Medical Billing AR Executive

We are seeking a highly organized and detail-oriented Accounts Receivable & Denials Resolution Specialist to support our medical billing operations. In this role, you will be responsible for managing outstanding insurance claims, resolving denials, and ensuring accurate and timely reimbursement from payers. The ideal candidate is analytical, efficient, and capable of communicating professionally with patients, providers, and insurance representatives in a fast-paced healthcare environment.

Key ResponsibilitiesAccounts Receivable & Denial Resolution

• Monitor, track, and manage outstanding insurance claims to reduce overall Accounts Receivable (AR).
• 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 recommend preventive or corrective actions.
• Prepare, submit, and track appeals for denied or underpaid claims, ensuring all supporting documentation is complete and accurate.
• Investigate payment variances and escalate complex or unresolved issues to the Billing Manager as needed.
• Maintain accurate AR aging reports and provide consistent weekly and monthly performance updates.
• Process and manage claims related to specialized services, including TMS, Spravato, and psychological evaluations.
• Collaborate closely with the Billing Manager to meet AR reduction, recovery, and accuracy targets.

Patient & Provider Coordination

• Respond promptly and professionally to billing inquiries from patients, providers, and internal departments.
• Verify and update patient account details prior to initiating any collection activities.
• Work with providers to correct claim errors, including coding inaccuracies and incomplete documentation.
• Coordinate with insurance payers regarding eligibility verification, prior authorizations, and network participation.
• Address patient concerns respectfully and process refunds when applicable.

System & Process Optimization

• Create, track, and resolve billing-related support tickets within eClinicalWorks (eCW).
• Provide training and guidance to team members on AR and denial management workflows.
• Coordinate with U.S.-based billing teams to ensure timely and accurate claim submissions.
• Participate in performance review meetings, analyze trends, and recommend workflow and process improvements.
• Stay current with payer policies, regulatory requirements, and evolving medical billing best practices.

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 as per US timing, Wapda Town, Lahore

Experience:

• Medical Billing: 1 year (Preferred)

Language:

• English (Required)

Work Location: In person