Medical Claims Follow-Up Specialist / RCM Associate
- Rawalpindi, Pakistan
Posted 25 days ago
About the role
Company: Thathal ITS
Location: Rawalpindi / Islamabad
Work Model: Hybrid (Remote Monday, Tuesday, Thursday, Friday | On-site Wednesday)
Working Hours: US Time Zone (Night Shift in Pakistan)
Job Summary
We are seeking a detail-oriented Medical Claims Follow-Up Specialist to assist with Revenue Cycle Management (RCM) activities for US healthcare clients.
Responsibilities
- Contact insurance companies to verify claim status and payment information
- Follow up on outstanding and denied medical claims
- Obtain denial reasons and required documentation for claim resolution
- Document call outcomes and update claim notes with accuracy
- Review payer responses and identify next steps for claim processing
- Escalate unresolved issues when necessary
- Maintain productivity targets for claims processed and calls completed
- Coordinate with internal teams regarding claim-related issues
- Ensure compliance with HIPAA and data privacy requirements
Requirements
- Strong spoken and written English communication skills
- Professional communication skills for interacting with insurance representatives
- Strong attention to detail and documentation skills
- Ability to manage multiple claims and follow-up tasks efficiently
- Proficiency with web-based systems, email, and spreadsheets
- Bachelor’s degree preferred
Preferred Qualifications
- Experience in medical billing, insurance verification, claims follow-up, or RCM
- Familiarity with Medicare, Medicaid, and commercial insurance payers
- Prior experience working with US healthcare clients
- HIPAA awareness or certification is a plus
What We Offer
- Competitive salary
- Professional training
- Career growth opportunities
- Opportunity to work with US healthcare clients
How to Apply
Send your CV to hr@thathalits.com and mention “Medical Claims Follow-Up Specialist” in the subject line.
Pay: Rs50,000.00 - Rs70,000.00 per month
Work Location: Hybrid remote in Rawalpindi