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AR Specialist – Medical Billing

Job Title: AR Specialist – Medical Billing

Location: Karachi (Onsite)
Experience: 2–5 Years (US Healthcare AR)
Shift: US Shift (Night)
Salary Range: 150K– 160K PKR (depending on experience)

Job Summary:

I am looking for a skilled AR Specialist (Medical Billing) with hands-on experience in US healthcare revenue cycle management. The candidate will be responsible for managing insurance follow-ups, claim resolutions, and ensuring maximum reimbursement by working on denied, rejected, and unpaid claims.

Key Responsibilities:

  • Work on Accounts Receivable (AR) for US healthcare clients
  • Perform insurance follow-ups on unpaid/underpaid claims (via calls/portals)
  • Analyze and resolve denied and rejected claims
  • Handle payment posting discrepancies and reconciliation
  • Ensure timely appeals filing for denied claims
  • Work on aging reports (30/60/90/120+ days) and prioritize collections
  • Coordinate with billing and coding teams to fix claim issues
  • Maintain accurate documentation of follow-ups and actions taken
  • Meet daily/weekly productivity and collection targets

Required Skills & Qualifications:

  • Bachelor’s degree (preferred)
  • 2–5 years of US Medical Billing AR experience
  • Strong understanding of RCM (Revenue Cycle Management)
  • Knowledge of CPT, ICD-10, HCPCS codes
  • Familiarity with insurance portals (e.g., Availity, Navinet)
  • Experience with denial management & appeals
  • Good communication skills for US insurance calling
  • Proficiency in MS Excel and billing software

Preferred:

  • Experience in specialties (e.g., Radiology, DME, Internal Medicine, etc.)
  • Exposure to EHR/EMR systems (e.g., Kareo, AdvancedMD, eClinicalWorks)

KPIs / Performance Metrics:

  • AR aging reduction
  • Collection ratio / recovery rate
  • Denial resolution turnaround time
  • Productivity (claims handled per day)
  • Quality & accuracy of follow-ups

Job Type: Full-time

Pay: Rs150,000.00 - Rs160,000.00 per month

Work Location: In person

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