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ar executive medical billing

Prima Systems

Digital Prima Systems is a reputable healthcare technology company specializing in providing innovative solutions for medical billing and revenue cycle management. We are committed to assisting healthcare providers in optimizing their financial operations and ensuring timely reimbursement for services rendered.Responsibilities:<ul><li>Insurance Claims Processing:</li><li>Review and prepare accurate insurance claims for submission to various payers.</li><li>Verify patient insurance coverage, benefits, and eligibility.</li><li>Ensure proper coding (CPT, ICD-10, HCPCS) and documentation for claims accuracy.</li><li>Submit claims electronically or by paper according to payer requirements.</li><li>Payment Posting and Reconciliation:</li><li>Post payments received from insurance companies and patients into the billing system.</li><li>Reconcile payments against billed amounts to identify discrepancies.</li><li>Investigate and resolve any discrepancies in payments, adjustments, or denials.</li><li>Accounts Receivable Management:</li><li>Monitor and follow up on unpaid or denied claims to ensure timely resolution.</li><li>Contact insurance companies to inquire about claim status and facilitate payment.</li><li>Review aging reports regularly to prioritize and address delinquent accounts.</li><li>Initiate appeals for denied or underpaid claims and track the appeal process.</li><li>Patient Billing and Communication:</li><li>Generate patient statements and invoices for outstanding balances.</li><li>Work with patients to establish payment plans or arrangements.</li><li>Provide clear and compassionate communication regarding billing inquiries or issues.</li><li>Documentation and Reporting:</li><li>Maintain accurate and organized records of all billing and collection activities.</li><li>Generate reports on accounts receivable status, aging trends, and collection efforts.</li><li>Prepare regular updates and summaries for management review.</li><li>Compliance and Regulations:</li><li>Ensure compliance with HIPAA regulations and other billing guidelines.</li><li>Stay informed about changes in billing regulations and payer policies.</li><li>Implement best practices to maximize reimbursement and minimize compliance risks.</li></ul>Requirements:<ul><li>Proven experience as an Accounts Receivable Specialist in medical billing or a related field.</li><li>In-depth knowledge of medical terminology, billing codes (CPT, ICD-10, HCPCS), and insurance claims processes.</li><li>Proficiency in using medical billing software and electronic health record (EHR) systems.</li><li>Strong understanding of insurance policies, reimbursement methodologies, and billing guidelines.</li><li>Excellent analytical skills to identify and resolve billing discrepancies efficiently.</li><li>Effective communication skills to interact professionally with insurance companies, patients, and internal teams.</li><li>Detail-oriented with a high level of accuracy in data entry and financial calculations.</li></ul>Please share your resume 0325-7666161Job Type: Full-timePay: Rs80,000.00 - Rs95,000.00 per monthExperience:<ul><li>Account Receivable: 1 year (Preferred)</li></ul>Language:<ul><li>English (Preferred)</li></ul>Work Location: In person

AR Executive - Medical Billing

BLMS SMC PVT LTD

About the Role: We are seeking a detail-oriented and motivated Accounts Receivable (AR) with proven experience in the medical billing industry. This role is crucial in ensuring timely and accurate reimbursement by managing the full spectrum of accounts receivable functions. You will collaborate with internal teams and clients to maintain billing accuracy, follow up on claims, and ensure compliance with healthcare regulations.Key Responsibilities:<ul><li>Accurately code medical procedures and diagnoses using CPT and ICD standards.</li><li>Ensure complete and accurate submission of medical claims.</li><li>Follow up on unpaid claims and manage timely collections.</li><li>Verify insurance payments and resolve discrepancies.</li><li>Communicate effectively with insurance companies to address claim-related issues.</li><li>Manage secondary billing processes.</li><li>Handle account reviews and respond to billing-related inquiries.</li><li>Collaborate with internal billing teams and external clients to streamline operations.</li><li>Perform accounts receivable functions including denial management and appeals.</li><li>Maintain meticulous documentation and submit regular reports to the Billing Manager.</li></ul>Qualifications:<ul><li>Bachelor&rsquo;s degree in a relevant field is preferred.</li><li>Minimum of 1 year of experience in a medical billing company as an AR Executive.</li><li>Strong knowledge of the Revenue Cycle Management (RCM) process, HIPAA compliance, and U.S. Federal and State healthcare regulations.</li><li>Proficiency in using multiple billing software systems is a strong advantage.</li><li>Excellent communication, analytical, and organizational skills.</li></ul>Job Type: Full-timePay: Rs30,000.00 - Rs70,000.00 per monthWork Location: In person

Medical Billing A/R Specialist

Healthrix

We are seeking a highly motivated and detail-oriented Accounts Receivable (AR) Specialist to join our medical billing team. The AR Executive will be responsible for managing accounts receivable functions, including billing, collections, and resolving outstanding claims. <ul><li>Process and submit medical claims to insurance companies, government agencies, and other third-party payers.</li><li>Communicate with insurance companies, patients, and healthcare providers to resolve billing issues and inquiries.</li><li>Investigate and resolve claim denials, rejections, and discrepancies promptly and work on Appeal Management.</li><li>Collaborate with other departments, such as coding and revenue cycle. management, to streamline billing processes and improve collections efficiency.</li><li>Must know healthcare regulations, insurance policies, and billing procedures.</li><li>Follow up on outstanding accounts receivable balances to ensure timely payment.</li><li>Identify and bill secondary or tertiary insurance.</li></ul>Requried Competencies:<ul><li>Strong written and verbal communication skills.</li><li>Proficiency in Microsoft Office Suite.</li><li>Proficiency in Microsoft Office Suite.</li><li>Excellent organizational skills.</li><li>At least 2 to 3 years of relevant experience.</li></ul>Job Location:<ul><li>Lahore</li><li>Willing to work in night shift </li></ul>Gender:<ul><li>Male / Female</li></ul>Job Type: Full-timePay: From Rs70,000.00 per monthWork Location: In person

Senior AR Executive

Vista Consultancy Services VCS Private Limited

Location: Lahore (Remote) Shift Timing: 6:00 PM &ndash; 3:00 AM (Pakistan Standard Time) Employment Type: Full-timeKey Responsibilities<ul><li>Perform Verification of Benefits (VOBs) to confirm insurance eligibility and coverage.</li><li>Accurately manage payment posting for payers and patients.</li><li>Handle Accounts Receivable (AR) by following up on outstanding claims and reducing aging.</li><li>Manage denials and rejections, identify root causes, and ensure timely resolution.</li><li>Prepare and submit appeals with supporting documentation and follow up as needed.</li><li>Process billing for Remote Patient Monitoring (RPM) and Chronic Care Management (CCM) services.</li><li>Collaborate with providers, internal teams, and insurance companies to ensure smooth claim processing.</li><li>Maintain accurate and up-to-date records in RCM systems.</li><li>Use tools such as Tebra, 8x8, Trizetto, and others to enhance workflow efficiency.</li></ul>Required Skills &amp; Qualifications<ul><li>3&ndash;5 years of experience in medical billing or RCM operations.</li><li>Strong understanding of insurance workflows (VOBs, AR, denials, appeals).</li><li>Familiarity with RPM and CCM billing guidelines.</li><li>Basic proficiency in MS Excel (sorting, filtering, formulas).</li><li>Hands-on experience with platforms such as Tebra, Trizetto, and 8x8.</li></ul>Preferred Qualifications<ul><li>Experience with Electronic Health Record (EHR) systems.</li><li>Knowledge of HIPAA compliance and medical billing standards.</li><li>Certification in medical billing or coding (CPC, CPB) is a plus.</li></ul>Job Type: Full-timeWork Location: Remote

RCM Specialist

Macrise Tech Solutions

Key ResponsibilitiesAccounts Receivable &amp; Denials Management<ul><li>Monitor and manage outstanding insurance claims to reduce overall accounts receivable (AR) balances.</li><li>Review and resolve claim denials on a daily basis, ensuring timely and accurate follow-up.</li><li>Analyze Electronic Remittance Advice (ERA) data to identify recurring denial trends and implement corrective actions.</li><li>Prepare, submit, and track appeals for denied or underpaid claims with appropriate documentation.</li><li>Investigate payment discrepancies, escalating complex issues to the Billing Manager as needed.</li><li>Maintain and update AR aging reports; provide regular weekly and monthly performance updates.</li><li>Process claims for specialized services, including TMS, Spravato, and psychological testing.</li><li>Partner with the Billing Manager to achieve AR resolution and collection targets.</li></ul>Patient &amp; Provider Support<ul><li>Respond to billing-related inquiries from patients, providers, and internal teams.</li><li>Review and update patient accounts, ensuring accuracy before initiating collection actions.</li><li>Collaborate with providers to correct claim errors, including coding and documentation.</li><li>Coordinate with insurance companies regarding prior authorizations, coverage verification, and network status.</li><li>Address patient concerns with professionalism, including issuing refunds when appropriate.</li></ul>System Support &amp; Process Improvement<ul><li>Submit and monitor support tickets in eClinicalWorks (eCW) to resolve billing-related issues.</li><li>Provide training and support to team members on AR and denial management processes.</li><li>Collaborate with U.S.-based teams to ensure timely and accurate claim submissions.</li><li>Participate in team meetings to review AR performance, analyze trends, and recommend process improvements.</li><li>Stay current with payer policies, compliance regulations, and industry best practices.</li></ul>Job Type: Full-timePay: Rs40,000.00 - Rs80,000.00 per monthAbility to commute/relocate:<ul><li>Lahore: Reliably commute or planning to relocate before starting work (Required)</li></ul>Application Question(s):<ul><li>Willing to work the night shift?</li></ul>Experience:<ul><li>Medical Billing: 1 year (Preferred)</li></ul>Language:<ul><li>English (Preferred)</li></ul>Work Location: In person

Medical AR & Claims Resolution Specialist

Jawa Health Care

Job Title: Closer &ndash; RCM ServicesDepartment: Revenue Cycle Management Reports To: Team Lead / Manager &ndash; AR/RCM Location: [Onsite/Remote/Hybrid] Shift: [U.S. Shift / Night Shift / Flexible, etc.]Job Summary:The Closer is responsible for the final phase of the medical billing process, ensuring all accounts are closed accurately and in a timely manner. This includes reviewing payments, resolving denials, initiating appeals when necessary, and coordinating with insurance companies and internal departments to ensure proper reimbursement.Key Responsibilities:<ul><li>Review insurance payments and denials to confirm account resolution.</li><li>Ensure all claims are processed correctly and all follow-ups are completed.</li><li>Initiate and manage appeals for denied or underpaid claims.</li><li>Work closely with AR follow-up team to finalize claims.</li><li>Post payments and adjustments when required.</li><li>Conduct account audits to confirm zero balance and accurate processing.</li><li>Ensure compliance with HIPAA and company policies.</li><li>Coordinate with payers, clearinghouses, and clients for claim closure.</li><li>Document all activity in billing software clearly and accurately.</li><li>Meet daily/weekly/monthly productivity and quality targets.</li></ul>Required Skills &amp; Qualifications:<ul><li>2+ years of experience in U.S. healthcare RCM process, particularly in AR follow-up and denial management.</li><li>Strong knowledge of insurance guidelines (Medicare, Medicaid, Commercial payers).</li><li>Familiarity with billing software such as EPIC, NextGen, eClinicalWorks, Kareo, AdvancedMD, or similar.</li><li>Understanding of CPT, ICD-10, HCPCS codes.</li><li>Excellent verbal and written communication skills.</li><li>Analytical and problem-solving abilities.</li><li>Ability to work independently and within a team.</li><li>Strong attention to detail and accuracy.</li></ul>Preferred Qualifications:<ul><li>Experience working with clients across multiple specialties (e.g., Radiology, Cardiology, DME, etc.).</li><li>Certification in Medical Billing/Coding (CPC, CPB) is a plus.</li><li>Experience with U.S. healthcare compliance standards.</li></ul>Monday to Friday 6pm to 3amSaturday Sunday offJob Type: Full-timePay: Rs60,000.00 - Rs120,000.00 per monthWork Location: In person

Closer – RCM Services

TCP Software

<div>
 
 TCP is committed to cultivating a diverse and inclusive team. However, we are not able to sponsor visas for this role.
 
 
 
 
 About TCP (TimeClock Plus):
 
 
 
 For more than 30 years, TCP has helped organizations engage their people by providing flexible, mobile timekeeping and workforce management solutions. Trusted by tens of thousands of customers and millions of users, TCP delivers best-in-class technology and personalized support to organizations of all sizes in the public and private sector to meet their complex timekeeping, employee scheduling, leave management and other workforce needs. Growth is happening and our vision for a successful future is clear - We'd love for you to join us on this journey! For more information on TCP, visit www.tcpsoftware.com or follow us on LinkedIn or Facebook.
 
 
 We are seeking a motivated AR and Collection Intern to support our Accounts Receivable (AR) and Collection team. In this role, you will assist with managing customer accounts, handling collections, and supporting various AR functions. This internship provides an excellent opportunity to gain practical experience in AR and collections within a dynamic and growing company.
 
 
 
 As a Reporting Analyst Intern, you will:
 
 
 
 <ul>
 <li>
 Support daily, weekly, and monthly billing operations by working with large datasets and ensuring high data accuracy
 </li>
 <li>
 Assist in bulk data modifications using SOAP and REST APIs
 </li>
 <li>
 Execute and troubleshoot SQL queries to extract, clean, and transform billing and revenue data
 </li>
 <li>
 Use Python (with libraries like Pandas &amp; NumPy) to automate reporting tasks, perform data cleaning &amp; support various data-driven decision-making processes
 </li>
 <li>
 Build &amp; maintain Power BI dashboards to support internal teams monitor key performance indicators
 </li>
 <li>
 Participate in data validation and formatting for recurring &amp; ad-hoc reporting requests
 </li>
 <li>
 Collaborate with team members to gather reporting requirements and improve data workflows, visibility, and usability
 
 
 </li>
 </ul>
 
 Requirements
 
 
 
 
 You are a strong fit for this role if you have
 
 :
 
 
 <ul>
 <li>
 Bachelor's degree in computer science, computer engineering, Data Science, Business Analytics, or a related field
 </li>
 <li>
 Good foundation in Python, including experience with Pandas, NumPy, and related libraries for data analysis or automation
 </li>
 <li>
 Are familiar with SQL and eager to apply it to real-world data scenarios
 </li>
 <li>
 Interest in tools like Postman, Power BI, Excel/Google Sheets, and Jupyter Notebooks
 </li>
 <li>
 Are detail-oriented, enjoy solving data-related problems, and have a passion for learning
 </li>
 <li>
 Strong communication skills and are comfortable working both independently and as part of a team
 
 
 </li>
 </ul>
 
 
 Bonus Points For:
 
 
 
 
 <ul>
 <li>
 Experience working with SaaS billing systems like Zuora
 </li>
 <li>
 Exposure to data automation and ETL workflows using Python
 </li>
 <li>
 Familiarity with REST/SOAP APIs and automated integration tasks
 </li>
 <li>
 Knowledge of financial or billing-related reporting concepts
 
 
 </li>
 </ul>
 
 
 Physical Requirements:
 
 
 
 
 <ul>
 <li>
 Prolonged periods sitting at a desk and working on a computer
 </li>
 <li>
 Must be able to lift up to 15 pounds at times
 
 
 </li>
 </ul>
 
 Benefits
 
 
 
 <ul>
 <li>
 Competitive salary based on experience
 </li>
 <li>
 PTO and Sick leaves
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 <li>
 In-Patient &amp; Out-Patient Health insurance
 </li>
 <li>
 Provident fund and EOBI
 </li>
 <li>
 The work/life setup you need to be successful
 </li>
 <li>
 A creative, collaborative, supportive environment that gives you the autonomy to explore new ideas, grow your skillset, and create outstanding results
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 <li>
 The opportunity to work with amazing talent in a fast-growing company that really values its team
 </li>
 <li>
 Company sponsored training, workshops, education, and team building
 </li>
 <li>
 The chance to make a genuine impact on the company's growth
 </li>
 <li>
 Plenty of challenging work and the opportunity to stretch yourself
 </li>
 <li>
 Every day you'll get to work with amazing talent in a fast-growing company that really values their people
 </li>
 </ul>
</div>

Intern I

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