Operations Manager - Medical Billing & RCM

Overview

We are seeking a seasoned Manager Operations to lead our U.S.-based wound care medical billing company in Pakistan. This is a senior managerial role responsible for overseeing the entire Revenue Cycle Management (RCM) and ensuring 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 data and ensure the integrity of reports / data 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, including clean claim rates, denial rates, collection targets, and client satisfaction. Present detailed monthly / quarterly reports to senior leadership and clients, and represent the company in high-level client meetings. Proficiency in EMRs, RCM tools, and reporting dashboards (e.g., Monday.com, Athena, Net Health, Advanced MD, eClinicalWorks). Requirements

Managerial Experience : At least 10 years of proven experience in RCM operations with deep technical knowledge of the complete RCM lifecycle, including coding, claims, AR management, denials, collections, and compliance. 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 : Up-to-date with industry trends, regulatory changes, and best practices in medical billing and revenue cycle management. Strong understanding of CMS guidelines, payer policies, coding (ICD-10, CPT, HCPCS), and compliance standards. Excellent English communication skills; ability to connect with foreign directors on a regular basis. Experience : 10+ years Work Timings : 5 : 30 pm - 2 : 30 am Work Days : Monday - Friday Work Mode : Onsite Location : Rawalpindi Benefits : Bonuses + Medical

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