accounts executive

accounts assistant

business manager

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billing specialist

IGarner System

Job Advert: Senior AR Specialist &ndash; Workers' Comp, PIP, &amp; No-Fault ClaimsAre You a Claims-Juggling Expert? Master the Revenue of the Most Complex Medical Billing Systems![Your Company Name] is a rapidly growing leader in [Your Industry/Specialty, e.g., Orthopedics, Physical Therapy, Revenue Cycle Management]. We are seeking a highly skilled and analytical AR Specialist to join our team, focusing exclusively on the challenging and lucrative Accounts Receivable (AR) for Workers' Compensation (WC), Personal Injury Protection (PIP), and No-Fault claims.If you thrive on uncovering denied revenue, navigating state-specific fee schedules, and closing out high-dollar, multi-party claims, this role is for you.What You'll Do: The Core MissionYou will be the final authority and lead executor for our most complex and high-value AR accounts. Your primary mission is to ensure maximum, timely reimbursement for services rendered under WC, PIP, and No-Fault guidelines.<ul><li>Aggressive Claims Follow-Up: Manage a specialized aging report, prioritizing accounts based on value and timely filing limits for WC, PIP, and No-Fault claims.</li><li>Denial Management &amp; Appeals: Investigate and resolve all claim denials, including those related to compensability, medical necessity, pre-authorization, and state fee schedule discrepancies. Draft and submit formal first- and second-level appeals.</li><li>Fee Schedule Mastery: Expertly read, interpret, and apply state-specific Workers' Compensation Fee Schedules and No-Fault state regulations to ensure accurate payment.</li><li>Payer Communication: Maintain professional, results-driven communication with WC Adjusters, PIP Carriers, and legal firms to push claims to final payment or settlement.</li><li>Coordination of Benefits (COB): Navigate complex scenarios where WC and PIP are secondary to each other or another insurance, ensuring proper balance-billing rules are followed.</li></ul>What You'll Bring: Essential Qualifications<ul><li>3+ years of dedicated, hands-on experience managing Accounts Receivable for Workers' Compensation and/or Personal Injury Protection (PIP)/No-Fault medical claims.</li><li>In-depth knowledge of at least one major No-Fault state (e.g., NY, FL, MI, NJ) regulations and their corresponding medical fee schedules.</li><li>Proven ability to successfully overturn denied claims and reduce days in AR for complex payer groups.</li><li>Strong understanding of medical terminology, CPT/ICD-10 codes, and their impact on claims adjudication.</li><li>Exceptional organizational skills and the ability to manage a high-volume pipeline of complex cases with detailed documentation.</li></ul>Job Type: Full-timePay: Rs60,000.00 - Rs80,000.00 per monthWork Location: In person

Medical Billing Specialist

Jawa Health Care

Here&rsquo;s Credentialing Job TitleCredentialing Specialist &mdash; Medical Billing / Provider EnrollmentPosition SummaryThe Credentialing Specialist is responsible for managing the full lifecycle of provider credentialing and enrollment with payers (commercial, Medicare, Medicaid, third&#8209;party networks) to ensure that providers are properly authorized to bill and receive reimbursement. This role liaises between providers, payers, billing teams, and internal departments to maintain compliance, minimize credentialing delays, and support revenue integrity.Key Responsibilities / Duties<ul><li>Provider Credentialing &amp; Enrollment</li><li>Prepare, compile, and submit initial credentialing applications to payers, Medicare/Medicaid, IPAs, health networks.</li><li>Manage re&#8209;credentialing and renewals of existing provider credentials.</li><li>Maintain and update provider profiles (e.g. CAQH, NPPES, PECOS, payer portals).</li><li>Obtain and track provider identifiers (Provider IDs, NPI, Tax IDs, etc.).</li><li>Coordinate with providers (physicians, DME, therapists, clinics) to gather required documentation (licenses, board certifications, CVs, malpractice insurance, etc.).</li><li>Follow up on application status, resolve discrepancies, and expedite submissions.</li><li>Verification &amp; Compliance</li><li>Perform primary source verification (PSV) of credentials (licensure boards, education, certifications).</li><li>Audit credentialing files to ensure completeness, accuracy, and consistency.</li><li>Monitor credential expiration dates (licenses, DEA, certifications) and trigger renewals proactively.</li><li>Ensure compliance with payer, state, and regulatory credentialing requirements, including policy changes and updates.</li><li>Data &amp; Documentation Management</li><li>Maintain credentialing databases, logs, tracking systems, and reports on status metrics (turnaround time, backlog, approval rates).</li><li>Document interactions with payers and providers, maintain records of submissions, denials, and appeals.</li><li>Generate periodic credentialing status reports for management and internal stakeholders.</li><li>Stakeholder Communication &amp; Issue Resolution</li><li>Communicate with payers and insurance networks to resolve credentialing issues, contract queries, missing documentation, and provider disputes.</li><li>Liaise with billing, contracting, HR, compliance, legal, and provider offices for credentialing&#8209;related matters.</li><li>Support billing teams in credential&#8209;related denials or rejections (for example, provider not enrolled).</li><li>Process Improvement &amp; Quality Assurance</li><li>Identify credentialing process bottlenecks and suggest workflow improvements.</li><li>Participate in audits, quality checks, and compliance reviews.</li><li>Stay current on industry trends, payer credentialing rules, regulatory changes, and best practices in provider enrollment.</li></ul>Qualifications &amp; Requirements<ul><li>Education: Bachelor&rsquo;s degree preferred (Healthcare Administration, Business, Health Information Management, or related field). Some organizations accept equivalent experience.</li><li>Experience: 2+ years of experience in provider credentialing, enrollment, or similar role (in a medical billing, RCM, or healthcare setting).</li><li>Knowledge / Technical Skills:</li><li>Familiarity with CAQH, NPPES, PECOS, payer portals, credentialing software/platforms.</li><li>Understanding of commercial &amp; government payers (Medicare, Medicaid) credentialing rules.</li><li>Strong knowledge of medical licensure, board certification, education verification, regulatory compliance.</li><li>Proficiency in MS Office (Excel, Word, Outlook).</li><li>Skills / Competencies:</li><li>Strong attention to detail, organizational skills, and ability to manage multiple credentialing tracks simultaneously.</li><li>Excellent written and verbal communication skills.</li><li>Analytical and problem-solving mindset.</li><li>Ability to work independently and interface with multiple stakeholders.</li><li>Discretion and confidentiality in handling provider data.</li><li>Desired / Optional:</li><li>Certification such as CPCS (Certified Provider Credentialing Specialist) or CPMSM.</li><li>Experience with multi&#8209;state credentialing or large group practices.</li><li>Experience with medical billing, claims, or revenue cycle functions.</li><li>Knowledge of HIPAA or healthcare compliance standards.</li></ul>Working Conditions / Schedule<ul><li>This role is generally in office or hybrid/remote (depending on the organization).</li><li>May require working non&#8209;standard shifts (e.g. night shift) if supporting international clients or off&#8209;hours payer windows.</li><li>Keyboard / computer work, calls, email communications.</li><li>Occasional high volume / urgency periods requiring extra effort to meet credentialing deadlines.</li></ul>Key Performance Indicators (KPIs)<ul><li>Turnaround time for credentialing submissions / approvals</li><li>Percentage of credentialing applications approved without rework</li><li>Number of credentialing backlog / pending items</li><li>Accuracy rate (errors in credentialing files)</li><li>Provider uptime (minimizing provider downtime due to credentialing issues)</li></ul>Job Type: Full-timePay: Rs50,000.00 - Rs80,000.00 per monthWork Location: In person

Experienced Credentialing Specialist in medical billing

Macrise Tech Solutions

We are seeking a detail-oriented and proactive Medical Billing &amp; Collections Specialist to join our healthcare revenue cycle team. The successful candidate will be responsible for preparing accurate insurance claims, managing patient billing, maintaining precise records, and ensuring timely payment collection. This role requires strong organizational skills, attention to detail, and the ability to communicate effectively with patients, payers, and internal teams to support efficient billing operations and optimal cash flow.Key ResponsibilitiesMedical Billing<ul><li>Prepare and submit accurate insurance claims and patient invoices promptly.</li><li>Review claims for completeness, coding accuracy, and compliance with payer and regulatory requirements.</li><li>Maintain organized and current billing documentation within the practice management system.</li><li>Accurately process adjustments, credit memos, and payment postings.</li><li>Verify and update patient demographic and insurance information regularly.</li><li>Generate monthly billing statements and customized Revenue Cycle Management (RCM) reports.</li><li>Support the accounting team with reconciliations and month-end financial reporting.</li><li>Recommend and implement process improvements to enhance billing accuracy and efficiency.</li></ul>Collections<ul><li>Proactively follow up on unpaid insurance claims and patient balances to ensure timely reimbursements.</li><li>Monitor and manage Accounts Receivable (A/R) aging reports, prioritizing overdue accounts for action.</li><li>Communicate with insurance companies to resolve delays, denials, and underpayments.</li><li>Address patient billing inquiries professionally and arrange payment plans when necessary.</li><li>Collaborate with the billing and patient services teams to resolve complex collection cases.</li><li>Accurately document all collection activities, communications, and follow-ups within the system.</li></ul>Job Type: Full-timePay: Rs40,000.00 - Rs70,000.00 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 Billing & Collections Associate

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>Job 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

Medical Billing - AR Executive

HRMD Solutions

IMPORTANT: Please read before applying&#9989; ONLY candidates with AR/ collections or Medical Billing will be considered.&#10060; Applicants without relevant healthcare experience (e.g., teaching, engineering, IT, sales, etc.) will be automatically rejected.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 Gulberg 3, Lahore</li><li>Night shifts only 6 pm- 3 am</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, Anesthesia, Psych/ TMS, RTM, CCM.</li></ul>Job Type: Full-timeJob Type: Full-timePay: Rs85,000.00 - Rs125,000.00 per monthApplication Question(s):<ul><li>Do you live in Lahore?</li><li>Are you willing to work Night shift (on-site)?</li></ul>Work Location: In person

AR Specialist

We are looking for a detail-oriented and proactive Insurance Verification &amp; Authorization Specialist to join our medical billing team. In this role, you will be responsible for verifying patient insurance coverage, obtaining prior authorizations, and maintaining accurate records to ensure efficient billing and claims processing. The ideal candidate will demonstrate strong communication skills, a solid understanding of payer requirements, and the ability to work effectively in a fast-paced healthcare environment.Key ResponsibilitiesInsurance Verification &amp; Eligibility<ul><li>Verify patient insurance benefits through payer portals or by contacting insurance representatives directly.</li><li>Maintain accurate and up-to-date eligibility information in the Electronic Health Record (EHR) system (e.g., eClinicalWorks).</li><li>Complete and upload insurance verification forms promptly for all new patients.</li><li>Communicate estimated out-of-pocket costs to patients clearly and professionally.</li><li>Escalate unresolved coverage or balance concerns to the Patient Collections team.</li><li>Proactively follow up with patients to obtain missing or updated insurance information.</li></ul>Authorizations &amp; Compliance<ul><li>Obtain prior authorizations for services requiring insurance pre-approval.</li><li>Ensure compliance with Medicaid and other payer-specific authorization requirements.</li><li>Coordinate with the Patient Services team to address out-of-network cases.</li><li>Secure authorizations for psychological evaluations while maintaining accurate documentation and system alerts.</li></ul>Operational Support &amp; Coordination<ul><li>Support same-day or urgent appointment scheduling to maintain operational efficiency.</li><li>Report discrepancies related to billing, payer policies, or provider network status.</li><li>Collaborate with the Practice Manager to resolve incomplete intake documentation.</li><li>Participate in regular meetings with the Billing Manager to streamline workflows, improve accuracy, and enhance overall efficiency.</li></ul>Job Type: Full-timePay: Rs40,000.00 - Rs70,000.00 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 (Required)</li></ul>Work Location: In person

Patient Eligibility & Authorization Associate-Medical Billing

Medatron Private Limited

About Us: Medatron is a trusted name in US healthcare revenue cycle management, providing comprehensive billing, coding, and AR recovery services to practices across all 50 states. We&rsquo;re expanding our Accounts Receivable (AR) team and looking for passionate, detail-oriented individuals eager to grow in the medical billing field.Position Overview: The AR Associate will be responsible for following up on insurance claims, resolving denials, and ensuring timely payments from payers. This role requires analytical thinking, attention to detail, and effective communication skills to interact with insurance representatives and internal teams.Key Responsibilities:<ul><li>Follow up with insurance companies on unpaid or denied claims.</li><li>Identify and resolve claim issues to ensure timely collections.</li><li>Post and reconcile payments accurately in the billing system.</li><li>Prepare and maintain AR reports and follow-up logs.</li><li>Coordinate with the billing and payment posting teams for claim resolution.</li></ul>Requirements:<ul><li>6 to 12 months of experience in US Medical Billing (AR follow-up preferred) OR</li><li>A basic understanding of the US medical billing process (training will be provided).</li><li>Strong communication and analytical skills.</li><li>Proficiency in MS Excel and basic reporting tools.</li><li>Fresh graduates with good communication and Excel skills are encouraged to apply.</li></ul>What We Offer:At Medatron, we value our employees and provide a comprehensive benefits package, including:<ul><li>Competitive Salary</li><li>Fuel Allowances</li><li>Health Insurance</li><li>EOBI &amp; Provident Fund</li><li>Comprehensive Leave Policy, including:</li></ul>Casual &amp; Sick LeaveAnnual LeavePaternity LeaveMarriage LeaveUmrah LeaveA professional environment that promotes learning, career growth, and stability.If you&rsquo;re passionate about building your career in the medical billing field, we&rsquo;d love to hear from you!Job Type: Full-timePay: Rs40,000.00 - Rs60,000.00 per monthLanguage:<ul><li>English Fluently (Required)</li></ul>Location:<ul><li>Lahore Johar Town (Preferred)</li></ul>Work Location: In person

AR Associate – Medical Billing Department

Explore 171+ Billing specialist in Lahore this November. Find roles across top companies and apply now to boost your career.