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Macrise Tech Solutions

We are looking for a highly organized and detail-focused Accounts Receivable &amp; Denials Resolution Specialist to support our medical billing operations. In this position, you will manage outstanding insurance claims, resolve denials, and ensure timely and accurate reimbursement from payers. The ideal candidate is analytical, efficient, and skilled in communicating professionally with patients, providers, and insurance companies.Key ResponsibilitiesAccounts Receivable &amp; Denial Management<ul><li>Monitor, track, and manage all pending insurance claims to minimize AR balances.</li><li>Perform daily follow-up on claim denials and ensure quick resolution.</li><li>Review ERA reports to identify common denial trends and suggest preventive strategies.</li><li>Prepare, file, and monitor appeals for denied or underpaid claims, including all required documentation.</li><li>Identify payment discrepancies and escalate complex issues to the Billing Manager.</li><li>Maintain updated AR aging reports with consistent weekly and monthly reporting.</li><li>Manage claims for specialized services such as TMS, Spravato, and psychological evaluations.</li><li>Coordinate with the Billing Manager to meet AR reduction, accuracy, and recovery targets.</li></ul>Patient &amp; Provider Coordination<ul><li>Address billing inquiries from patients, providers, and internal teams in a timely manner.</li><li>Verify and update patient account information before starting collection processes.</li><li>Collaborate with providers to correct claim issues, including coding or documentation errors.</li><li>Work with insurance payers on eligibility, authorizations, and network-related matters.</li><li>Resolve patient concerns respectfully and process refunds when applicable.</li></ul>System &amp; Workflow Optimization<ul><li>Create, monitor, and resolve support tickets in eClinicalWorks (eCW).</li><li>Provide training and guidance to team members on AR and denial workflows.</li><li>Coordinate with U.S. billing teams to ensure proper and timely claim submission.</li><li>Participate in performance review meetings, analyze trends, and recommend process improvements.</li><li>Stay informed about payer rules, regulatory updates, and evolving medical billing standards.</li></ul>Job Type: Full-timePay: Rs45,000.00 - 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 shift in Wapda Town, Lahore?</li></ul>Experience:<ul><li>Medcal Billing: 1 year (Preferred)</li></ul>Language:<ul><li>English (Required)</li></ul>Work Location: In person

Medical Billing AR & Denials Specialist

We are seeking a meticulous and proactive Medical Billing &amp; Collections Specialist to join our healthcare revenue cycle team. This role involves preparing precise insurance claims, managing patient billing, overseeing accounts receivable, and ensuring timely reimbursement from payers. The ideal candidate will have strong analytical skills, keen attention to detail, and excellent communication abilities to collaborate effectively with patients, insurance providers, and internal staff. By supporting accurate billing and efficient collections, this specialist will help maintain smooth financial operations and optimize cash flow.Key ResponsibilitiesMedical Billing<ul><li>Prepare and submit accurate insurance claims and patient invoices on time.</li><li>Review claims for accuracy, proper coding, and compliance with payer and regulatory guidelines.</li><li>Maintain organized and up-to-date billing records within the practice management system.</li><li>Process payments, adjustments, and credit memos accurately.</li><li>Regularly update patient demographics and insurance information.</li><li>Generate monthly billing statements and tailored Revenue Cycle Management (RCM) reports.</li><li>Assist the accounting team with reconciliations and month-end reporting.</li><li>Identify process gaps and suggest workflow 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 payments.</li><li>Monitor and manage Accounts Receivable (A/R) aging reports, prioritizing overdue accounts.</li><li>Communicate with insurance payers to resolve delays, underpayments, or claim denials.</li><li>Address patient billing inquiries professionally and arrange payment plans as needed.</li><li>Collaborate with billing and patient services teams to resolve complex collection cases.</li><li>Maintain detailed records of all collection activities, communications, and follow-ups in the system.</li></ul>Job Type: Full-timePay: Rs45,000.00 - 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 shift in Wapda Town, Lahore?</li></ul>Experience:<ul><li>Medical Billing: 1 year (Preferred)</li></ul>Language:<ul><li>English (Required)</li></ul>Work Location: In person

Collections Associate-Medical Billing

Join Macrise Tech Solutions and explore 2   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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Medical Billing AR & Denials Specialist

Collections Associate-Medical Billing