The shift, stated plainly
US business hours means evenings and nights here. It is the reason the work exists in Pakistan, and we say so before you accept rather than after.
We are hiring in Rawalpindi
Work US hours, on US accounts, from Rawalpindi
We are filling seats for United States medical billing and construction payroll accounts. Night shift, on site, trained on the job for the roles that allow it. Everyone who applies gets a reply, including a no.
Trained, not thrown in
For the billing desks, about a week on the client workflow before you touch live work. Sales callers are on the phones from day one with a lead beside them. Either way there is a named person to ask, and for AR, eligibility and sales we hire on English and reliability, not on a billing CV.
A reply either way
Silence after an application is standard in this market. It is a small cruelty that costs nothing to avoid, so we do not do it.
Open roles
What we are hiring for
All full time, all on site in Rawalpindi, all on United States hours.
Outbound sales caller (SDR)
Ringing US medical practices from a prepared call list, getting past the front desk by name, and booking the owner or office manager for a fifteen-minute call with the founder. The job is the conversation: the opener, the objection, the question that keeps them on the line.
What we look for: Clear spoken English a US office manager understands without effort. Outbound calling experience of any kind — energy, telecom, insurance — counts more than a billing CV. Comfortable hearing no forty times a night.
PKR 60,000 to PKR 110,000 a month, plus commission on what you close
Sales closer / account executive
Taking the warm transfers and the booked calls, running the discovery conversation, sending the one-page terms and the agreement, and getting a signature. Works directly with the founder on every deal until the account is ninety days old.
What we look for: Has closed B2B before — services, software, staffing, anything sold to a business owner on a call. Writes a clear follow-up email. Knows the difference between an objection and a no.
PKR 90,000 to PKR 150,000 a month, plus commission on what you close
Sales team lead
Runs the calling floor in US hours: pacing, call reviews, the daily numbers, coaching the callers on the objections that are losing calls this week. Reports to the founder.
What we look for: Has led an outbound team of five or more on an international campaign. Can listen to a call and say in one sentence what to change. Numerate.
PKR 120,000 to PKR 180,000 a month, plus commission on what you close
AR caller / denial management
Calling US payers on aged claims and denials. The job is the chasing: the call, the reference number, the note, the follow-up.
What we look for: Clear spoken English. Comfortable on the phone with someone who does not want to help you.
PKR 60,000 to PKR 150,000 a month, depending on experience
Eligibility & benefits verification
Checking coverage before the visit through payer portals and calls. Detail work, high volume, and it prevents more denials than anything else on this list.
What we look for: Accuracy under repetition. Portal-comfortable.
PKR 60,000 to PKR 150,000 a month, depending on experience
Prior authorization specialist
Submitting, chasing and documenting authorizations. Reference numbers and names, every time.
What we look for: Persistence. Willingness to make the fourth call.
PKR 60,000 to PKR 150,000 a month, depending on experience
Medical biller
Charge entry, claim scrubbing, submission and payment posting on the client's own system. The desk the rest of the floor is built around.
What we look for: Has worked a US billing system — any of them. Reads an EOB without help.
PKR 60,000 to PKR 150,000 a month, depending on experience
Virtual medical assistant
The practice's front office, remotely: scheduling, reminders, intake, referrals, the phone. Patients hear you before they see the doctor.
What we look for: Warm on the phone. Organised. Comfortable being the voice of a US practice.
PKR 60,000 to PKR 150,000 a month, depending on experience
Credentialing specialist
Provider enrollments, revalidations, CAQH and PECOS kept current so nothing lapses quietly.
What we look for: Deadline discipline. Comfortable with forms and portals.
PKR 60,000 to PKR 150,000 a month, depending on experience
Medical coder
Coding and auditing charts against payer policy, with the reasoning written down.
What we look for: CPC or equivalent, or strong coursework plus a real interest in the rules.
PKR 60,000 to PKR 150,000 a month, depending on experience
Certified payroll specialist
Weekly Davis-Bacon and state filings for US construction contractors. Classifications, fringe benefits, rejections worked to accepted.
What we look for: Spreadsheet fluency. Patience with portals that bounce things for small reasons.
PKR 60,000 to PKR 150,000 a month, depending on experience
Apply
Six questions and one short answer. It takes about three minutes.
- A reply within three working daysEither way — you will not be left waiting
- No unpaid trial periodEver, for any role on this floor
- Pay and hours in writingIn the offer itself, before you accept
- Never resign before an offer existsWe will not ask you to
What happens after you send it
- A reply within three working days, either way
- If yes, a short call to talk about the shift and the role
- A practical exercise for the role you applied for
- A conversation with the person you would report to
- An offer in writing, with the hours and the pay in it
Not on the list? Pick “not sure” on the form and say what you are good at — the floor is growing and roles get created around people more often than the other way round. Or write to ops@softhomeglobal.com.
Questions from candidates
What are the hours?
United States business hours, which from Pakistan means an evening and night shift. That is the job — it is why the work exists here. We are straight about it at the first call rather than after you accept.
Do I need experience in US medical billing?
For some roles yes, for others no. AR calling and eligibility we will train if your English is good and you are reliable. Coding and credentialing need a real foundation because the rules are unforgiving.
Do I need to send a CV?
Not to apply. The form asks the things a CV usually buries. If we take it further we will ask for one then.
Where is the office?
Kl 234, Ground Floor, Near Gulshan Abad Gate, Main Adyala Road, Rawalpindi. This is an on-site role — the work happens on a supervised floor because client systems are only ever worked from the controlled floor, never from home, and we do not offer it remotely.
Is the company established?
The floor, the equipment and the team are built and paid for, and we are early in filling seats. We say that to candidates for the same reason we say it to clients: you should be able to judge the risk yourself rather than find out in month three.
Will I hear back?
Yes, including if the answer is no. Silence after an application is the standard in this market and it is a small cruelty that costs nothing to avoid.
Next step
Know somebody who would fit?
Send them this page. We would rather hire from a recommendation than from a job board, and we will tell you either way what happened.
Or write to ops@softhomeglobal.com