Manager Operation

HR Ways; Saddar; On-site; PKR 2,400,000 - 4,000,000; Full time

Benefits offered by this job

Bonuses

Medical

Job summary

HR Ways in Rawalpindi is seeking a seasoned Manager Operations to lead a U.S.-based wound care medical billing operation. You will oversee the Revenue Cycle Management lifecycle including charge capture, coding, claims submission, payment posting, AR follow-up, denials, and collections.

You will head teams across billing, coding, AR follow-up, denial management, and QA, ensuring HIPAA compliance and adherence to CMS guidelines.

Qualifications

• Oversee all aspects of Revenue Cycle Management (RCM).
• Minimum 5 years leading RCM operations in healthcare.
• Strong English communication with US leadership.

Responsibilities

• Lead and manage RCM processes across charge capture, coding, claims submission, payment posting, AR follow-up, denials management, and collections.
• Head multiple teams: billing, coding, AR follow-up, denial management, QA.
• Ensure regulatory compliance including HIPAA, ICD-10, CPT.
• Present performance reports to senior leadership and clients.

Job description

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