Operations Manager - Medical Billing & RCM

HR Ways; Rawalpindi Cantonment; On-site; PKR 1,400,000 - 2,000,000; Full time

Job summary

A medical billing company in Rawalpindi is seeking a seasoned Manager Operations to lead their Revenue Cycle Management team. The role requires at least 10 years of managerial experience in health care billing, strong analytical skills, and excellent English communication. The position is onsite with benefits including bonuses and medical coverage.

Benefits

Bonuses

Medical

Qualifications

• 10+ years of experience in RCM operations.
• Ability to analyze financial performance metrics.
• Up-to-date with industry trends and regulatory changes.

Responsibilities

• Lead and manage all aspects of Revenue Cycle Management.
• Ensure compliance with industry regulations and standards.
• Present detailed reports to senior leadership and clients.

Skills

Managerial experience in RCM operations

Strong analytical skills

Knowledge of CMS guidelines

Excellent English communication

Tools

EMRs

RCM tools

Reporting dashboards (e.g., Monday.com)

Job description

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