Medical Billing & AR Specialist

Accounts Receivable & Denial Management

• Oversee and manage outstanding insurance claims to help reduce overall Accounts Receivable (AR) balances.
• Perform routine follow-ups on denied claims to ensure timely resolution and optimize recovery outcomes.
• Review Electronic Remittance Advice (ERA) reports to identify recurring denial trends and recommend preventive and corrective actions.
• Prepare, submit, and track appeals for denied or underpaid claims, ensuring all supporting documentation is complete and accurate.
• Investigate payment discrepancies and escalate complex or unresolved issues to the Billing Manager when necessary.
• Maintain accurate and up-to-date AR aging reports, providing regular weekly and monthly performance updates.
• Manage billing and claims for specialized services, including TMS, Spravato, and psychological assessments.
• Partner with the Billing Manager to achieve AR reduction, recovery, and accuracy goals.

Patient & Provider Communication

• Respond promptly and professionally to billing-related inquiries from patients, providers, and internal stakeholders.
• Review and verify patient account information before initiating collections or claim follow-ups.
• Collaborate with providers to resolve claim issues, including coding errors and missing documentation.
• Communicate with insurance payers regarding eligibility, prior authorizations, and network participation.
• Address patient concerns with professionalism and empathy, including processing refunds when applicable.

Systems Management & Process Improvement

• Create, monitor, and resolve billing-related support tickets within the eClinicalWorks (eCW) system.
• Provide guidance and support to team members on AR follow-up strategies and denial resolution workflows.
• Coordinate with U.S.-based billing teams to ensure accurate and timely claim submissions.
• Participate in operational meetings to review performance metrics, analyze trends, and recommend process improvements.
• Stay up to date with payer policies, regulatory requirements, and industry best practices in medical billing and reimbursement.

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:

• Medical Billing: 1 year (Preferred)

Language:

• English? (Required)

Work Location: In person