues.</li><li>Documentation and Reporting:</li><li>Maintain accurate and organized records of all billing and collection activities.</li><li>Generate reports on accounts receivable status, aging trends, and collection efforts.</li><li>Prepare regular updates and summaries for management review.</li><li>Compliance and Regulations:</li><li>Ensure compliance with HIPAA regulations and other billing guidelines.</li><li>Stay informed about changes in billing regulations and payer policies.</li><li>Implement best practices to maximize reimbursement and minimize compliance risks.</li></ul>Requirements:<ul><li>Proven experience as an Accounts Receivable Specialist in medical billing or a related field.</li><li>In-depth knowledge of medical terminology, billing codes (CPT, ICD-10, HCPCS), and insurance claims processes.</li><li>Proficiency in using medical billing software and electronic health record (EHR) systems.</li><li>Strong understanding of insurance policies, reimbursement methodologies, and billing guidelines.</li><li>Excellent analytical skills to identify and resolve billing discrepancies efficiently.</li><li>Effective communication skills to interact professionally with insurance companies, patients, and internal teams.</li><li>Detail-oriented with a high level of accuracy in data entry and financial calculations.</li></ul>Please share your resume 0325-7666161Job Type: Full-timePay: Rs40,000.00 - Rs95,000.00 per monthExperience:<ul><li>Account Receivable: 1 year (Preferred)</li></ul>Language:<ul><li>English (Preferred)</li></ul>Work Location: In person

Medical Billing - AR Executive

Paper Works Printers

We are seeking an energetic and detail-oriented Insurance Premium Billing &amp; Accounts Management Specialist to join our dynamic night shift team. This role blends expertise in insurance premium billing with proactive client account management. If you're motivated by accuracy, efficiency, and client service, we&rsquo;d love to hear from you.Key Responsibilities<ul><li>Review and follow up on outstanding insurance premium payments to ensure timely processing and reconciliation.</li><li>Work directly with payers or providers to resolve premium discrepancies, payment delays, or adjustments</li><li>Ensure accurate maintenance of premium billing records while consistently meeting daily productivity and quality standards,</li><li>Submit updates or corrections related to premium amounts as needed.</li><li>Maintain high standards of *billing accuracy, reporting, and compliance.</li></ul>Account Management Responsibilities<ul><li>Advise clients regarding any payment discrepancies or premium-related concerns.</li><li>Send notices or reminders to clients for overdue premiums or required actions.</li><li>Update client banking and billing information on relevant portals and internal systems.</li><li>Provide support to clients in navigating billing portals and understanding premium details.</li><li>Communicate regularly with clients to ensure account accuracy, payment compliance, and satisfaction.</li></ul>Requirements<ul><li>Minimum 3 years of experience in insurance billing or revenue cycle management (RCM).</li><li>Strong understanding of premium billing processes and reconciliation.</li><li>Excellent communication skills with a strong command of English both written and verbal.</li><li>Exceptional attention to detail and organizational skills.</li><li>Knowledge of Canadian privacy laws (PIPEDA) is a plus.</li><li>Experience working with client billing systems and online portals is preferred.</li></ul>What We Offer<ul><li>Competitive salary and benefits</li><li>Opportunity to work with a global, growth-oriented team</li><li>Supportive, collaborative work environment</li><li>Night shift flexibility</li></ul>Shift Schedule - Monday to Friday, 06:00 pm to 02:00 am. Please note that it is an In-Person position and requires the candidate to be physically present in our Lahore Office.Job Type: Full-timePay: Rs50,000.00 - Rs80,000.00 per monthExperience:<ul><li>Insurance / Medical Billing: 3 years (Preferred)</li></ul>Work Location: In person

Insurance Premium Billing (Night Shift)

Macrise Tech Solutions

Key ResponsibilitiesMedical Billing<ul><li>Accurately prepare and submit insurance claims and patient invoices within required timelines.</li><li>Review claims for completeness, coding accuracy, and compliance with payer guidelines.</li><li>Maintain organized billing documentation and up-to-date records in the practice management system.</li><li>Process adjustments, credit memos, and payment postings accurately and efficiently.</li><li>Update and maintain accurate patient demographics and insurance details.</li><li>Generate monthly billing statements and customized RCM (Revenue Cycle Management) reports.</li><li>Support the accounting team with reconciliations and month-end financial reporting.</li><li>Identify and recommend process improvements to streamline billing operations.</li></ul>Collections<ul><li>Follow up proactively on unpaid insurance claims and patient balances to ensure timely reimbursement.</li><li>Monitor and manage A/R aging reports, focusing on overdue accounts for resolution.</li><li>Communicate with insurance payers to resolve delays, denials, or underpayments.</li><li>Address patient billing concerns professionally and arrange payment plans when necessary.</li><li>Collaborate with billing and patient services teams to resolve complex collection issues.</li><li>Document all collection activities, follow-ups, and correspondence accurately in the system.</li></ul>Job Type: Full-timePay: Rs40,000.00 - Rs80,000.00 per monthAbility to commute/relocate:<ul><li>Wapda Town: Reliably commute or planning to relocate before starting work (Required)</li></ul>Application Question(s):<ul><li>Willing to work the night shift?</li></ul>Experience:<ul><li>Medical Billing: 1 year (Preferred)</li></ul>Language:<ul><li>English (Required)</li></ul>Work Location: In person

Revenue Cycle & Collections Associate-Medical Billing

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