Revenue Cycle Optimization Specialist

1 week ago

Rawalpindi Cantonment, Pakistan Meds Nexus Private Limited Full time

About the Company

Meds Nexus Private Limited is a leading provider of healthcare services. We are committed to delivering high-quality patient care and exceptional customer service. Our team is dedicated to creating a positive work environment that fosters growth and development.

Job Requirements:

We are seeking a highly skilled Auditor Specialist to join our Revenue Cycle Management (RCM) team. As an RCM expert, you will be responsible for overseeing the auditing processes within the medical billing and credentialing functions.

Key Responsibilities:

  1. Audit Planning and Execution:
  • Develop and implement comprehensive audit plans for medical billing and credentialing processes.
  • Conduct regular audits on charge entries, payment postings, and claim submissions to ensure compliance with industry standards and company policies.
  • Review coding practices and billing procedures to ensure accuracy in documentation and claims.
Compliance and Regulatory Adherence:
  • Ensure all billing and credentialing activities comply with relevant regulations (HIPAA, CMS guidelines, etc.).
  • Monitor for adherence to payer-specific billing rules and government regulations.
  • Stay updated on changes in healthcare laws and ensure the team is compliant.
Consulting and Mentorship:
  • Serve as a role model and mentor to less experienced personnel on professional standards of performance.
  • Provide consulting services and lead independent audits and assessments to improve operations and manage risks related to complex technology and processes.
  • Mentor, train, and enhance the knowledge of Senior/Staff Auditors and other business area teams in auditing and RCM processes.
Performance Analysis and Reporting:
  • Analyze audit findings to identify trends, issues, and areas for improvement in the RCM process.
  • Provide detailed reports on audit outcomes to the HOD Operations, outlining key performance indicators (KPIs), compliance issues, and recommendations for improvement.
  • Ensure the preparation and delivery of KPI & MTD (Month to Date) reports to track performance, which will directly influence bonuses and incentives for team members.
  • Work closely with teams to resolve discrepancies and implement solutions to enhance revenue cycle efficiency.
Follow-up and Remediation:
  • Follow up on past audit findings to ensure timely and adequate remediation.
  • Implement corrective action plans based on audit outcomes to enhance overall compliance and financial performance.
Risk Management and Quality Control:
  • Identify and mitigate risks associated with the revenue cycle by ensuring strict compliance and best practices in billing and credentialing.
  • Conduct regular risk assessments and recommend strategies to minimize financial losses or compliance violations.
Continuous Improvement:
  • Recommend process improvements to optimize the revenue cycle workflow and enhance operational efficiency.
  • Lead efforts to implement automation and advanced technology solutions for RCM auditing.
  • Track performance metrics and recommend actions for improved revenue capture and reduced denials.

Benefits and Compensation:

The successful candidate will receive a competitive salary package, including paid leaves, HR bonus, loan policy, advance salary, yearly loyalty rewards, performance-based bonuses, leave encashment, inflation bonus, promotion, increments, medical benefits, employee contributory saving plan, Saturday and Sunday off, complimentary food and tea/green tea.

  • Revenue Cycle Operations Manager

    1 week ago

    Rawalpindi Cantonment, Pakistan Quaid Technologies Full time

    Job SummaryWe are seeking a seasoned RCM Manager to oversee and optimize the revenue cycle process. The ideal candidate should be well-versed in insurance verification, claim management, and denial resolution, ensuring efficient medical billing operations while maintaining compliance with healthcare regulations.Key Responsibilities:Manage and monitor the...

  • Auditor Specialist – Revenue Cycle Management

    3 weeks ago

    Rawalpindi Cantonment, Pakistan Meds Nexus Private Limited Full time

    The Auditor Specialist for Revenue Cycle Management (RCM) is responsible for overseeing the auditing processes within the medical billing and credentialing functions. The role involves conducting detailed audits, ensuring compliance with regulations, identifying areas for improvement, and implementing corrective actions to optimize revenue cycle performance....

  • Healthcare Revenue Cycle Expert

    1 week ago

    Rawalpindi Cantonment, Pakistan Quaid Technologies Full time

    Company OverviewQuaid Technologies is a leading provider of innovative healthcare solutions, dedicated to delivering exceptional results through our team's expertise and passion for excellence.About the RoleWe are seeking an experienced RCM Manager to join our team, responsible for overseeing the revenue cycle process, managing day-to-day operations, and...

  • Revenue Cycle Optimization Expert

    3 days ago

    Rawalpindi Cantonment, Pakistan Globill Medical Resources Services Full time

    Job Summary:We're seeking a skilled Business Development Executive to join our team at Globill Medical Resources Services. As a Business Development Executive, you will be responsible for generating new business leads, building relationships with healthcare providers, and driving sales in the US healthcare market.Key Responsibilities:Develop and execute...

  • Revenue Cycle Management Expert

    1 week ago

    Rawalpindi Cantonment, Pakistan Meds Nexus Private Limited Full time

    About the Job DescriptionThis role is responsible for overseeing the auditing processes within the medical billing and credentialing functions. The role involves conducting detailed audits, ensuring compliance with regulations, identifying areas for improvement, and implementing corrective actions to optimize revenue cycle performance.Key...

  • Auditor Specialist – Financial Performance Optimizer

    1 week ago

    Rawalpindi Cantonment, Pakistan Meds Nexus Private Limited Full time

    About the RoleMeds Nexus Private Limited is seeking a highly skilled Auditor Specialist to join its Revenue Cycle Management (RCM) team. As an RCM expert, you will play a vital role in overseeing the auditing processes within the medical billing and credentialing functions.Key Responsibilities:Audit Planning and Execution:Develop and implement comprehensive...

  • Revenue Growth Specialist

    1 week ago

    Rawalpindi Cantonment, Pakistan Translation Empire PK Full time

    Translation Empire PK is seeking a highly motivated and results-driven Revenue Growth Specialist to join our team. As a key member of our sales team, you will be responsible for driving revenue growth through the identification and pursuit of new business opportunities.About the Company:We are a dynamic and rapidly growing company specializing in translation...

  • Sales Specialist

    3 weeks ago

    Rawalpindi Cantonment, Pakistan 99 Technologies Full time

    Company DescriptionNinety Nine Technologies is a technology company dedicated to empowering SMBs and enterprises with innovative solutions that drive growth, optimize operations, and streamline processes. Our services include AI/ML technologies, SaaS platforms, CRM systems, Revenue Cycle Management, medical billing, Amazon full-service solutions, back office...

  • Revenue Growth Specialist

    7 days ago

    Rawalpindi Cantonment, Pakistan CLOUD DATA LLC Full time

    Job Overview: As a Revenue Growth Specialist at CLOUD DATA LLC, you will play a crucial role in driving business expansion through strategic sales and marketing efforts.About the Job:You will be responsible for making outbound calls to generate revenue, identifying new business opportunities, and developing relationships with potential customers.A strong...

  • SEO Optimization Specialist

    6 days ago

    Rawalpindi Cantonment, Pakistan Translation Empire PK Full time

    About the RoleThis is an exciting opportunity for a motivated SEO Optimization Specialist to join our team at Translation Empire PK. The successful candidate will be responsible for researching and implementing search engine optimization recommendations, as well as developing and executing link building strategies.Key ResponsibilitiesResearch and analyze...

  • Content Optimization Specialist

    1 week ago

    Rawalpindi Cantonment, Pakistan Writing Yard Full time

    Job RoleAs a Content Optimization Specialist at Writing Yard, you will be responsible for ensuring our website is technically optimized for search engines. This includes improving page load speed, mobile responsiveness, and site architecture.Responsibilities:Conduct thorough website audits to identify areas for improvement.Implement technical optimizations...

  • RCM Manager

    1 week ago

    Rawalpindi Cantonment, Pakistan Quaid Technologies Full time

    Job Title: RCM ManagerLocation: RawalpindiDepartment: Revenue Cycle ManagementJob Type: Full-time/On-siteCompany Name: TrackoMedRequirement: At least 4 years experienced in Medical billing.Job Summary:We are looking for an experienced RCM Manager with at least 4 years of experience in medical billing to oversee and optimize the revenue cycle process. The...

  • Accounts Receivable Specialist

    1 day ago

    Rawalpindi Cantonment, Pakistan Cyclonex solutions llc Full time

    Company DescriptionCyclonex Solutions LLC offers affordable Revenue Cycle Management services. The company's mission is to provide accurate and up-to-date medical billing services, focusing on improved collection rates. Cyclonex Solutions aims to be recognized for quality billing services with a team experienced in End-to-End Billing services.Role...

  • Logistics Optimization Specialist

    7 days ago

    Rawalpindi Cantonment, Pakistan Metropolitan Warehouse & Delivery Corp - PK Full time

    Job OverviewWe are looking for an experienced Logistics Optimization Specialist to join our team. The successful candidate will be responsible for analyzing and improving our supply chain operations to enhance efficiency and reduce costs.Key Responsibilities:Analyzing and managing inventory reports across different hubs to assess workload...

  • Senior Sales Manager for Pre-Sales and Revenue Enhancement

    1 week ago

    Rawalpindi Cantonment, Pakistan Trillium Full time

    Job Description: Pre Sales and Revenue Growth SpecialistWe are looking for an exceptional Sales Specialist to join our team as a Pre Sales and Revenue Growth Specialist at Trillium. The ideal candidate will be responsible for developing and executing pre-sales strategies to drive revenue growth.Main Responsibilities:Develop and present compelling proposals...

  • Senior Billing Executive

    2 weeks ago

    Rawalpindi Cantonment, Pakistan TrackoMed Full time

    Job Summary:We are looking for an experienced RCM Manager with at least 4 years of experience in medical billing to oversee and optimize the revenue cycle process. The ideal candidate should be well-versed in insurance verification, claim management, and denial resolution, ensuring efficient medical billing operations while maintaining compliance with...

  • Search Engine Optimization Specialist

    2 weeks ago

    Rawalpindi Cantonment, Pakistan Grow More Advertising Agency Full time

    Company DescriptionGrow More Advertising Agency specializes in helping websites and businesses build authority and boost sales through guest posting. We focus on delivering unmatched services in the areas of link building, guest posting, guest blogging, SEO, and off-page SEO. Our aim is to provide comprehensive solutions that drive visibility and growth for...

  • Automation and Process Optimization Specialist

    1 week ago

    Rawalpindi Cantonment, Pakistan TalentPop App Full time

    About the RoleAs a HubSpot/Zapier Automations and Process Specialist, you will play a vital role in streamlining operations and ensuring seamless functionality across our organization. Your expertise will help us optimize processes and improve efficiency.ResponsibilitiesGain a deep understanding of Recruitment, Sales, and Customer Success...

  • Search Engine Optimization

    2 weeks ago

    Rawalpindi Cantonment, Pakistan Quaid Technologies Full time

    Search Engine Optimization (SEO) Specialist Quaid Technologies, Pakistan Quaid Technologies is looking for an SEO Specialist who will provide reliable, polished work, manage projects, details and tasks, as well as offer new ideas. The Search Engine Optimization (SEO) Specialist will help develop and launch strategies to support clients' search marketing...

  • Delivery and Route Optimization Specialist

    1 day ago

    Rawalpindi Cantonment, Pakistan Excel Solutions (Pvt.) Ltd. Full time

    The Opportunity:Join Excel Solutions (Pvt.) Ltd. as a Delivery and Route Optimization Specialist, where you will have the chance to make a meaningful impact on our business by optimizing our courier operations and improving customer satisfaction.Key Responsibilities:Develop and implement optimized courier routes and delivery schedules using data analysis and...