Qureos Mentor

Macrise Tech Solutions

Accounts Receivable &amp; Denials Management<ul><li>Monitor and manage outstanding insurance claims to minimize accounts receivable (AR) balances.</li><li>Review and resolve claim denials daily, ensuring timely and accurate follow-up.</li><li>Analyze Electronic Remittance Advice (ERA) data to identify recurring denial trends and recommend corrective actions.</li><li>Prepare, submit, and track appeals for denied or underpaid claims with proper documentation.</li><li>Investigate payment discrepancies and escalate complex cases to the Billing Manager as needed.</li><li>Maintain and update AR aging reports; provide weekly and monthly performance updates.</li><li>Process claims for specialized services, including TMS, Spravato, and psychological testing.</li><li>Collaborate with the Billing Manager to meet AR resolution and collection targets.</li></ul>Patient &amp; Provider Support<ul><li>Address billing-related inquiries from patients, providers, and internal teams.</li><li>Review patient accounts for accuracy, update balances, and initiate collections when necessary.</li><li>Work with providers to correct claim errors, including coding and documentation.</li><li>Coordinate with insurance companies on prior authorizations, coverage verification, and network participation.</li><li>Handle patient concerns with professionalism, including processing refunds when applicable.</li></ul>System Support &amp; Process Improvement<ul><li>Submit and monitor system support tickets in eClinicalWorks (eCW) for billing issues.</li><li>Provide training and support to team members on AR and denial resolution procedures.</li><li>Collaborate with U.S.-based teams to ensure timely, accurate claim submissions.</li><li>Participate in regular meetings to review AR performance, identify trends, and implement process improvements.</li><li>Stay up to date on payer policies, compliance regulations, and industry best practices.</li></ul>Job Type: Full-timePay: Rs40,000.00 - Rs80,000.00 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 shift?</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 Resolution Associate-Medical Billng

Key ResponsibilitiesMedical Billing<ul><li>Accurately prepare and submit insurance claims and patient invoices within required timelines.</li><li>Review claims for completeness, coding accuracy, and compliance with payer guidelines.</li><li>Maintain organized billing documentation and up-to-date records in the practice management system.</li><li>Process adjustments, credit memos, and payment postings accurately and efficiently.</li><li>Update and maintain accurate patient demographics and insurance details.</li><li>Generate monthly billing statements and customized RCM (Revenue Cycle Management) reports.</li><li>Support the accounting team with reconciliations and month-end financial reporting.</li><li>Identify and recommend process improvements to streamline billing operations.</li></ul>Collections<ul><li>Follow up proactively on unpaid insurance claims and patient balances to ensure timely reimbursement.</li><li>Monitor and manage A/R aging reports, focusing on overdue accounts for resolution.</li><li>Communicate with insurance payers to resolve delays, denials, or underpayments.</li><li>Address patient billing concerns professionally and arrange payment plans when necessary.</li><li>Collaborate with billing and patient services teams to resolve complex collection issues.</li><li>Document all collection activities, follow-ups, and correspondence accurately in the system.</li></ul>Job Type: Full-timePay: Rs40,000.00 - Rs80,000.00 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 shift?</li></ul>Experience:<ul><li>Medical Billing: 1 year (Preferred)</li></ul>Language:<ul><li>English (Required)</li></ul>Work Location: In person

Revenue Cycle & Collections Associate-Medical Billing

We are seeking a proactive and detail-oriented Insurance Verification &amp; Authorization Specialist to join our medical billing team. This role is responsible for verifying patient insurance coverage, securing required pre-authorizations, and maintaining accurate documentation to support efficient billing and claims processing. The ideal candidate will have strong attention to detail, excellent communication skills, and the ability to navigate payer-specific requirements with accuracy and professionalism.Key ResponsibilitiesInsurance Verification &amp; Eligibility<ul><li>Verify patient insurance benefits through payer portals or direct contact with insurance representatives.</li><li>Maintain up-to-date eligibility records within the Electronic Health Record (EHR) system (e.g., eClinicalWorks).</li><li>Complete and upload insurance verification forms for all new patients in a timely manner.</li><li>Communicate estimated out-of-pocket costs to patients clearly and professionally.</li><li>Escalate unresolved coverage or balance concerns to the Patient Collections team.</li><li>Follow up with patients proactively to obtain missing or updated insurance information.</li></ul>Authorizations &amp; Compliance<ul><li>Obtain prior authorizations for services requiring insurer pre-approval.</li><li>Ensure strict compliance with Medicaid and other payer-specific authorization requirements.</li><li>Coordinate with the Patient Services team for out-of-network cases.</li><li>Secure pre-approvals for psychological evaluations, maintaining accurate documentation and alerts.</li></ul>Operational Support &amp; Coordination<ul><li>Assist with urgent or same-day appointment scheduling when necessary.</li><li>Report discrepancies related to billing, payer policy changes, or provider network updates.</li><li>Collaborate with the Practice Manager to resolve incomplete intake documentation.</li><li>Participate in regular meetings with the Billing Manager to improve workflows, accuracy, and efficiency.</li></ul>Job Type: Full-timePay: Rs40,000.00 - Rs80,000.00 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 shift?</li></ul>Experience:<ul><li>Medical Billing: 1 year (Preferred)</li></ul>Language:<ul><li>English (Required)</li></ul>Work Location: In person

Patient Eligibility & Authorization Coordinator-Medical Billing

We are seeking a highly organized and results-driven Accounts Receivable &amp; Denials Resolution Specialist to join our medical billing team. In this critical role, you will oversee outstanding claims, resolve insurance denials, and ensure timely reimbursement from payers. The ideal candidate will be analytical, proactive, and skilled at maintaining professional communication with patients, providers, and insurance representatives while driving AR reduction and denial resolution.Key ResponsibilitiesAccounts Receivable &amp; Denials Management<ul><li>Monitor and manage outstanding insurance claims to reduce accounts receivable (AR) balances.</li><li>Review and resolve claim denials daily, ensuring accurate and timely follow-up.</li><li>Analyze ERA (Electronic Remittance Advice) data to identify recurring denial patterns and recommend solutions.</li><li>Prepare, submit, and track appeals for denied or underpaid claims with appropriate documentation.</li><li>Investigate and resolve payment discrepancies, escalating complex issues to the Billing Manager.</li><li>Maintain accurate AR aging reports and provide weekly/monthly updates.</li><li>Process claims for specialized services, including TMS, Spravato, and psychological testing.</li><li>Collaborate with the Billing Manager to achieve AR resolution and collection targets.</li></ul>Patient &amp; Provider Support<ul><li>Respond to billing-related inquiries from patients, providers, and internal teams.</li><li>Review patient accounts, update balances, and initiate collection actions when necessary.</li><li>Work with providers to correct claim errors, including coding and documentation.</li><li>Coordinate with insurance payers regarding prior authorizations, coverage details, and network participation.</li><li>Resolve patient concerns with professionalism, including issuing refunds when applicable.</li></ul>System Support &amp; Process Improvement<ul><li>Submit and monitor system support tickets in eClinicalWorks (eCW) for billing-related issues.</li><li>Provide training and support to team members on AR and denial management processes.</li><li>Partner with U.S.-based teams to ensure timely and accurate claim submissions.</li><li>Participate in meetings to review AR performance, identify trends, and recommend process improvements.</li><li>Stay current on payer policies, compliance requirements, and industry best practices.</li></ul>Job Type: Full-timePay: Rs40,000.00 - Rs80,000.00 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 shift?</li></ul>Experience:<ul><li>Medical Billing: 1 year (Preferred)</li></ul>Language:<ul><li>English (Required)</li></ul>Work Location: In person

Accounts Receivable & Denials Specialist-Medical Billing

Join Macrise Tech Solutions and explore 4   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 Resolution Associate-Medical Billng

Revenue Cycle & Collections Associate-Medical Billing

Patient Eligibility & Authorization Coordinator-Medical Billing

Accounts Receivable & Denials Specialist-Medical Billing