Accounts Receivable & Denials-Medical Billing

Accounts Receivable & Denial Resolution

• Oversee and resolve outstanding insurance claims to reduce overall Accounts Receivable (AR) balances.
• Conduct daily follow-ups on denied claims to ensure timely and effective resolution.
• Review Electronic Remittance Advice (ERA) reports to identify recurring denial trends and implement corrective or preventive measures.
• Prepare, submit, and monitor appeals for denied or underpaid claims, ensuring all supporting documentation is accurate and complete.
• Investigate payment discrepancies and escalate complex or unresolved issues to the Billing Manager when necessary.
• Maintain accurate AR aging reports and provide consistent weekly and monthly performance updates.
• Manage billing and claims processing for specialized services, including TMS, Spravato, and psychological evaluations.
• Collaborate closely with the Billing Manager to achieve AR recovery, reduction, and accuracy targets.

Patient & Provider Coordination

• Respond promptly and professionally to billing inquiries from patients, providers, and internal stakeholders.
• Review and update patient account information to ensure accuracy before initiating collection efforts.
• Work with providers to resolve claim-related issues, including coding inaccuracies and incomplete documentation.
• Communicate with insurance payers regarding eligibility verification, prior authorizations, and network participation.
• Address patient billing concerns with empathy and professionalism, including processing refunds when appropriate.

Systems & Process Improvement

• Create, monitor, and resolve billing-related support tickets within eClinicalWorks (eCW).
• Provide coaching and guidance to team members on AR follow-up procedures and denial management workflows.
• Coordinate with U.S.-based billing teams to ensure accurate and timely claim submissions.
• Participate in operational meetings and performance reviews to analyze trends and recommend process enhancements.
• Stay current with payer policies, regulatory updates, and best practices in medical billing and reimbursement.

Job Type: Full-time

Pay: Rs45,000.00 - Rs70,000.00 per month

Ability to commute/relocate:

• Wapda Town: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

• Willing to work in the USA Time in Wapda Town, Lahore?

Experience:

• Medical Billing: 1 year (Preferred)

Language:

• English (Required)

Work Location: In person