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