audit officer

site supervisor

billing officer

delivery consultant

account officer

claim supervisor

chemical pvt. limited

Claim SupervisorLocation KarachiThe incumbent should be a Diploma Holder (D.A.E) in the mechanical /Electrical/Electronics field, having 3-5 years experience of after Sales in any manufacturing industry.Apply:Interested candidates may apply at farasatmateen@gmail.com with email subject via whatsapp 0333-3537485.Job Type: Full-timeWork Location: In person

Claim Supervisor

F&B ( Costa Coffee & IHOP)

Job Responsibilities:<ul><li>Maintain personnel files of all employees in a prescribed format and keeping record.</li><li>Maintain and monitor staff timesheets and leave record.</li><li>end to end hiring and onboarding.</li><li>handling desiplanary actions</li><li>working experience on TimeTrax and oracle.</li><li>work on medical data.</li><li>experienced on payroll</li><li>Assist in the training and follow-up of Performance Appraisal process.</li><li>Process and maintain staff medical insurance claim records and other relevant documents.</li><li>Support the HR Manager / Deputy Manager in planning and organizing recruitment process.</li><li>Preparation of monthly payroll and incorporating changing of all staff.</li><li>Verify data for staff addition and deletions for health &amp; life insurance.</li><li>Supporting the Manager HR and other departments in all types of audit.</li><li>Any other task assigned by Supervisor/Sr. Management</li></ul>Knowledge, Skills and Abilities:<ul><li>Excellent communication, facilitation and interpersonal skills.</li><li>excellent work on excel</li><li>Holds self-accountable for making decisions and managing resources efficiently.</li><li>Develops and encourages new and innovative solutions.</li><li>Ability to work in a complex environment with multiple tasks, short deadlines and intense pressure to perform.</li><li>Honest, encourages openness and transparency, builds trust and confidence.</li><li>Displays consistent excellent judgment.</li><li>Good organization and file handling.</li><li>Excellent skills on computer operation, especially on MS Word &amp; Microsoft Excel.</li><li>Flexible and adaptable with different circumstance.</li></ul>Education, Qualification &amp; Experience:<ul><li>4 year Bachelor&rsquo;s or Master&rsquo;s degree in Human Resource from a well reputed HEC recognized University.</li><li>At least 2-3 years of overall experience in the field of Human Resources.</li></ul>Job Type: Full-timePay: Rs70,000.00 - Rs100,000.00 per monthWork Location: In personApplication Deadline: 28/03/2024

Assistant Manager HR

HR First Pvt Ltd

Responsibilities<ul><li>Manage and process insurance claims related to shipments (loss, damage, delays, etc.)</li><li>Coordinate with insurance agencies, surveyors, and internal logistics teams</li><li>Ensure timely claim filing and documentation accuracy</li><li>Maintain communication with insurers for claim status follow-up</li><li>Prepare periodic reports on claim closures</li><li>Verify policy coverage and ensure compliance with company guidelines</li><li>Support internal departments on insurance-related queries</li></ul>Requirements<ul><li>Experience: 2&ndash;6 years in general insurance, preferably claims handling</li><li>Certification in Insurance (mandatory requirement)</li><li>Strong knowledge of claim processes, documentation &amp; coordination with agencies</li><li>Good communication and reporting skills</li><li>Ability to work in a fast-paced distribution environment</li></ul>Job Type: Full-timeWork Location: In person

Insurance Claims Executive / Senior Executive

Mac Care

We are seeking a detail-oriented and analytical Insurance Verification &amp; Eligibility Specialist to join our Revenue Cycle team. The ideal candidate will be responsible for verifying patient insurance coverage, determining eligibility, obtaining prior authorizations, and ensuring accurate documentation to support timely claim submission and payment. This role is critical in reducing claim denials, accelerating reimbursements, and supporting overall financial performance in a U.S. healthcare environment.Key Responsibilities: Insurance Verification &amp; Eligibility:<ul><li>Verify patient insurance coverage (commercial, Medicare, Medicaid, and other payers) prior to appointments or services.</li><li>Confirm benefits, deductibles, co-insurance, co-payments, policy limitations, and exclusions.</li><li>Review and interpret payer portals, EHR systems, and clearinghouses for real-time eligibility updates.</li><li>Ensure accurate documentation of verified benefits in the system.</li></ul>Authorization &amp; Pre-Certification:<ul><li>Obtain prior authorizations as required by payers for specific procedures, diagnostic tests, or treatments.</li><li>Communicate with insurance companies to resolve authorization discrepancies or incomplete information.</li><li>Track authorization status and follow up to secure approvals before service dates.</li></ul>Communication &amp; Coordination:<ul><li>Coordinate with providers, schedulers, and billing teams to ensure all insurance-related requirements are met prior to patient appointments.</li><li>Communicate coverage issues, payer requirements, or eligibility concerns to relevant teams promptly.</li><li>Provide guidance to patients regarding coverage expectations, if required.</li></ul>Documentation &amp; Data Accuracy:<ul><li>Maintain complete and accurate patient insurance information in the practice management or billing system.</li><li>Document all interactions, verification results, and authorization details in compliance with organizational policies.</li><li>Identify and correct missing or outdated insurance information.</li></ul>Denial Prevention &amp; RCM Support:<ul><li>Identify potential coverage issues that may result in claim denials.</li><li>Work closely with AR and Billing teams to support clean claim submission.</li><li>Review denial trends related to coverage or eligibility and provide feedback to the team.</li></ul>Qualifications &amp; Requirements:Education:<ul><li>Bachelor&rsquo;s degree preferred, but not mandatory.</li><li>High school diploma or equivalent required.</li></ul>Experience:<ul><li>1&ndash;2 years of experience in U.S. Healthcare Revenue Cycle Management (Insurance Verification, Eligibility, Front-End RCM).</li><li>Experience with commercial insurances, Medicare, Medicaid, and managed care plans preferred.</li><li>Familiarity with EMR systems, clearinghouses, and payer portals.</li></ul>Job Type: Full-timeWork Location: In person

Insurance Verification-Eligibility Specialist

LeadNexis

About the Role:We are seeking enthusiastic and detail-oriented interns to join our Medical Billing team focused on the US healthcare market. This role offers hands-on exposure to end-to-end medical billing processes, including charge entry, payment posting, claim submission, denial management, and AR follow-up. You&rsquo;ll work directly with experienced billing professionals and gain practical knowledge of healthcare revenue cycle management (RCM).Key Responsibilities:<ul><li>Assist in preparing, reviewing, and submitting medical claims to insurance companies (US Market).</li><li>Support charge entry and payment posting activities in billing software.</li><li>Perform claim status checks and help resolve denials and rejections.</li><li>Maintain accurate billing data and patient account information.</li><li>Coordinate with internal teams to ensure timely claim resolution and reimbursement.</li><li>Learn and adhere to HIPAA compliance standards and US healthcare regulations.</li><li>Generate daily/weekly reports as required by the billing manager.</li></ul>Required Skills &amp; Qualifications:<ul><li>Bachelor&rsquo;s degree (pursuing or completed) in Commerce, Healthcare Administration, Accounting, or related field.</li><li>Good understanding of basic medical billing concepts preferred.</li><li>Strong communication and analytical skills.</li><li>Proficiency in MS Office (Excel, Word) and basic computer applications.</li><li>Eagerness to learn and work in a fast-paced environment.</li><li>Attention to detail, accuracy, and confidentiality.</li></ul>Preferred Qualifications (Good to Have):<ul><li>Familiarity with EHR/EMR or medical billing software (e.g., Kareo, Athena, eClinicalWorks, etc.).</li><li>Prior exposure to US healthcare or insurance processes.</li></ul>What We Offer:<ul><li>Hands-on experience with real billing operations for the US healthcare market.</li><li>Mentorship from experienced billing professionals.</li><li>Opportunity for full-time employment upon successful internship completion.</li><li>Professional growth in a structured learning environment.</li></ul>Job Type: Full-timePay: Rs40,000.00 - Rs125,000.00 per monthWork Location: In person

Experienced DME Sales Agent

Zue Pvt Ltd

Job Title: Denial Management Specialist Location: Main Shahra-e-Faisal, Karachi (On-site) Employment Type: Full-time Shift Timings: 07:00 PM to 04:00 AM PST Working Days: Monday to FridayJob Responsibilities<ul><li>Verify claim status with payers and portals; record outcomes.</li><li>Review processed claims/ERAs to confirm accuracy and spot denials.</li><li>Fix errors and submit corrected claims/resubmissions.</li><li>Submit reconsiderations and appeals with required support.</li><li>Follow up with payers until the claim is resolved/paid.</li><li>Manage A/R for denied claims to reduce aging.</li><li>Analyze denial reasons and take action to resolve/prevent repeats.</li></ul>Job Requirements<ul><li>Experience in US healthcare billing or revenue cycle is a plus.</li><li>Basic knowledge of US insurance claims, denials, and payments.</li><li>Excellent and clear English communication skills.</li><li>Well-organized, detail-oriented, and able to handle multiple tasks.</li><li>Comfortable using billing software, payer portals, and spreadsheets.</li><li>Quick learner who can adapt to payer rules and updates.</li></ul>Perks &amp; Benefits:<ul><li>OPD &amp; IPD health coverage for self, dependents, and parents.</li><li>Life insurance for self.</li><li>Fuel card for male employees.</li><li>Free pick &amp; drop for female employees.</li><li>In-house gym facility.</li><li>Paid leaves &amp; US holidays.</li><li>Referral bonus program.</li></ul>Job Type: Full-timeApplication Question(s):<ul><li>What is your current salary? </li><li>What is your expected salary? </li><li>If selected? Would you be able to join immediately? </li><li>Residential Area in Karachi? </li><li>Are you comfortable working onsite in the night shifts from 07:00 PM to 04:00 AM PST?</li></ul>Work Location: In person

Denial Management Specialist

Shan Foods Private Limited

<div>
 
 
 Get to know us
 
 
 
 At Shan Foods, we get it - food isn&rsquo;t just fuel, it&rsquo;s connection, culture, and convenience. As a global food brand, we&rsquo;re bringing real flavor to kitchens worldwide and making meals simpler, tastier, and more fun. We&rsquo;re more than just spices - we&rsquo;re a team of creators, learners, and doers. At Shan, you&rsquo;ll grow, evolve and help shape what the future of food looks &amp; tastes like.
 
 
 
 
 
 Shan Foods is a global equal opportunity employer, offering top of the line compensation &amp; benefits, an inclusive working environment and avenues for growth. We believe in growing together and constantly learning from everyone around us. Our people are not only driving the business, they are all contributing towards the growth of the food industry worldwide.
 
 
 
 
 
 
 Let's give you a quick sneak peek into the life of a Sales Control Analyst
 
 
 
 As a Sales Control Analyst, you will oversee the settlement claims for distributors &amp; modern trade customers while managing a range of operational activities. You will ensure process efficiency, adherence to company policies and seamless communication between distributors and internal stakeholders. You will be responsible for proactively driving the claims management process to support distributor cash flow and strengthen commercial partnerships.
 
 
 
 
 
 
 Location
 
 
 
 Karachi
 
 
 
 
 
 
 Things you will be doing as a Sales Control Analyst
 
 
 <ul>
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 Process and Settle claims (Trade offers, off-invoice trade schemes, trade marketing claims, DSF &amp; Distributor incentives) &amp; verify and validate claim documentation to ensure accuracy and compliance
 </li>
 <li>
 Collaborate with Sales &amp; Finance teams to process and resolve claims promptly &amp; maintain comprehensive and up-to-date documentation of all claims and related processes
 </li>
 <li>
 Maintain accurate records of all claims and settlements and ensure all claim settlements are conducted in accordance with company policies and legal requirements
 </li>
 <li>
 Ensure accurate recording / posting of expenses through SAP up-loaders
 </li>
 <li>
 Validate reconciliations/claim clearance certificates of distributors/Customers
 </li>
 <li>
 Ensure dashboard reporting &amp; perform any ad-hoc analysis required
 </li>
 <li>
 Drive Modern Trade Customers Rebate Reconciliation and coordination with Finance for timely adjustments &amp; perform Sub-distributor Ledger reconciliation with handler / Company books
 </li>
 <li>
 Perform Period end close activity
 </li>
 <li>
 Act as the primary point of contact for distributors regarding claims and operational issues
 </li>
 <li>
 Facilitate clear and timely communication between distributors and internal departments.
 </li>
 <li>
 Address and resolve any disputes or escalations related to claims
 </li>
 <li>
 Perform secondary system health checks (pricing, cash memo, trade scheme, shops, channel classification)
 </li>
 </ul>
 
 
 
 
 
 What are we looking for in you?
 
 
 <ul>
 <li>
 Bachelor's Degree in Accounting &amp; Finance or equivalent
 </li>
 <li>
 At least 3 years&rsquo; experience in a Sales Analyst / Operations role within FMCG Industry
 </li>
 <li>
 Effective stakeholder management skills
 </li>
 <li>
 BI Dashboard Reporting &amp; Excel Proficiency (Intermediate level)
 </li>
 <li>
 Solid understanding of claims management &amp; industry best practices
 </li>
 <li>
 Solid knowledge of Sales processes to support internal control systems
 </li>
 <li>
 Ability to challenge the status quo and drive improvement initiatives
 </li>
 <li>
 Strong analytical skills using the relevant systems &amp; applications (SAP, Secondary systems etc.)
 </li>
 <li>
 Speed and high learning agility
 </li>
 </ul>
</div>

Sales Control Analyst

Explore 79+ Claim supervisor in Karachi this December. Find roles across top companies and apply now to boost your career.