billing support manager

ClinicMind

<div>ClinicMind&rsquo;s core values&mdash;Excellence &middot; Learning &middot; Teamwork guide everything we build. 
With 150 in&#8209;house analysts, half a dozen BPO partners, and a proprietary billing platform, we now need a manager to deliver best&#8209;in&#8209;class collections, continue to improve performance, automate, and meet the RCM needs of a rapidly growing client base. 

<h3 class="jobSectionHeader">
Overview</h3>

We are seeking a Level 3 Billing Support / Billing Review Subject Matter Expert (SME) to join our team. This role serves as the final point of escalation for complex billing concerns and systemic claim issues. The SME team ensures accuracy in claim processing, resolves systemic billing setup problems, and provides expert support to billing staff, providers, and retention teams. Experience with ClinicMind/Vericle software is required.
<h3 class="jobSectionHeader">
Key Responsibilities</h3> 

<ul>
<li>Handle high-level billing escalations and serve as a subject matter expert for complex claim issues.
</li>
<li>Review claims to identify errors caused by system setup or process gaps.
</li>
<li>Collaborate with SYSADMIN to correct systemic configuration issues and validate updates.
</li>
<li>Provide data and guidance on affected claims to billing teams and providers for manual resolution.
</li>
<li>Support provider and retention teams by explaining billing outcomes and corrective actions clearly.
</li>
<li>Document recurring issues and recommend workflow or system improvements.
</li>
<li>Mentor Level 1 and Level 2 billing support staff, sharing expertise and best practices.
</li>
<li>Lead or participate in small projects related to billing reviews, system changes, and process enhancements.
</li>
</ul><h3 class="jobSectionHeader">Qualifications</h3> 

<ul>
<li>Bachelor&rsquo;s degree in Business, Healthcare Administration, Finance, or equivalent work experience.
</li>
<li>4&ndash;6 years of experience in medical billing, claim review, or revenue cycle management.
</li>
<li>Mandatory: Hands-on experience with ClinicMind/Vericle software.
</li>
<li>Strong knowledge of billing workflows, claim adjudication, and payer requirements.
</li>
<li>Excellent communication skills to interact with providers, billing teams, and technical staff.
</li>
<li>Strong analytical and problem-solving abilities with attention to detail.
</li>
<li>Basic project management experience (managing timelines, priorities, and stakeholder coordination).
</li>
</ul><h3 class="jobSectionHeader">Preferred Skills</h3> 

<ul>
<li>Prior experience collaborating with system administrators on billing setups.
</li>
<li>Knowledge of compliance standards and payer regulations.
</li>
<li>Ability to train or mentor junior staff.
</li>
</ul><h3 class="jobSectionHeader">Must Have:</h3> 

<div>
<ul><li>High comfort level working on Eastern Time Zone/US Shift</li></ul>
<ul><li>Good internet access at home</li></ul>
<ul><li>Mobile Hotspot</li></ul>
<ul><li>Laptop/Desktop with at least 16 GB</li></ul></div></div>

Subject Matter Expert Billing Specialist - Work From Home

Macrise Tech Solutions

Location: Wapda Town, LahorePrimary ResponsibilitiesAccounts Receivable &amp; Denial Resolution<ul><li>Oversee and manage pending insurance claims to minimize overall Accounts Receivable (AR).</li><li>Conduct daily review and follow-up of claim denials to ensure timely resolution.</li><li>Evaluate ERA reports to detect frequent denial reasons and recommend corrective action.</li><li>Prepare, submit, and monitor appeals for denied or underpaid claims with required documentation.</li><li>Identify and resolve payment variances; escalate complex cases to the Billing Manager when necessary.</li><li>Maintain updated AR aging reports and provide consistent weekly and monthly updates.</li><li>Manage claims related to specialized services such as TMS, Spravato, and psychological assessments.</li><li>Work closely with the Billing Manager to meet established AR reduction and recovery goals.</li></ul>Patient &amp; Provider Coordination<ul><li>Address billing-related queries from patients, providers, and internal departments promptly.</li><li>Verify and correct patient account details before initiating any collection activities.</li><li>Collaborate with providers to amend claim issues, including coding and documentation errors.</li><li>Coordinate with insurance payers regarding authorizations, eligibility, and network requirements.</li><li>Resolve patient concerns professionally and process refunds where applicable.</li></ul>System &amp; Process Efficiency<ul><li>Create and track support tickets in eClinicalWorks (eCW) to resolve billing issues efficiently.</li><li>Assist teammates with training and guidance on AR and denial workflows.</li><li>Coordinate with U.S.-based billing teams to ensure accurate and timely claim submission.</li><li>Participate in team performance meetings, analyze trends, and propose operational improvements.</li><li>Stay updated on payer policies, regulatory changes, and medical billing standards.</li></ul>Job Type: Full-timePay: Rs40,000.00 - Rs70,000.00 per monthAbility to commute/relocate:<ul><li>Wapda Town: Reliably commute or planning to relocate before starting work (Required)</li></ul>Application Question(s):<ul><li>Willing to work the night?</li></ul>Experience:<ul><li>Medical Billing: 1 year (Preferred)</li></ul>Language:<ul><li>English (Required)</li></ul>Work Location: In person

AR & Claims Follow-Up Specialist (Medical Billing)

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Subject Matter Expert Billing Specialist - Work From Home

Subject Matter Expert Billing Specialist - Work From Home

Subject Matter Expert Billing Specialist - Work From Home

Subject Matter Expert Billing Specialist - Work From Home

Subject Matter Expert Billing Specialist - Work From Home

Subject Matter Expert Billing Specialist - Work From Home

AR & Claims Follow-Up Specialist (Medical Billing)