Healthcare Revenue Cycle E&A Specialist

2 days ago

Saddar Town, Pakistan SimiTree Healthcare Consulting Full time

About the SimiTree:
SimiTree offers a robust suite of outsourced services, consulting, and technology to the Home Health, Home Care, Hospice, and Behavioral Health industries. Our Post-Acute Revenue Cycle Management team helps post-acute care providers grow stronger and healthier by optimizing operations, revenue, and clinical performance. SimiTree brings industry expertise and a wide range of proven solutions together to guide organizations through challenges, changes, and growth.

About the Role:
The Revenue Cycle E&A Specialist plays a critical role in supporting efficient and compliant revenue cycle operations. This position is responsible for ensuring accurate and timely insurance verification, managing authorizations, and tracking physician orders. The ideal candidate will have strong attention to detail and the ability to manage multiple administrative tasks across various systems. This role also involves maintaining internal records, verifying patient benefits, securing insurance authorizations, and contributing to team training efforts.

Position:Revenue Cycle E&A Specialist
  • Location: Remote
  • Applicants: Only international applicants (outside the United States) will be considered
  • Shift Timing: 9:00 AM to 5:30 PM (Eastern Time)
  • Salary Range: Competitive (Based on Experience & Interview Performance)
  • Working Days: Monday to Friday
What We're Looking For:
  • Education: Master's degree or equivalent from an HEC-recognized and well-reputed university
  • Field of Study: Accounting, Finance, Healthcare Administration, or a related field
  • Experience: Current, hands-on experience in an Accounts Receivable role
  • Current Employment: Must currently be working with a well-reputed Revenue Cycle Management (RCM) company
  • Expertise: In-depth understanding of medical billing rules, insurance guidelines, and regulatory compliance
  • Language: Exceptional fluency in spoken English, with outstanding written and verbal communication skills
Key Responsibilities: The Revenue Cycle E&A Specialist will be responsible for managing a variety of administrative and operational tasks critical to the revenue cycle process, including:

Insurance Verification
  • Perform initial verification of patients' insurance coverage for services
  • Conduct monthly re-verifications to identify any changes in insurance
  • Accurately document verification information within the client's Electronic Medical Record (EMR) system
Authorization Management
  • Submit initial authorization requests to insurance companies for services requiring pre-certification
  • Compile and submit required medical documentation from the client's EMR to support authorization requests
  • Manage follow-up and subsequent authorization requests as needed
Physician Order Tracking
  • Send unsigned physician orders to appropriate physician offices for review and signature
  • Follow up on outstanding or aged unsigned orders and implement strategies for timely completion
  • Review and upload signed physician orders into the client's EMR, ensuring compliance
Documentation & Reporting
  • Develop and maintain internal tracking spreadsheets and databases to support day-to-day workflow
Team Support
  • Assist in training new or existing staff on workflows and best practices
  • Support other administrative or operational duties as assigned
#J-18808-Ljbffr

  • Healthcare Revenue Cycle Operations Professional

    1 day ago

    Saddar Town, Pakistan beBeeInsurance Full time $60,000 - $90,000

    Revenue Cycle SpecialistWe are seeking a skilled Revenue Cycle Specialist to join our team. The ideal candidate will possess strong analytical and communication skills, with the ability to work independently and as part of a team.The Revenue Cycle Specialist will be responsible for managing the revenue cycle process, including insurance verification,...

  • Careers In Healthcare: Medical Billing Specialist

    1 day ago

    Gulshan-e-Iqbal Town, Pakistan beBeeAccounting Full time $52,000 - $74,000

    Healthcare Revenue Cycle E&A Specialist Job OverviewThis role plays a critical part in supporting efficient revenue cycle operations by ensuring accurate and timely insurance verification, managing authorizations, and tracking physician orders.

  • Revenue Cycle

    1 week ago

    Wapda Town, Pakistan Macrise Tech Solutions Full time 960,000 per year

    Key ResponsibilitiesMedical BillingAccurately prepare and submit insurance claims and patient invoices within required timelines.Review claims for completeness, coding accuracy, and compliance with payer guidelines.Maintain organized billing documentation and up-to-date records in the practice management system.Process adjustments, credit memos, and payment...

  • Revenue Growth Specialist

    1 day ago

    Saddar Town, Pakistan beBeeRevenue Full time 789,012 - 1,234,567

    Job Opportunity:We are seeking a Revenue Growth Specialist to oversee pricing and occupancy optimization for our short-term rental business.About This RolePricing Strategies:Develop and implement dynamic pricing strategies to maximize revenue growth.Market Analysis: Monitor competitor pricing, market demand, seasonality, and local events to adjust rates in...

  • Remote Healthcare Support Specialist

    1 day ago

    Saddar Town, Pakistan beBeeHealthcare Full time $45,000 - $56,000

    Remote Medical Support SpecialistWe are seeking a highly skilled and detail-oriented Remote Medical Support Specialist to provide administrative and clinical support to healthcare providers from the comfort of their own homes.This is an exceptional opportunity for individuals who are passionate about delivering high-quality patient care and have excellent...

  • E-Commerce Operations Specialist

    1 day ago

    Saddar Town, Pakistan beBeeEcommerceoperations Full time $70,000 - $90,000

    E-commerce Operations Specialist Job DescriptionWe are seeking a highly skilled E-commerce Operations Specialist to manage our e-commerce platforms, optimize logistics processes, and enhance customer experiences.Manage end-to-end operations of dropshipping and third-party logistics ensuring timely order fulfillment, inventory accuracy, and seamless...

  • Healthcare Connection Specialist

    1 day ago

    Saddar Town, Pakistan beBeeHealthcare Full time $40,000 - $60,000

    Job OverviewWe are seeking highly motivated individuals to fill the role of Healthcare Connection Agent. This position requires a unique blend of strong communication skills, empathy, and technical proficiency.The ideal candidate will be responsible for making outbound calls to citizens across the United States to understand their healthcare needs and...

  • Expert E-commerce Professional

    1 day ago

    Saddar Town, Pakistan beBeeEcommerce Full time 30,000 - 60,000

    Key E-commerce ExpertWe are seeking a seasoned e-commerce professional to spearhead our online retail growth. As an expert in this field, you will be responsible for developing and implementing effective e-commerce strategies that drive sales and revenue.Primary Responsibilities:Design and execute comprehensive e-commerce strategies to fuel business...

  • E-commerce Expert

    1 day ago

    Saddar Town, Pakistan beBeeEcommerce Full time 900,000 - 1,200,000

    Job Title: E-Commerce ExpertThe team is seeking an experienced e-commerce expert to lead the development and management of direct-to-consumer (D2C) and business-to-business (B2B) e-commerce platforms.Key Responsibilities:E-Commerce Platform Management: Oversee theme updates, product launches, page buildouts, and site customizations to ensure seamless...

  • E-commerce Web Development Specialist

    1 day ago

    Saddar Town, Pakistan beBeeDevelopment Full time $28,000 - $120,000

    \About the Opportunity\We are seeking a seasoned E-commerce Web Development Specialist to join our team. As a specialist, you will be responsible for integrating Shopify APIs (REST and GraphQL) and building Node.js apps with TypeScript.\Integrate Shopify APIs and build scalable web applications.Experience with Liquid templating and custom theme work is...