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Medical Billing Specialist

Medical Billing Specialist (US Healthcare)

Location: Gulberg, Lahore

Job Type: Full-Time

Shift: 5:00 PM – 2:00 AM

Experience Required: 4–5 Years

Job Summary

We are seeking an experienced Medical Billing Specialist with 4–5 years of hands-on experience in US healthcare billing and Revenue Cycle Management (RCM). The ideal candidate will have a strong understanding of the complete medical billing lifecycle, including insurance verification, claims submission, denial management, accounts receivable follow-up, and payment posting.

Key Responsibilities

  • Process and submit medical claims accurately to insurance companies.
  • Manage the complete Revenue Cycle Management (RCM) process.
  • Verify patient insurance eligibility and benefits.
  • Follow up on unpaid, denied, or rejected insurance claims.
  • Investigate and resolve claim denials and payment discrepancies.
  • Post insurance and patient payments and reconcile accounts receivable.
  • Prepare and submit appeals for denied claims.
  • Communicate with insurance companies regarding claim status and payment issues.
  • Maintain accurate patient and billing records within EMR/EHR systems.
  • Work closely with physicians, clinics, and healthcare providers to resolve billing issues.
  • Analyze billing reports to identify opportunities for improving collections and reducing denials.
  • Ensure compliance with HIPAA regulations and healthcare billing standards.

Required Qualifications

  • 4–5 years of experience in US Medical Billing.
  • Strong knowledge of CPT, ICD-10, and HCPCS coding systems.
  • Experience with Medicare, Medicaid, Commercial, and Private Insurance claims.
  • Hands-on experience with Revenue Cycle Management (RCM).
  • Strong background in claim submission, denial management, appeals, and accounts receivable follow-up.
  • Experience using EMR/EHR systems and medical billing software.
  • Excellent communication, analytical, and problem-solving skills.
  • Ability to manage multiple priorities while maintaining a high level of accuracy.
  • Ability to work independently and meet productivity targets.

Job Type: Full-time

Application Question(s):

  • What is your Expected Salary?
  • Have you worked as Medical Billing Specialist in Medical Billing Services?

Work Location: In person

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