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

Experience : 10+ years

Work Timings : 5 : 30 pm - 2 : 30 am

Work Days : Monday - Friday

Work Mode : Onsite

Location : Rawalpindi

Benefits : Bonuses + Medical

#J-18808-Ljbffr