Medical Billing Specialist-US

Responsibilities

• Create and renew subscriptions and process invoices accurately and on time.
• Process credit memos and make adjustments to customer accounts as needed.
• Maintain and track accounts to ensure timely and accurate invoicing.
• Resolve customer billing issues across cases, email, and internal escalation channels.
• Assist internal teams by providing billing- and revenue-related information.
• Participate in special projects such as system upgrades, process improvements, and data analysis initiatives.
• Monitor, post, and reconcile payments.
• Follow up on outstanding insurance balances and accounts receivable.
• Handle prior authorization (PA) processes, including:
• Initiating and submitting prior authorization requests to insurance payers
• Verifying insurance eligibility and benefits
• Tracking authorization status and following up with payers
• Resolving authorization denials and coordinating appeals when required
• Ensure strong compliance with predefined SOPs and workflows.
• Utilize APIs and billing systems effectively (API knowledge is a plus).

Qualifications & Experience

• Proven work experience as a Medical Biller or in a similar role.
• 1–2 years of experience in Medical Billing, Accounts, AR, Client Success, or Collections.
• Prior experience handling insurance verification and prior authorizations is required.
• Ability to multitask and manage time effectively in a fast-paced environment.
• Excellent written and verbal communication skills.
• Outstanding problem-solving and organizational abilities.

Education

• Associate degree in Pharmacy (Pharm D), Accounting, or a related field required.
• Bachelor’s degree preferred.

You Are a Strong Fit If You:

• Have strong English speaking and writing comprehension skills.
• Demonstrate excellent organizational and time-management skills.
• Develop and maintain positive relationships through effective and timely communication.
• Are detail-oriented and comfortable working with insurance portals and billing systems.

Job Details

• Salary: Up to 150K
• Shift: Night Shift (US Business Hours)
• Location: Lahore, Pakistan (On-site)

Job Type: Full-time

Pay: Rs120,000.00 - Rs150,000.00 per month

Work Location: In person