AR & Claims Follow-Up Specialist (Medical Billing)

Location: Wapda Town, Lahore

Primary ResponsibilitiesAccounts Receivable & Denial Resolution

• Oversee and manage pending insurance claims to minimize overall Accounts Receivable (AR).
• Conduct daily review and follow-up of claim denials to ensure timely resolution.
• Evaluate ERA reports to detect frequent denial reasons and recommend corrective action.
• Prepare, submit, and monitor appeals for denied or underpaid claims with required documentation.
• Identify and resolve payment variances; escalate complex cases to the Billing Manager when necessary.
• Maintain updated AR aging reports and provide consistent weekly and monthly updates.
• Manage claims related to specialized services such as TMS, Spravato, and psychological assessments.
• Work closely with the Billing Manager to meet established AR reduction and recovery goals.

Patient & Provider Coordination

• Address billing-related queries from patients, providers, and internal departments promptly.
• Verify and correct patient account details before initiating any collection activities.
• Collaborate with providers to amend claim issues, including coding and documentation errors.
• Coordinate with insurance payers regarding authorizations, eligibility, and network requirements.
• Resolve patient concerns professionally and process refunds where applicable.

System & Process Efficiency

• Create and track support tickets in eClinicalWorks (eCW) to resolve billing issues efficiently.
• Assist teammates with training and guidance on AR and denial workflows.
• Coordinate with U.S.-based billing teams to ensure accurate and timely claim submission.
• Participate in team performance meetings, analyze trends, and propose operational improvements.
• Stay updated on payer policies, regulatory changes, and medical billing standards.

Job Type: Full-time

Pay: Rs40,000.00 - 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 the night?

Experience:

• Medical Billing: 1 year (Preferred)

Language:

• English (Required)

Work Location: In person