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ar specialist medical billing

Hard stone enterprises

<ul><li>The Candidate must have 6 months to 2 years of experience. </li><li>Should have the ability to plan the AR and steer it up effectively.</li><li>Must know about Denial Management, Appeals, and Payment posting.</li><li>Can analyse ERAs &amp; EOBs and, when possible, suggest potential remedies.</li><li>Good verbal and written English communication skills.</li><li>May communicate with the insurance and other parties involved in the RCM.</li></ul>Job Type: Full-timePay: Rs75,000.00 - Rs90,000.00 per monthAbility to commute/relocate:<ul><li>Lahore: Reliably commute or planning to relocate before starting work (Required)</li></ul>Work Location: In person

AR Specialist (Medical Billing)

Top Line Resource Group (TLRG)

Location: DHA Phase 8, Lahore [Onsite]Employment Type: Full-timeWork Timing: 05PM &ndash; 02AM Pakistan TimeJob OverviewTopline Resource Group (TLRG) is seeking a highly experienced and results-driven Revenue Cycle Management (RCM) Specialist to oversee operations for multiple healthcare clients across different states.The ideal candidate will have extensive experience managing the end-to-end medical billing revenue cycle, including insurance verification, coding review, claims submission, payment posting, accounts receivable follow-ups, and denial management.Key ResponsibilitiesOversee and manage end-to-end Revenue Cycle Management operations for multiple healthcare provider clients.Supervise and support internal RCM teams handling:<ul><li>Insurance Verification (VOBs)</li><li>Prior Authorizations</li><li>Medical Coding Review</li><li>Charge Entry</li><li>Claims Submission</li><li>Payment Posting</li><li>Accounts Receivable (AR) Follow-ups</li><li>Denial Management</li></ul>Monitor claim lifecycle performance, ensuring accurate and timely claim submissions and reimbursements.Analyze EOBs, ERAs, and payer remittance reports to identify trends in denials, underpayments, and claim rejections.Communicate directly with US insurance payers and client representatives to resolve complex billing issues.Ensure compliance with payer policies, CMS regulations, and HIPAA guidelines.Develop and implement process improvements to increase collection rates and reduce AR aging.Track and manage KPIs including AR aging, denial rate, clean claim rate, and reimbursement turnaround time.Provide training, mentorship, and performance management for RCM staff.Coordinate with internal departments including coding, billing, compliance, and client services to ensure seamless revenue cycle operations.Maintain accurate documentation and reporting for client performance metrics and operational updates.Required Qualifications<ul><li>Bachelor&rsquo;s degree in Healthcare Administration, Business, or a related field preferred.</li><li>5+ years of experience in Medical Billing and Revenue Cycle Management.</li><li>Minimum 2 years of experience in a supervisory or team lead role within an RCM environment.</li><li>Strong knowledge of the complete medical billing lifecycle.</li></ul>Expert-level familiarity with:<ul><li>CPT Codes</li><li>ICD-10 Codes</li><li>HCPCS Codes</li><li>Claim submission workflows</li><li>Denial management processes</li></ul>Experience working with multiple payers including Medicare, Medicaid, and Commercial insurance plans.Hands-on experience with EHR/EMR and Practice Management systems.Strong analytical and problem-solving abilities for resolving complex claim and reimbursement issues.Excellent verbal and written English communication skills for interacting with US clients and payers.Ability to manage high-volume workloads while maintaining accuracy and compliance.Preferred SkillsPrior experience managing multiple US healthcare provider accounts across different states.Experience working in US healthcare BPO or medical outsourcing environments.Familiarity with payer-specific billing guidelines and state-based insurance requirements.Strong leadership skills with the ability to build and manage high-performing RCM teams.Experience with performance reporting, operational dashboards, and AR analytics.Knowledge of HIPAA compliance, CMS regulations, and payer audit requirements.Application Question(s):<ul><li>We are looking to hire immediately, are you available to join immediately?</li></ul>Experience:<ul><li>RCM: 4 years (Required)</li></ul>Work Location: In person

Revenue Cycle Management (RCM) Manager

Location: DHA phase 8, Lahore [Onsite] Employment Type: Full-time (05PM - 02AM)Job OverviewTopline Resource Group (TLRG) is looking for a detail-oriented Billing &amp; Payment Posting Specialist to support our Revenue Cycle Management operations. The ideal candidate will be responsible for accurate medical billing, timely claim submission, and precise posting of payments and adjustments to ensure maximum reimbursement and clean accounts receivable.Key Responsibilities<ul><li>Submit and review medical claims (CMS-1500 / UB-04)</li><li>Post insurance &amp; patient payments (EOBs / ERAs)</li><li>Identify and report under/overpayments</li><li>Coordinate with AR and coding teams</li><li>Ensure billing accuracy and compliance</li></ul>Requirements:<ul><li>1&ndash;3 years of experience in medical billing &amp; payment posting</li><li>Strong knowledge of US healthcare RCM</li><li>Familiarity with CPT, ICD-10, and insurance portals</li><li>Experience with EHR/PM systems</li></ul>Preferred Skills<ul><li>Experience with both professional and institutional billing.</li><li>Ability to manage high-volume workloads with accuracy.</li><li>Strong communication and coordination skills.</li><li>Prior experience working with US-based providers or RCM companies.</li></ul>Pay: Rs70,000.00 - Rs90,000.00 per monthExperience:<ul><li>billing &amp; payment posting: 1 year (Preferred)</li></ul>Work Location: In person

Medical Billing & Payment Posting Specialist

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 Frontier

<div>
 
 
 Medical Biller
 
 
 
 This role requires availability to work in line with U.S.-based timings.
 
 
 Digital Frontier is looking for a detail-oriented Medical Billing Specialist with 1-2 years of experience to join our team. This opportunity is ideal for someone with a good working knowledge of medical billing who is looking to build a stable, long-term career in revenue cycle management.
 
 
 
 Key Responsibilities:
 
 
 <ul>
 <li>
 Perform day-to-day medical billing activities with accuracy, discipline, and adherence to process
 </li>
 <li>
 Handle
 
 charge entry and intake validation
 
 to ensure claims are complete and ready for submission
 </li>
 <li>
 Prepare and submit clean claims to insurance companies in a timely manner
 </li>
 <li>
 Review and resolve
 
 claim rejections
 
 , corrections, and resubmissions
 </li>
 <li>
 Manage
 
 payment posting and reconciliation
 
 accurately
 </li>
 <li>
 Conduct
 
 accounts receivable follow-up
 
 to recover outstanding balances efficiently
 </li>
 <li>
 Support
 
 denials and appeals
 
 processes with proper documentation and follow-through
 </li>
 <li>
 Maintain accurate notes, billing records, statuses, and updates within the workflow
 </li>
 <li>
 Identify billing issues, payer-specific problems, and unresolved blockers early, and escalate them in a timely manner
 </li>
 <li>
 Follow company procedures and quality standards to support consistent billing performance and clean record keeping
 </li>
 </ul>
 
 
 Candidate Profile:
 
 
 <ul>
 <li>
 
 1&ndash;2 years of experience
 
 in medical billing or revenue cycle management
 </li>
 <li>
 Good knowledge of medical billing processes,
 
 
 claim flow, denials, payment posting, and AR follow-up
 </li>
 <li>
 Working knowledge of
 
 
 CPT, ICD-10, and HCPCS
 
 
 codes
 </li>
 <li>
 Good communication, coordination, and follow-up skills
 </li>
 <li>
 Ability to work in a structured environment and meet deadlines
 </li>
 <li>
 Open to working in line with
 
 U.S.-based timings
 
 </li>
 <li>
 Willing to learn, grow, and build a long-term career with the company
 </li>
 </ul>
 
 We are looking for someone reliable, process-oriented, and committed to delivering quality work in a professional environment.
 
 <ul>
 <li>
 
 Apply now to grow your career in medical billing with Digital Frontier.
 
 </li>
 </ul>
</div>

Medical Biller

Prime System Solutions

<div>
 
 Job Title: Billing AR Specialist
 
 
 
 
 Experience Required: 3+years
 
 
 
 
 Location: Lahore/Islamabad
 
 
 
 
 Shift Timings: 5 PM - 2 AM PKT
 
 
 
 
 Job Summary
 
 
 
 The Billing Specialist is responsible for managing the end-to-end invoicing process, ensuring accuracy, compliance, and timely billing across various transaction types including projects, recurring services, and product orders. This role plays a critical part in supporting revenue recognition, maintaining financial accuracy, and delivering a professional billing experience to clients. The ideal candidate is detail-oriented, comfortable with ERP/CRM systems, and capable of interpreting contracts in a fast-paced environment.
 
 
 
 Responsibilities
 
 
 
 <ul>
 <li>
 Manage invoicing processes, ensuring all billable items are accurately identified, validated, and processed on time.
 </li>
 <li>
 Generate invoices for projects, recurring agreements, product orders, and service engagements.
 </li>
 <li>
 Perform pre-invoice audits to ensure billing accuracy, contract alignment, and compliance with internal standards.
 </li>
 <li>
 Validate billing data against source documents such as purchase orders, service tickets, and agreements.
 </li>
 <li>
 Apply correct sales tax and post invoices to the general ledger with accurate financial coding.
 </li>
 <li>
 Handle client billing inquiries, resolve discrepancies, and coordinate with internal teams (sales, projects, collections).
 </li>
 <li>
 Support revenue recognition processes including deferred revenue and milestone-based billing (preferred).
 
 
 </li>
 </ul>
 
 Requirements
 
 
 
 <ul>
 <li>
 3-5 years of experience in billing, invoicing, accounts receivable, or financial operations.
 </li>
 <li>
 Ability to interpret contracts, purchase orders, and financial documents accurately.
 </li>
 <li>
 Experience with ConnectWise is a must
 </li>
 <li>
 Strong proficiency in Microsoft Excel and Office tools.
 </li>
 <li>
 Experience with ERP/CRM systems (e.g., Microsoft Dynamics GP/365 preferred).
 </li>
 <li>
 Strong attention to detail, analytical thinking, and time management skills.
 </li>
 <li>
 Excellent written and verbal communication skills for client interaction.
 </li>
 <li>
 Ability to work in a fast-paced, deadline-driven environment with multiple priorities
 </li>
 </ul>
</div>

Billing - AR Specialist

HRMD Solutions

Job Description:The AR Follow up Specialist will play a critical role in managing and collecting outstanding accounts receivable within the revenue cycle management process. This position requires fluency in english to effectively communicate with our diverse client base. The ideal candidate will have a strong background in collections within the healthcare industry in USA, exceptional communication skills, and the ability to work independently in a fast-paced environment.<ul><li>Full on site in Gulgberg 3, Lahore</li><li>Night shifts only</li></ul>Key Responsibilities:<ul><li>Check eligibility and benefit verification by calls and web portals.</li><li>Review and verify medical codes, including CPT, ICD-10, and HCPCS.</li><li>Review and transmit corrected claims electronically or by paper according to the payers requirements.</li><li>Monitor and follow on unpaid or denied claims to ensure timely resolution.</li><li>Contact insurance companies to inquire about claims status and facilitate payment.</li><li>Review aging reports regularly to prioritize and address delinquent accounts.</li><li>Initiate apples, for denied or underpaid claims and track the appeal process.</li><li>Develop and implement denial management strategies to minimize future denials.</li><li>Main up-to-date documentation and detailed records of appeals.</li><li>Strong understanding of insurance policies, reimbursement methodologies and billing guidelines.</li><li>Collaborate with billing and coding teams to address recurring issues.</li><li>Investigate and resolve any discrepancies in payments, adjustments, or denials.</li><li>Identify claim processing issues and general billing trends.</li></ul>Qualifications:<ul><li>Bachelor&rsquo;s Degree from any reputed institute or University.</li><li>1 to 2 years&rsquo; Experience in Medical Billing- Accounts receivable and denial management.</li><li>Knowledge and understanding of USA health insurance guidelines especially Medicare and state Medicaid</li><li>Experience to work on Pain Management, Lab, Anesthesia, Psych/ TMS, RTM, CCM.</li><li>UDS, workers compensation and PIP previous experience is required</li><li>Must have a strong grip on ECW.</li><li>Having strong communication skills.</li><li>Must have strong grip on MS office.</li></ul>Job Type: Full-timePay: Rs65,000.00 - Rs100,000.00 per monthApplication Question(s):<ul><li>Do you live in Lahore?</li></ul>Experience:<ul><li>medical billing pain management: 1 year (Required)</li></ul>Language:<ul><li>advanced english (Required)</li></ul>Work Location: In person

Medical Billing - AR Executive

Explore 442+ Ar specialist medical billing in Lahore this April. Find roles across top companies and apply now to boost your career.