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ar representative medical billing

Physicians Revenue Group

Job SummaryWe are looking for an AR Specialist to manage accounts receivable activities, including claim follow-ups, payment posting review, and issue resolution, to ensure timely collections and maximum reimbursement. The candidate should have working knowledge of US medical billing and AR processes.Key Responsibilities<ul><li>Perform AR follow-ups on unpaid and underpaid insurance claims.</li><li>Review claim status, EOBs, and ERAs to identify payment issues.</li><li>Work on basic denials, rejections, and corrected claims as required.</li><li>Communicate with insurance companies via calls and payer portals.</li><li>Update claim status and maintain accurate AR records.</li><li>Ensure compliance with HIPAA and payer guidelines.</li><li>Meet assigned productivity and turnaround time targets.</li></ul>Required Skills &amp; Experience<ul><li>6 months or more experience in AR / US Medical Billing.</li><li>Basic knowledge of CPT, ICD-10, and HCPCS codes.</li><li>Experience handling EOBs, ERAs, and AR aging reports.</li><li>Familiarity with Medicare, Medicaid, and Commercial payers.</li><li>Good communication and follow-up skills.</li><li>Willingness to work in night shift (US time zone).</li></ul>Job Type: Full-timeAbility to commute/relocate:<ul><li>Lahore Johar Town: Reliably commute or planning to relocate before starting work (Preferred)</li></ul>Education:<ul><li>Middle School (Preferred)</li></ul>Experience:<ul><li>2year: 1 year (Preferred)</li></ul>Work Location: In person

AR Representative - Medical Billing

Job Description: Physicians Revenue Group (PRG) is looking for a detail-oriented and experienced QA Billing Executive to join our growing Medical Billing team. The ideal candidate should have strong experience in Accounts Receivable (AR) and a good understanding of quality assurance processes in medical billing. The role involves reviewing billing processes, identifying errors, and ensuring compliance with company standards and client requirements.Key Responsibilities:<ul><li>Perform quality checks on AR and billing processes to ensure accuracy and compliance.</li><li>Review claims, denials, and payment postings to identify errors or inconsistencies.</li><li>Monitor team performance and provide feedback to improve billing quality.</li><li>Ensure adherence to medical billing guidelines and client requirements.</li><li>Prepare QA reports and highlight areas of improvement.</li><li>Coordinate with AR teams to resolve billing issues and maintain quality standards.</li></ul>Requirements:<ul><li>Minimum 1 years of experience in Medical Billing (AR).</li><li>Basic understanding of QA processes in medical billing.</li><li>Strong analytical and problem-solving skills.</li><li>Good communication and reporting skills.</li><li>Ability to work in a Night Shift environment.</li><li>Attention to detail and ability to maintain accuracy.</li></ul>What We Offer:<ul><li>Competitive salary package</li><li>Professional work environment</li><li>Career growth opportunities in medical billing</li></ul>Location: Lahore Shift: Night ShiftJob Type: Full-timeWork Location: In person

QA Billing Executive

ABIC

Job Title: Medical Billing Executive &ndash; Multi-Specialty PracticesLocation: Karachi, Pakistan Department: Revenue Cycle Management (RCM) Experience: 1&ndash;3 Years (Fresh candidates with strong communication skills may also apply)Job SummaryWe are seeking a detail-oriented Medical Billing Executive to support billing and revenue cycle operations for multiple healthcare practices across various medical specialties in the US healthcare system.The candidate will be responsible for insurance claim submission, accounts receivable management, denial resolution, payment posting, and payer follow-ups to ensure timely reimbursements and compliance with payer policies.Supported Medical SpecialtiesThe Medical Billing Executive will support billing operations for the following multi-specialty healthcare practices:<ul><li>Family Medicine</li><li>Internal Medicine</li><li>Urgent Care</li><li>Cardiology</li><li>Orthopedics</li><li>Pain Management</li><li>Dermatology</li><li>Gastroenterology</li><li>Neurology</li><li>Psychiatry / Behavioral Health</li><li>Physical Therapy &amp; Rehabilitation</li><li>Radiology</li><li>Podiatry</li><li>Dental / Oral Surgery</li></ul>Key Responsibilities<ul><li>Review patient demographics, insurance eligibility, and billing information for multiple specialties and providers.</li><li>Submit clean claims to insurance companies and clearinghouses in a timely manner.</li><li>Perform Accounts Receivable (AR) follow-up on unpaid or underpaid claims.</li><li>Manage denial management and appeals to recover unpaid claims.</li><li>Verify insurance payments and ensure accuracy according to payer contracts and fee schedules.</li><li>Process primary, secondary, and tertiary insurance claims.</li><li>Communicate with insurance companies regarding claim status, discrepancies, and payment issues.</li><li>Post insurance and patient payments accurately in the billing system.</li><li>Respond to patient and insurance billing inquiries professionally.</li><li>Maintain accurate documentation and billing records for each practice.</li><li>Ensure compliance with US healthcare billing regulations and HIPAA standards.</li><li>Collaborate with providers, clients, and internal teams across multiple practices.</li></ul>Requirements<ul><li>Bachelor&rsquo;s degree required.</li><li>1&ndash;3 years of experience in US Medical Billing / Dental Billing preferred.</li><li>Knowledge of CPT, ICD-10, and HCPCS coding systems.</li><li>Experience with Accounts Receivable (AR), Denial Management, and Appeals.</li><li>Familiarity with major US insurance payers (Medicare, Medicaid, BCBS, Aetna, Cigna, UnitedHealthcare, etc.).</li><li>Strong communication and problem-solving skills.</li><li>Ability to manage multiple providers and specialties simultaneously.</li></ul>Preferred Skills<ul><li>Experience with EHR / Practice Management systems (Kareo, Athena, eClinicalWorks, AdvancedMD, etc.)</li><li>Knowledge of specialty-specific billing guidelines</li><li>Strong attention to detail and analytical skills</li><li>Ability to work in a fast-paced RCM environment</li></ul>Job Type: Full-timePay: Rs80,000.00 - Rs110,000.00 per monthWork Location: In person

Medical Billing Executive

Diglip

We are seeking a highly experienced Laboratory Billing Specialist / RCM Manager to oversee and optimize all aspects of our diagnostic laboratory billing operations. This role will act as the internal billing authority, working closely with our third-party billing company to ensure clean claim submission, minimize denials, and maximize reimbursement.The ideal candidate must have deep expertise in clinical laboratory billing, coding, payer guidelines, and denial management, and should be capable of identifying gaps, resolving issues, and implementing process improvements.Key Responsibilities<ul><li>Oversee and audit the performance of the external billing company</li><li>Review and ensure clean claim submission (first-pass resolution)</li><li>Analyze and resolve denials (CO-45, CO-97, CO-16, PR-96, etc.)</li><li>Identify root causes of denials and implement corrective workflows</li><li>Monitor AR (Accounts Receivable) and aging reports</li><li>Ensure proper usage of CPT codes, ICD-10 codes, modifiers (e.g., 59, 91, 25)</li><li>Validate medical necessity compliance (LCD/NCD guidelines)</li><li>Manage payer-specific requirements (Medicare, Medicaid, BCBS, Aetna, UHC, etc.)</li><li>Work on eligibility verification and benefits investigation</li><li>Review EOBs/ERAs and payment posting accuracy</li><li>Ensure proper credentialing and enrollment (NPI, CLIA, PECOS, CAQH)</li><li>Maintain compliance with HIPAA and CMS billing regulations</li><li>Coordinate with lab operations for proper test coding &amp; panel setup</li><li>Optimize workflows for high-volume tests (CBC, CMP, Ferritin, Toxicology, etc.)</li><li>Track rejection trends and clearinghouse errors</li><li>Generate weekly/monthly billing performance reports</li><li>Implement strategies to reduce write-offs and maximize collections</li></ul>Required Skills &amp; ExpertiseCore Billing Knowledge<ul><li>Strong understanding of Laboratory Billing (Clinical &amp; Toxicology preferred)</li><li>Expertise in:</li><li>CPT / HCPCS coding</li><li>ICD-10 diagnosis coding</li><li>Modifiers usage</li><li>Medical necessity rules</li><li>Hands-on experience with:</li><li>Denial Management &amp; Appeals</li><li>AR Follow-ups</li><li>Insurance Verification</li><li>Charge Entry &amp; Payment Posting</li></ul>Technical &amp; System Skills<ul><li>Experience with LIS (Laboratory Information Systems) and billing software</li><li>Familiarity with Clearinghouses (Office Ally, Change Healthcare, etc.)</li><li>Knowledge of EDI transactions (837, 835, 270/271)</li><li>Ability to audit data between LIS and Billing Systems</li><li>Strong Excel / Google Sheets skills for reporting &amp; analytics</li></ul>Payer &amp; Compliance Knowledge<ul><li>Experience handling:</li><li>Medicare / Medicaid billing</li><li>Commercial insurance (BCBS, Aetna, UHC, Cigna, etc.)</li><li>Understanding of:</li><li>LCD/NCD policies</li><li>Frequency limitations</li><li>Bundling &amp; unbundling rules</li><li>Familiarity with CLIA regulations for lab billing</li></ul>Credentialing &amp; Enrollment<ul><li>Experience with:</li><li>Provider Enrollment (PECOS, CAQH)</li><li>NPI registration and maintenance</li><li>CLIA certification handling</li><li>Ability to ensure lab is properly enrolled with all payers</li></ul>Preferred Qualifications<ul><li>Experience working with high-complexity labs or toxicology labs</li><li>Prior experience managing or auditing outsourced billing teams</li><li>Knowledge of HL7 integrations and lab-machine workflows</li><li>Certification such as:</li><li>CPB (Certified Professional Biller)</li><li>CPMA / CPC (AAPC)</li></ul>Key Performance Indicators (KPIs)<ul><li>Reduction in denial rate (%)</li><li>Increase in clean claim rate</li><li>Improvement in AR days</li><li>Recovery of underpaid / denied claims</li><li>Accuracy in coding and billing compliance</li></ul>Note: Candidates without hands-on lab billing experience will not be considered.Job Type: Full-timePay: Rs150,000.00 - Rs200,000.00 per monthApplication Question(s):<ul><li>How many years of US laboratory billing experience do you have?</li><li>Have you worked with denial codes like CO-45, CO-97, CO-16, PR-96?</li><li>Are you comfortable working onsite and night shifts (US hours)?</li></ul>Work Location: In person

Laboratory Billing Specialist / Revenue Cycle Manager (RCM)

Digital Auxilius

<div>
 
 About The Role
 
 
 
 We are looking for a detail-oriented Medical Billing Specialist to manage billing processes for US based clients. The ideal candidate should have strong knowledge of medical billing procedures, insurance verification, and revenue cycle management (RCM).
 
 
 The role requires handling insurance claims, reviewing billing information, ensuring compliance with medical coding standards, and maintaining efficient communication with clients.
 
 
 Key Responsibilities
 
 
 Manage end-to-end medical billing operations for assigned accounts.
 
 
 Submit clean claims to insurance companies.
 
 
 Perform insurance verification and eligibility checks.
 
 
 Review patient records and billing data for accuracy before claim submission.
 
 
 Handle claim denials and rejections and perform timely resubmissions.
 
 
 Perform accounts receivable (AR) follow-ups with insurance companies.
 
 
 Verify and pull insurance benefits and coverage details.
 
 
 Ensure correct use of CPT, ICD-10, and HCPCS codes.
 
 
 Maintain accurate documentation for billing records and patient accounts.
 
 
 Coordinate with internal teams and clients to resolve issues.
 
 
 Ensure compliance with US healthcare billing standards and regulations.
 
 
 
 Requirements &amp; Qualifications
 
 
 
 Bachelor&rsquo;s degree in Finance, Healthcare Management or a related field.
 
 
 2&ndash;4 years of relevant experience in Medical Billing / Revenue Cycle Management.
 
 
 Strong knowledge of CPT codes, ICD-10 codes, and HCPCS coding systems.
 
 
 Experience with insurance verification and benefit analysis.
 
 
 Hands-on experience with claim submission, denial management, and AR follow-ups.
 
 
 Familiarity with medical billing software and clearinghouses.
 
 
 Strong attention to detail and analytical skills.
 
 
 Ability to manage multiple client accounts simultaneously.
 
 
 Good written and spoken English communication skills.
 
 
 Ability to work in a fast-paced client-focused environment.
 
 
 
 Preferred Skills
 
 
 
 Experience working with US healthcare providers or clinics.
 
 
 Knowledge of payment posting and charge entry processes.
 
 
 Understanding of EOB (Explanation of Benefits) and ERA processing.
 
 
 Experience handling patient billing inquiries.
 
 
 Familiarity with HIPAA compliance standards.
 
 
 
 Benefits:
 
 
 
 <ul>
 <li>
 Competitive salary with performance-based bonuses
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 Medical health insurance coverage
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 <li>
 Employees' old-age benefits coverage
 </li>
 <li>
 Support for professional learning and development
 </li>
 <li>
 Generous vacation and paid time off
 </li>
 <li>
 Employee assistance programs for mental health support
 </li>
 <li>
 Company-sponsored events and team-building activities
 </li>
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 Diverse, professional, and inclusive work environment
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 Opportunities for career growth
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 Access to cutting-edge technology and tools
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 Family-friendly policies, including parental leave
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 Commuter benefits or transportation assistance
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 <li>
 Social responsibility and community involvement programs
 
 
 </li>
 </ul>
 
 Job Status and Schedule:
 
 
 
 <ul>
 <li>
 Full-time position located onsite in Karachi
 </li>
 <li>
 Work hours: Monday to Friday, 09:00 PM to 06:00 AM
 
 
 </li>
 </ul>
 Powered by JazzHR
 
 
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</div>

Medical Biller(Evening Shift)

ACTIVE8 WIRELESS

Working Days: Monday to Saturday (Six days)Shift Timings: 8 PM to 5 AM (Night Shift)Location: Onsite &ndash; RJ Mall, KarachiAbout Us:Active8 is a fast-growing US-based company operating 350+ Metro by T-Mobile retail stores across the United States. Our Karachi-based back office plays a vital role in supporting our US operations through strategic insight, data analysis, and operational excellence.About the Role:We are seeking a detail-oriented Medical Billing Executive to support billing and revenue cycle operations for multiple healthcare practices across various medical specialties in the US healthcare system.The candidate will be responsible for insurance claim submission, accounts receivable management, denial resolution, payment posting, and payer follow-ups to ensure timely reimbursements and compliance with payer policies.Key Responsibilities<ul><li>Review patient demographics, insurance eligibility, and billing information for multiple specialties and providers.</li><li>Submit clean claims to insurance companies and clearinghouses in a timely manner.</li><li>Perform Accounts Receivable (AR) follow-up on unpaid or underpaid claims.</li><li>Manage denial management and appeals to recover unpaid claims.</li><li>Verify insurance payments and ensure accuracy according to payer contracts and fee schedules.</li><li>Process primary, secondary, and tertiary insurance claims.</li><li>Communicate with insurance companies regarding claim status, discrepancies, and payment issues.</li><li>Post insurance and patient payments accurately in the billing system.</li><li>Respond to patient and insurance billing inquiries professionally.</li><li>Maintain accurate documentation and billing records for each practice.</li><li>Ensure compliance with US healthcare billing regulations and HIPAA standards.</li><li>Collaborate with providers, clients, and internal teams across multiple practices.</li></ul>Requirements<ul><li>Bachelor&rsquo;s degree required.</li><li>1&ndash;3 years of experience in US Medical Billing / Dental Billing preferred.</li><li>Knowledge of CPT, ICD-10, and HCPCS coding systems.</li><li>Experience with Accounts Receivable (AR), Denial Management, and Appeals.</li><li>Familiarity with major US insurance payers (Medicare, Medicaid, BCBS, Aetna, Cigna, UnitedHealthcare, etc.).</li><li>Strong communication and problem-solving skills.</li><li>Ability to manage multiple providers and specialties simultaneously.</li></ul>Preferred Skills<ul><li>Experience with EHR / Practice Management systems (Kareo, Athena, eClinicalWorks, AdvancedMD, etc.)</li><li>Knowledge of specialty-specific billing guidelines</li><li>Strong attention to detail and analytical skills</li><li>Ability to work in a fast-paced RCM environment</li></ul>Job Type: Full-timePay: Rs55,000.00 - Rs95,000.00 per monthWork Location: In person

Medical Billing Executive (US-Health Sector)

* Prepare, review, and submit medical claims to insurance companies.* Ensure all billing information is accurate and complete before claim submission.* Verify patient demographics, insurance details, and billing codes.* Follow payer guidelines and billing regulations to reduce claim rejections.* Maintain daily productivity and quality targets.* Coordinate with the AR and QA teams for claim corrections or resubmissions.* Update billing records in the system and maintain proper documentation.* Identify and report billing issues or discrepancies to the supervisor.Job Type: Full-timeApplication Question(s):<ul><li>How would you rate your communication skill out of 5?</li><li>Are you available for working at 07:oo pm to 04:00 am ?</li><li>How many Years experience do you have in Medical Billing ?</li></ul>Education:<ul><li>Bachelor's (Required)</li></ul>Experience:<ul><li>2year: 1 year (Required)</li></ul>Work Location: In person

Billing Executive - Production

Explore 593+ Ar representative medical billing in Pakistan this April. Find roles across top companies and apply now to boost your career.