Head of Medical Billing Department

5 days ago

Lahore, Punjab, Pakistan Prime Health Services Full time 900,000 - 1,200,000 per year

We are seeking an experienced and strategic
Head of Medical Billing Department
to lead and oversee all billing and revenue cycle operations. The ideal candidate will have a strong background in
U.S. medical billing
, deep understanding of
payer guidelines, claim management, and denial handling
, and proven leadership experience in managing large billing teams.

The role involves ensuring
accuracy, compliance, and efficiency
across all billing processes, while leading a team toward measurable financial and operational excellence.

Key Responsibilities:

  • Lead, manage, and supervise the entire
    Medical Billing Department
    including charge entry, payment posting, AR follow-ups, and denial management.
  • Develop and implement
    billing strategies, policies, and standard operating procedures (SOPs)
    to ensure maximum revenue capture.
  • Monitor
    KPIs and performance metrics
    (e.g., first-pass resolution rate, days in A/R, clean claim rate).
  • Conduct
    regular audits
    of billing and claims to ensure accuracy and compliance with U.S. healthcare standards (HIPAA, CMS, etc.).
  • Coordinate with U.S.-based clients, providers, and payers to resolve billing discrepancies.
  • Oversee and mentor team leads, providing performance feedback, training, and professional development.
  • Collaborate with management to forecast revenue and optimize operational efficiency.
  • Stay updated on
    U.S. insurance payer rules, coding updates (ICD, CPT, HCPCS),
    and compliance requirements.
  • Manage escalation cases and ensure timely resolution of high-priority billing issues.
  • Generate regular
    financial and performance reports
    for top management.

Required Qualifications:

  • Bachelor's degree
    (preferably in Healthcare Management, Business Administration, Accounting, or a related field).
  • 5–10 years of experience
    in U.S. medical billing and RCM operations, with at least
    3 years in a leadership/supervisory role.
  • Strong understanding of
    billing workflows
    , EHR/EMR systems, and claim management tools.
  • Expertise in
    denial management, payer communication, and revenue recovery.
  • Excellent leadership, analytical, and communication skills.
  • Ability to handle multiple teams and meet strict deadlines in a fast-paced environment.

Compensation & Benefits:

  • Competitive salary (based on experience)
  • Annual performance-based bonus
  • Health insurance (as per company policy)
  • Public holidays
  • Growth opportunities within the organization
  • Sponsored Meal
  • Monthly Performance based allowance
  • Fitness Allowance
  • Fuel Allowance

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