ECW software Production specialist

Enter charges, modifiers, place-of-service, and CPT/ICD-10 codes in eCW.

Verify provider documentation to ensure compliant and clean claims.

Validate insurance eligibility & benefits through eCW and payer portals.

Submit claims electronically and monitor clearinghouse rejections.

Post ERA/EOB payments and reconcile any variances.

Work denials (clinical & technical) and submit corrected claims.

Ensure compliance with HIPAA, CMS guidelines, and payer rules.

Maintain daily productivity and quality benchmarks set by management.
AR's JD

Work AR aging reports (insurance & patient).

Conduct insurance follow-up calls for claim status.

Resolve denials: coding, credentialing, coverage, missing info, etc.

Submit appeals with supporting documentation via eCW/payer portals.

Document all actions in eCW with detailed notes.

Maintain denial logs and provide trend analysis to management.

Coordinate with coding team for medical necessity and documentation issues.

Meet monthly collection targets and reduce AR outstanding.

It’s an American company, It’s a night shift position as we operate according to U.S. Central Time Zone. The working hours are from 7:00 PM to 4:00 AM (Pakistan Standard Time).

Company Info:

Web: https://pegasussystemslimited.com/

Insta: https://www.instagram.com/pegasussystemslimited/

LinkdIn: https://www.linkedin.com/company/pegasus-systems-limited

Address: https://share.google/172J2SbB7E2m2qmm7

Location: 1st floor building no 62 C,Near National Bank of Pakistan, main commercial area Cavalry Ground Cantt, Lahore.

Job Type: Full-time

Pay: Rs45,000.00 - Rs55,000.00 per month

Work Location: In person