Medical Billing AR & Denials Specialist

We are looking for a highly organized and detail-focused Accounts Receivable & 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 & Denial Management

• Monitor, track, and manage all pending insurance claims to minimize AR balances.
• Perform daily follow-up on claim denials and ensure quick resolution.
• Review ERA reports to identify common denial trends and suggest preventive strategies.
• Prepare, file, and monitor appeals for denied or underpaid claims, including all required documentation.
• Identify payment discrepancies and escalate complex issues to the Billing Manager.
• Maintain updated AR aging reports with consistent weekly and monthly reporting.
• Manage claims for specialized services such as TMS, Spravato, and psychological evaluations.
• Coordinate with the Billing Manager to meet AR reduction, accuracy, and recovery targets.

Patient & Provider Coordination

• Address billing inquiries from patients, providers, and internal teams in a timely manner.
• Verify and update patient account information before starting collection processes.
• Collaborate with providers to correct claim issues, including coding or documentation errors.
• Work with insurance payers on eligibility, authorizations, and network-related matters.
• Resolve patient concerns respectfully and process refunds when applicable.

System & Workflow Optimization

• Create, monitor, and resolve support tickets in eClinicalWorks (eCW).
• Provide training and guidance to team members on AR and denial workflows.
• Coordinate with U.S. billing teams to ensure proper and timely claim submission.
• Participate in performance review meetings, analyze trends, and recommend process improvements.
• Stay informed about payer rules, regulatory updates, and evolving medical billing standards.

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 the night shift in Wapda Town, Lahore?

Experience:

• Medcal Billing: 1 year (Preferred)

Language:

• English (Required)

Work Location: In person