Qureos Mentor

Macrise Tech Solutions

Location: Wapda Town, LahorePrimary ResponsibilitiesAccounts Receivable &amp; Denial Resolution<ul><li>Oversee and manage pending insurance claims to minimize overall Accounts Receivable (AR).</li><li>Conduct daily review and follow-up of claim denials to ensure timely resolution.</li><li>Evaluate ERA reports to detect frequent denial reasons and recommend corrective action.</li><li>Prepare, submit, and monitor appeals for denied or underpaid claims with required documentation.</li><li>Identify and resolve payment variances; escalate complex cases to the Billing Manager when necessary.</li><li>Maintain updated AR aging reports and provide consistent weekly and monthly updates.</li><li>Manage claims related to specialized services such as TMS, Spravato, and psychological assessments.</li><li>Work closely with the Billing Manager to meet established AR reduction and recovery goals.</li></ul>Patient &amp; Provider Coordination<ul><li>Address billing-related queries from patients, providers, and internal departments promptly.</li><li>Verify and correct patient account details before initiating any collection activities.</li><li>Collaborate with providers to amend claim issues, including coding and documentation errors.</li><li>Coordinate with insurance payers regarding authorizations, eligibility, and network requirements.</li><li>Resolve patient concerns professionally and process refunds where applicable.</li></ul>System &amp; Process Efficiency<ul><li>Create and track support tickets in eClinicalWorks (eCW) to resolve billing issues efficiently.</li><li>Assist teammates with training and guidance on AR and denial workflows.</li><li>Coordinate with U.S.-based billing teams to ensure accurate and timely claim submission.</li><li>Participate in team performance meetings, analyze trends, and propose operational improvements.</li><li>Stay updated on payer policies, regulatory changes, and medical billing standards.</li></ul>Job Type: Full-timePay: Rs40,000.00 - Rs70,000.00 per monthAbility to commute/relocate:<ul><li>Wapda Town: Reliably commute or planning to relocate before starting work (Required)</li></ul>Application Question(s):<ul><li>Willing to work the night?</li></ul>Experience:<ul><li>Medical Billing: 1 year (Preferred)</li></ul>Language:<ul><li>English (Required)</li></ul>Work Location: In person

AR & Claims Follow-Up Specialist (Medical Billing)

We are seeking a detail-oriented and proactive Medical Billing &amp; Collections Specialist to join our healthcare revenue cycle team. The successful candidate will be responsible for preparing accurate insurance claims, managing patient billing, maintaining precise records, and ensuring timely payment collection. This role requires strong organizational skills, attention to detail, and the ability to communicate effectively with patients, payers, and internal teams to support efficient billing operations and optimal cash flow.Key ResponsibilitiesMedical Billing<ul><li>Prepare and submit accurate insurance claims and patient invoices promptly.</li><li>Review claims for completeness, coding accuracy, and compliance with payer and regulatory requirements.</li><li>Maintain organized and current billing documentation within the practice management system.</li><li>Accurately process adjustments, credit memos, and payment postings.</li><li>Verify and update patient demographic and insurance information regularly.</li><li>Generate monthly billing statements and customized Revenue Cycle Management (RCM) reports.</li><li>Support the accounting team with reconciliations and month-end financial reporting.</li><li>Recommend and implement process improvements to enhance billing accuracy and efficiency.</li></ul>Collections<ul><li>Proactively follow up on unpaid insurance claims and patient balances to ensure timely reimbursements.</li><li>Monitor and manage Accounts Receivable (A/R) aging reports, prioritizing overdue accounts for action.</li><li>Communicate with insurance companies to resolve delays, denials, and underpayments.</li><li>Address patient billing inquiries professionally and arrange payment plans when necessary.</li><li>Collaborate with the billing and patient services teams to resolve complex collection cases.</li><li>Accurately document all collection activities, communications, and follow-ups within the system.</li></ul>Job Type: Full-timePay: Rs40,000.00 - Rs70,000.00 per monthAbility to commute/relocate:<ul><li>Lahore: Reliably commute or planning to relocate before starting work (Required)</li></ul>Application Question(s):<ul><li>Willing to work the night shift?</li></ul>Experience:<ul><li>Medical Billing: 1 year (Preferred)</li></ul>Language:<ul><li>English (Preferred)</li></ul>Work Location: In person

Medical Billing & Collections Associate

Key ResponsibilitiesAccounts Receivable &amp; Denials Management<ul><li>Monitor and manage outstanding insurance claims to reduce overall Accounts Receivable (AR) balances.</li><li>Review and resolve claim denials on a daily basis, ensuring prompt and accurate follow-up.</li><li>Analyze Electronic Remittance Advice (ERA) data to identify recurring denial patterns and recommend corrective measures.</li><li>Prepare, submit, and track appeals for denied or underpaid claims with appropriate documentation.</li><li>Investigate and resolve payment discrepancies, escalating complex cases to the Billing Manager as needed.</li><li>Maintain and update AR aging reports, providing regular weekly and monthly performance updates.</li><li>Process claims for specialized services, including TMS, Spravato, and psychological testing.</li><li>Collaborate closely with the Billing Manager to meet AR resolution and collection goals.</li></ul>Patient &amp; Provider Support<ul><li>Respond to billing-related inquiries from patients, providers, and internal teams in a timely manner.</li><li>Review and update patient accounts to ensure accuracy prior to initiating collection actions.</li><li>Work with providers to correct claim errors, including coding and supporting documentation.</li><li>Coordinate with insurance payers regarding prior authorizations, coverage verification, and network participation.</li><li>Address patient billing concerns professionally and process refunds where appropriate.</li></ul>System Support &amp; Process Improvement<ul><li>Submit and monitor support tickets in eClinicalWorks (eCW) to resolve billing-related issues efficiently.</li><li>Provide training and support to team members on AR and denial management workflows.</li><li>Partner with U.S.-based teams to ensure timely and accurate claim submissions.</li><li>Participate in team meetings to review AR performance, identify trends, and recommend process improvements.</li><li>Stay current with payer policies, compliance regulations, and medical billing best practices.</li></ul>Job Type: Full-timePay: Rs40,000.00 - Rs70,000.00 per monthAbility to commute/relocate:<ul><li>Lahore: Reliably commute or planning to relocate before starting work (Required)</li></ul>Application Question(s):<ul><li>Willing to work the night shift?</li></ul>Experience:<ul><li>Medical Billing: 1 year (Preferred)</li></ul>Language:<ul><li>English (Required)</li></ul>Work Location: In person

Insurance Claims & Denials Resolution Associate-Medical Billing

Join Macrise Tech Solutions and explore 3   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Macrise Tech Solutions

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AR & Claims Follow-Up Specialist (Medical Billing)

Medical Billing & Collections Associate

Insurance Claims & Denials Resolution Associate-Medical Billing