Team Lead ORA-RCM

3 days ago

Abbottabad, Khyber Pakhtunkhwa, Pakistan AltuMed (Cube Healthcare Systems Pvt Ltd) Full time 900,000 - 1,200,000 per year

Cube Healthcare Systems is a subsidiary of the Healthcare Technology Company based in Michigan, USA. providing healthcare solutions to the clients in the US. Presently, Cube Healthcare Systems is the biggest company at KP IT Board, with fast growing healthcare IT services and product base.

As a healthcare solution provider, CHS is successfully carrying out revenue management services for its clients based in the USA. Our product: ALTUMED, a Revenue Cycle Management Software takes Medical Billing to another degree of automation and advancement.

In Pakistan, with the main Office in Abbottabad, Cube has camp offices in Lahore and Islamabad as well where business teams are pro-actively working to provide excellent experience and process for the clients.

Education: Bachelor's Degree

Minimum Experience: 3 years in billing operations and at least 2-3 years relevant experience.

The Team Lead ORA ensure revenue cycle operations align with healthcare regulations, payer requirements, and internal standards while driving compliance and process optimization.

Skills:

Strong analytical, research and problem-solving abilities.

Attention to detail and organizational skills.

Proficient in MS Excel, audit tools, reporting and EMRs/PMs systems.

Effective communication, leadership and training capabilities.

Compact knowledge of HIPAA, CMS guidelines, ICD/CPT/HCPCS coding rules, and payer policies.

Requirements:

Monitor and ensure compliance across RCM processes (coding, billing, claims, payments, AR, collections, patient billing) with applicable federal, state, and payer-specific regulations.

Prepare and present analytical dashboard and compliance reports.

Resolve compliance-related denials and payer rejections.

Collaborate with coding & billing teams to implement quality assurance measures.

Maintain monthly dashboard of compliance activities, findings, and corrective actions with Operations Leads.

Support Integrity and trust in healthcare financial operations through Corrective approach on monthly MTD dashboard and preventive actions in collaboration with Operation Leads.

Lead the regular audits of claims, coding, follow-up, and documentation to identify non-compliance or risks and ensure adherence to standards.

Benefits:

Market-Leading Salary, Medical insurance, Provident fund, EOBI, Paid Leaves, cash advance, Employee Performance based bonuses, Annual increments, Allowances ( Accommodation, OPD, Travel, Night, utilities, Technical ), Parental Leaves, Annual dinners & trips

Note: Preference will be given to candidates from Hazara Division, KPK for this specific role. However, candidates from all over the Pakistan are welcomed.

Job Type: Full-time

Work Location: In person

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