Manager Operation

About Our Client:
A leading U.S-based wound care medical billing company in Pakistan is hiring for a lead role!

We are seeking a seasoned Manager Operations to lead our U.S-based medical billing company having an office in 6th Road Rawalpindi-Pakistan. This is a senior managerial role responsible for overseeing the entire Revenue Cycle Management (RCM) to ensure seamless coordination between U.S. management and Pakistan operations.

Key duties & Responsibilities:

• Lead and manage all aspects of the Revenue Cycle Management 

  (RCM) including charge capture, coding, claims submission,

  payment posting, AR follow-up, denials management, and patient

  collections.

• Manage multiple teams across billing, coding, AR follow-up, denial management, payment posting, and QA.
• Define team roles, responsibilities, and reporting lines to maintain clear accountability.
• Ensure optimal staffing levels by coordinating with HR for recruitment and workforce planning.
• Analyze the data and ensure the integrity of reports/data in order to drive informed decision-making and long-term strategy
• Ensure compliance with industry regulations, guidelines, and standards, including HIPAA, ICD-10, and CPT.
• Drive KPIs across teams, clean claim rates, denial rates, collection targets, and client satisfaction.
• Present detailed monthly/quarterly reports to senior leadership and clients, & represent the company in high-level client meetings.
• Proficiency in EMRs, RCM tools, and reporting dashboards (e.g., Monday.com, Athena, Net health, or wound care-specific EMRs Advanced MD, e clinical Works,).

Requirements:

• Managerial Experience: The ideal candidate must have at least 5 years of proven experience in Leading RCM operations with deep technical knowledge of complete RCM lifecycle. This individual will drive revenue performance, operational efficiency, and strategic alignment across all departments.
• Analytical: Strong analytical skills, with the ability to analyze financial performance metrics and identify areas for improvement.
• Industry Knowledge: Staying up-to-date with industry trends, regulatory changes, and best practices in medical billing and revenue cycle management is crucial.
• Strong understanding of CMS guidelines, payer policies, coding (ICD-10, CPT, HCPCS), and compliance standards
• Advanced English Communication Skills (Critical Requirement): Exceptional spoken English fluency is mandatory, with the ability to communicate confidently, professionally, and effectively with US-based directors and international stakeholders on a regular basis. Strong verbal communication, presentation, and discussion skills are essential for this role.

Experience: 5+ years
Work Timings: 5:30 pm - 2:30 am
Work Days: Monday - Friday
Work Mode: Onsite
Location: Rawalpindi
Benefit: Bonuses+Medical

About HR Ways:
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