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billing specialist

AppedologyPK Recruitment

Job Summary:We are seeking a detail-oriented and analytical professional to join our team as a Denial Management Specialist within the Medical/Behavioral Health domain. The primary responsibility of this role is to identify, analyze, and resolve claim denials to ensure accurate and timely reimbursement. The ideal candidate will possess a strong understanding of insurance processes, medical billing, and payer guidelines, particularly within behavioral health services. This position requires excellent problem-solving skills, attention to detail, and the ability to multitask effectively while maintaining a high level of accuracy and compliance. The candidate should also demonstrate strong communication abilities to coordinate with payers, clients, and internal teams for swift resolution of denied or underpaid claims.Key Responsibilities:<ul><li>Review and analyze denied or underpaid medical and behavioral health claims to determine root causes.</li><li>Work with insurance companies to resolve denials and ensure timely and accurate reimbursement.</li><li>Identify recurring denial trends and collaborate with billing and clinical teams to prevent future occurrences.</li><li>Prepare and submit appeals with appropriate supporting documentation in accordance with payer requirements.</li><li>Maintain detailed records of denial activities, appeal statuses, and resolutions in the billing system.</li><li>Communicate effectively with payers, clients, and internal departments to ensure issues are addressed promptly.</li><li>Monitor claim status and follow up proactively to reduce outstanding accounts receivable.</li><li>Ensure compliance with all HIPAA, payer, and organizational policies during all denial management processes.</li></ul>Requirements:<ul><li>High school diploma or equivalent; associate&rsquo;s or bachelor&rsquo;s degree in accounting, finance, or a related field is a plus.</li><li>Proven experience in billing, accounting, or administrative roles.</li><li>Strong attention to detail and numerical accuracy.</li><li>Proficiency in Microsoft Excel and billing/accounting software.</li><li>Excellent communication and organizational skills.</li><li>Ability to work independently and meet deadlines.</li></ul>Job Type: Full-time

Denial Management Specialist (MEDICAL BILLING US HEALTHCARE)

ARPAZ Technology Services

Position: Medical Billing Executive (Female)Qualification:Bachelor of Eastern Medicine &amp; Surgery (BEMS)BS PhysiologyPharm-D / PharmacistNight Shift, Onsite (9 PM to 6 AM) Off Days: Saturday &amp; SundayJob Description:<ul><li>Maintain departmental policies and ensure quality service delivery.</li><li>Handle daily insurance claim billing and monitor claim rejections.</li><li>Follow up on pending claims and unpaid accounts.</li><li>Resolve billing, coding, and documentation issues.</li><li>Review medical records to verify diagnoses and procedures.</li><li>Keep accurate and updated patient billing records.</li></ul>Job Requirements:Graduation in BEMS, BS Physiology, or Pharm-D is mandatory.Good written and spoken English communication.Fresh candidates.Location: Gulistan-e-Johar Block 12, near Johar ChorangiJob Timing: Night Shift, Onsite (9 PM to 6 AM)Off Days: Saturday &amp; SundayBenefits:&#9989; PKR 50,000 salary&#9989; 5000 Attendance Allowance&#9989; Complimentary meals &ndash; Enjoy delicious food with us!&#9989; Gym reimbursement &ndash; Stay fit for free!&#9989; 5-day workweek (Sat &amp; Sun off)&#9989; Comprehensive medical insurance (In-patient &amp; Out-patient)&#9989; Free Pick and drop&#9989; Annual bonus &ndash; Get rewarded for your hard workJob Type: Full-timeAbility to commute/relocate:<ul><li>Karachi: Reliably commute or planning to relocate before starting work (Required)</li></ul>Work Location: In person

Medical Billing Executive (Female)

Coatinks (Private) Limited

We are looking for a detail-oriented Billing Executive who will manage all aspects of the invoicing/Billing process, from creating accurate bills based on production and delivery data to resolving payment discrepancies, this role requires a strong understanding of accounting principles.Responsibilities:Invoice creation: Generate and distribute accurate and timely invoices for goods and services.Data validation: Cross-reference customer contracts, purchase orders, shipping documents, and delivery manifests to ensure accurate billing details.Discrepancy resolution: Investigate and resolve billing issues and discrepancies by working with customers, sales, operations, and relevant accounts department.Customer portals: Submit invoices to customers using a variety of methods, including electronic submission via web portals or mail.Payment processing: Apply incoming cash receipts and process credit card payments.Credit memos: Issue credit memos for returned materials and other necessary adjustments.Reporting: Prepare and distribute billing reports, such as open order reports, for management and other teams.Process improvement: Proactively identify operational inefficiencies and suggest improvements to the billing process.Month-end closing: Assist with month-end closing procedures to ensure all billing is finalized on time.Document management: Maintain proper records and files of all billing documents for auditing purposes.Required skills and qualifications:Billing experience: At least 5 years of experience in a billing or similar role, preferably within a manufacturing distribution, or chemical-related industry.Educational background: A bachelors degree in Accounting, Finance, Business, or a related field is mandatory.Software proficiency: Strong computer skills, including expertise in Microsoft Office Suite (especially Excel) and experience with Enterprise Resource Planning (ERP) systems is highly desired.Attention to detail: A high degree of accuracy and a meticulous approach to financial data is critical.Communication skills: Excellent written, verbal, and interpersonal communication skills for corresponding with customers and collaborating with internal teams.Problem-solving: The ability to analyze data, identify issues, and develop effective solutions.Job Type: Full-timeWork Location: In person

Billing Executive

Al-Muqeet Human Resources

Requirements<ul><li>Graduate (B.Com / BBA or equivalent)</li><li>2&ndash;5 years of recovery/billing experience (hospital/healthcare experience preferred)</li><li>Strong communication, negotiation &amp; interpersonal skills</li><li>Ability to coordinate with patients, attendants, and insurance agencies</li><li>Knowledge of billing cycles, claims, and payment follow-ups</li><li>Proficiency in MS Office (Excel, Word, Outlook)</li></ul>Key Responsibilities<ul><li>Follow up on outstanding payments with patients, corporates, and insurance companies</li><li>Coordinate with billing &amp; accounts departments for reconciliation and reporting</li><li>Maintain accurate recovery records and prepare periodic MIS reports</li><li>Handle patient queries regarding outstanding bills and settlements</li><li>Liaise with insurance companies for claims processing and approvals</li><li>Ensure timely collections and minimize outstanding receivables</li><li>Conduct regular follow-ups to strengthen recovery processes</li></ul>Job Type: Full-timePay: Rs50,000.00 - Rs80,000.00 per monthWork Location: In person

Recovery Support Specialist

FIT Solutions

Job Title: RCM Executive Location: Karachi (Onsite) Shift Timing: Night Shift (8:00 PM &ndash; 5:00 AM) Salary: Up to 60k (based on experience &amp; skills)Job Overview:We are seeking an experienced and detail-oriented RCM Executive to join our Medical Billing team. The ideal candidate should have 1&ndash;2 years of proven experience in the Revenue Cycle Management (RCM) process, including charge entry, payment posting, claim submission, denial management, and AR follow-ups. Strong communication skills in English and the ability to work in a fast-paced environment are essential.Key Responsibilities:<ul><li>Manage end-to-end Revenue Cycle Management (RCM) process.</li><li>Perform accurate charge entry, payment posting, and claim submissions.</li><li>Handle denial management by analyzing and resolving rejected/denied claims.</li><li>Conduct AR follow-ups with insurance companies and clients to ensure timely payments.</li><li>Maintain compliance with company policies, HIPAA, and client-specific requirements.</li><li>Prepare and maintain reports related to billing, collections, and claims.</li><li>Coordinate with internal teams to ensure smooth workflow and resolve issues promptly.</li></ul>Requirements:<ul><li>Bachelor&rsquo;s degree (preferably in Business, Finance, or Healthcare).</li><li>1&ndash;2 years of proven experience in Medical Billing / RCM.</li><li>Strong knowledge of US healthcare billing, CPT, ICD-10, and insurance guidelines.</li><li>Excellent English communication skills (verbal &amp; written).</li><li>Proficiency in MS Office and medical billing software.</li><li>Ability to work in night shift (8 PM &ndash; 5 AM).</li><li>Strong analytical, problem-solving, and organizational skills.</li></ul>Perks &amp; Benefits:<ul><li>Market-competitive salary (up to 70k).</li><li>Performance-based growth opportunities.</li><li>Friendly and professional work environment.</li><li>Continuous learning and development opportunities.</li></ul>Job Type: Full-timePay: Rs40,000.00 - Rs60,000.00 per monthWork Location: In person

RCM Executive/ Medical Biller

Medical Billing Executive (Female) (Night Shift)

Caregenix Solutions

Job Description:<ul><li>Perform Eligibility and Verification of Benefits (VOB) for patients across multiple insurance providers.</li><li>Ensure timely and accurate processing of referred patient eligibility.</li><li>Coordinate with insurance companies to resolve eligibility-related issues.</li><li>Extract, analyze, and segregate reports from EMR/EHR systems.</li><li>Maintain accurate and up-to-date patient records and eligibility status.</li><li>Identify discrepancies in data and provide resolutions.</li><li>Manually extract data from various EMR/EHRs.</li></ul>Job Location: Cherry's Plaza, DHA Phase 7, Karachi, SindhShift: 6pm-3am (Mon-Fri)Salary: Upto 80K + fuel allowanceJob Type: Full-timePay: Rs50,000.00 - Rs80,000.00 per monthApplication Question(s):<ul><li>Timings 6 PM - 3 AM (Night Shift) :</li><li>Have you worked on Medical Billing/ RCM before?</li><li>Rate your Excel Skills: /10</li></ul>Work Location: In person

Eligibility & Reporting Executive

Explore 249+ Billing specialist in Karachi this October. Find roles across top companies and apply now to boost your career.