Operations Manager - Medical Billing & RCM
Description:
About Our Client:
A leading U.S-based wound care medical billing company in Pakistan is hiring for a lead role!
Job Description:
We are seeking a seasoned Manager Operations to lead our U.S-based wound care medical billing company in Pakistan. This is a senior managerial role responsible for overseeing the entire Revenue Cycle Management (RCM) ensure seamless coordination between U.S. management and Pakistan operations.
Key duties & Responsibilities:
Lead and manage all aspects of the Revenue Cycle Management (RCM) including charge capture, coding, claims submission, payment posting, AR follow-up, denials management, and patient collections.
Manage multiple teams across billing, coding, AR follow-up, denial management, payment posting, and QA.
Define team roles, responsibilities, and reporting lines to maintain clear accountability.
Ensure optimal staffing levels by coordinating with HR for recruitment and workforce planning.
Analyze the data and ensure the integrity of reports/data in order to drive informed decision-making and long-term strategy.
Ensure compliance with industry regulations, guidelines, and standards, including HIPAA, ICD-10, and CPT.
Drive KPIs across teams, clean claim rates, denial rates, collection targets, and client satisfaction.
Present detailed monthly/quarterly reports to senior leadership and clients, & represent the company in high-level client meetings.
Proficiency in EMRs, RCM tools, and reporting dashboards (e.g., Monday.com, Athena, Net health, or wound care-specific EMRs Advanced MD, e clinical Works,).
Requirements:
Managerial Experience: The ideal candidate must have at least 10 years of proven experience in RCM operations with deep technical knowledge of complete RCM lifecycle, including coding, claims, AR management, denials, collections, and compliance. This individual will drive revenue performance, operational efficiency, and strategic alignment across all departments.
Analytical: Strong analytical skills, with the ability to analyze financial performance metrics and identify areas for improvement.
Industry Knowledge: Staying up-to-date with industry trends, regulatory changes, and best practices in medical billing and revenue cycle management is crucial.
Strong understanding of CMS guidelines, payer policies, coding (ICD-10, CPT, HCPCS), and compliance standards.
Individual should have advance English speaking skills. This is necessary because he has to connect with foreign directors on regular basis
Experience: 9+ years
Work Timings: 5:30 pm - 2:30 am
Work Days: Monday - Friday
Work Mode: Onsite
Location: Rawalpindi
Benefit: Bonuses+Medical
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