Healthcare Operations Specialist

4 days ago

Islamabad, Islamabad, Pakistan beBeeEfficiency Full time $60,000 - $85,000
Revenue Cycle Operations Specialist - Achieve Operational Efficiency

About this role:

We are seeking a Revenue Cycle Operations Specialist to join our team. As a key member of our revenue cycle management team, you will play 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. You will perform initial verification of patients' insurance coverage for services, conduct monthly re-verifications to identify any changes in insurance, and accurately document verification information within the client's electronic medical record (EMR) system.

  • Insurance Verification: Perform initial verification of patients' insurance coverage for services, conduct monthly re-verifications to identify any changes in insurance, and accurately document verification information within the client's 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, and 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, and 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, and support other administrative or operational duties as assigned.

The ideal candidate will have strong attention to detail, exceptional fluency in spoken English, with outstanding written and verbal communication skills, and experience in an accounts receivable role with current, hands-on experience.

This role requires an in-depth understanding of medical billing rules, insurance guidelines, and regulatory compliance. The candidate should be currently employed with a well-reputed revenue cycle management company.

Key Requirements

To succeed in this role, you will need:

  • At least 2 years of experience in a revenue cycle management company
  • Strong knowledge of medical billing rules and regulations
  • Excellent communication and interpersonal skills
  • Ability to work independently and as part of a team
  • High level of accuracy and attention to detail

We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.

  • Healthcare Operations Liaison

    1 week ago

    Islamabad, Islamabad, Pakistan beBeeRelationship Full time 8,300,000 - 10,125,000

    Transformative Relationship SpecialistJob OverviewCultivate collaborative environments with practice staff and physicians to drive operational efficiencies and achieve strategic objectives.Develop strong relationships with assigned providers to anticipate, prevent, and resolve problems.Proactively identify provider issues, coordinate solutions, and ensure...

  • Healthcare Equipment Specialist

    1 week ago

    Islamabad, Islamabad, Pakistan beBeeMaintenance Full time 5,000,000 - 7,500,000

    Healthcare Equipment SpecialistThis role involves maintaining the security and functionality of medical equipment, ensuring it operates efficiently and effectively. Key responsibilities include:Equipment installation, relocation, and transportationProviding technical support and repair servicesCollaborating with MMU technicians to ensure smooth...

  • Ensuring High-Quality Healthcare Services

    1 week ago

    Islamabad, Islamabad, Pakistan beBeeHealthcareQuality Full time 800,000 - 1,020,000

    Healthcare Quality Assurance SpecialistAs a healthcare quality assurance specialist, you will oversee the services and operations of our Mobile Medical Units (MMUs) in rural areas, ensuring the highest standards of quality and compliance.The role involves developing quality assurance policies and procedures to ensure healthcare regulations and standards are...

  • Healthcare Medical Coding Specialist

    1 week ago

    Islamabad, Islamabad, Pakistan beBeeCoding Full time 6,000,000 - 8,540,000

    Medical Coding ProfessionalWe are seeking a skilled Medical Coding Specialist to contribute to our healthcare operations. In this role, you will be responsible for accurately coding medical procedures and diagnoses, ensuring compliance with current regulations.Extract essential information from patient records, including diagnoses and procedures.Verify the...

  • Advanced Clinical Healthcare Specialist

    4 days ago

    Islamabad, Islamabad, Pakistan beBeeNurse Full time 8,000,000 - 15,000,000

    Healthcare Specialist OpportunityWe are seeking a highly skilled healthcare specialist to join our organization as an expert in clinical knowledge and technology integration. The ideal candidate will possess advanced clinical skills and patient care experience, with a passion for bridging clinical knowledge and technology.Main ResponsibilitiesCollaborate...

  • Healthcare Recruiter

    2 weeks ago

    Islamabad, Islamabad, Pakistan GLOBAL TECH HUB Pvt Ltd Full time $104,000 - $130,878 per year

    Company DescriptionGlobal Tech Hub (Pvt) Ltd. is a leading Business Process Outsourcing (BPO) company specializing in healthcare solutions for U.S.-based clients. We are committed to providing exceptional support and services to our clients by maintaining high standards of quality. Our team is dedicated to delivering innovative and efficient solutions to...

  • Operations Intern

    19 hours ago

    Islamabad, Islamabad, Pakistan ProvoxGlobal Full time 150,000 - 250,000 per year

    About the Role:We are looking for a motivated and detail-orientedInsurance Verification Internto join our healthcare team. In this role, you will work closely with ourMedical Billing and Insurance Verification Specialistto learn the end-to-end process of insurance verification, billing workflows, and patient eligibility checks. This internship is an...

  • Healthcare IT Systems Specialist

    2 weeks ago

    Islamabad, Islamabad, Pakistan beBeeHealthcareITSpecialist Full time $90,000 - $120,000

    Job Description:We are seeking an experienced OpenEHR developer to design, develop and implement a comprehensive Electronic Health Record (EHR) system fully aligned with the OpenEHR standard. The role involves building core components such as the clinical data repository, archetype and template infrastructure, interoperability APIs, clinical workflow...

  • Business Development Healthcare Specialist

    2 weeks ago

    Islamabad, Islamabad, Pakistan beBeeHealthcare Full time $45,000 - $60,000

    Job Opportunity:Succeed as a Healthcare Connector, connecting citizens with suitable healthcare providers through proactive engagement. Key Responsibilities:Initiate contact with citizens to assess their healthcare needs, fostering meaningful connections.Provide expert guidance on healthcare services within our network, empowering informed decisions.Support...

  • Healthcare Knowledge Ambassador

    6 days ago

    Islamabad, Islamabad, Pakistan beBeeSpecialist Full time 8,000,000 - 15,000,000

    Training and Education SpecialistPioneering breakthroughs in healthcare for everyone, everywhere, and sustainably.As a Training and Education Specialist, you will play a pivotal role in delivering high-quality applications and operations training within Nuclear Medicine (NMI), Mammography, and US products. You will be responsible for maintaining competitive...