Medical Billing AR Specialist

Accounts Receivable & Denial Resolution

• Monitor and manage outstanding insurance claims to support the reduction of overall Accounts Receivable (AR) balances.
• Conduct consistent follow-ups on denied or unpaid claims to ensure timely resolution and maximum reimbursement recovery.
• Analyze Electronic Remittance Advice (ERA) reports to identify recurring denial patterns and recommend corrective or preventive measures.
• Prepare, submit, and track appeals for denied or underpaid claims while ensuring all required supporting documentation is accurate and complete.
• Investigate payment variances, discrepancies, and unresolved claim issues, escalating complex cases to the Billing Manager when appropriate.
• Maintain accurate AR aging reports and provide regular weekly and monthly performance summaries.
• Process and manage claims related to specialized services, including TMS, Spravato, and psychological evaluations.
• Collaborate closely with the Billing Manager to meet AR recovery, reduction, and reimbursement accuracy goals.

Patient & Provider Communication

• Respond professionally and promptly to billing-related inquiries from patients, providers, and internal departments.
• Review and verify patient account details prior to initiating collections or claim follow-up activities.
• Coordinate with healthcare providers to resolve claim-related issues, including coding discrepancies and incomplete documentation.
• Communicate with insurance payers regarding eligibility verification, prior authorizations, claim status, and network participation.
• Address patient billing concerns with empathy and professionalism, including processing refunds when necessary.

Systems Management & Process Improvement

• Create, monitor, and resolve billing-related support tickets within eClinicalWorks (eCW).
• Provide training, guidance, and support to team members regarding AR follow-up and denial management workflows.
• Coordinate with U.S.-based billing teams to ensure accurate and timely claim submission and processing.
• Participate in operational meetings to review performance metrics, identify trends, and recommend workflow improvements.
• Stay informed about payer regulations, compliance requirements, and industry best practices related to medical billing and reimbursement.

Pay: Rs40,000.00 - 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