denial management specialist

Meds IT Nexus

Meds Nexus is a US-based Medical Billing Revenue Cycle Management Company. We are looking for enthusiastic and experienced Senior A/R Specialist / Medical Billing Professionals with experience in working with US-based Medical Billing Companies. Prospect should have experience in Billing, AR, Denial Management, Appeals, Good Excel, and reporting skills.Candidates should meet the following criteria to qualify for the job:Review patients&rsquo; Claims for accuracy and completeness and obtain any missing informationKnowledge of insurance guidelines, especially Medicare and state MedicaidFollow-up on unpaid claims within the standard billing cycle timeframeCheck each insurance payment is for accuracy and in compliance with the contract discountCall insurance companies regarding any discrepancy in payments if necessaryIdentify and bill secondary or tertiary insurance counts that are to be reviewed for insurance or patient follow-upAnswer patient or insurance telephone inquiries about assigned accounts.To Communicate Effectively with Team Lead and Manager.To perform the Account Receivables, Denial Management, and Appeal Management.To maintain the protocols and documentation of each performed task.Any other task as assigned by the management.Strong verbal communication skills (English) will be a plus.Job Specification:Excellent working knowledge of EHRs &amp; Medical Billing Software like OfficeAlly, AdvancedMD, eCW Kareo, Practice Fusion, MS Office, Web Fax (Metro Fax), Encoder Pro, Payer Portals, and other related tools and software.Good knowledge of Medical Billing and CodingDenial management and AppealAuthorizationsResearch and Management ReportingStrong verbal (English) and written communication (Good Typing speed).Meds It Nexus provides a great career path and our employees are compensated with competitive compensation commensurate with their experience, please let us know if you are in the market to work as a Medical Billing /Senior A/R Specialist. We prefer prospects seeking full-time employment.Job Rewards and Benefits:- Paid Leaves- HR Bonus- Loan Policy- Advance Salary- Yearly Loyalty Rewards- Leave Encashment- Inflation Bonus- Promotion- Increments- Medical (TBD)- Employee Equity Funds Program (EEFP)- Saturday and Sunday Off- Complementary Food (Dinner) &amp; Tea/Green Tea (Two times)Send your resume to: careers@medsnexus.comContact Information:- Phone: 051 889-2889Job Type: Full-timeJob Type: Full-timeWork Location: In person

Senior AR Specialist - Medical Billing

Premier MBC

Job Timing: 06:00 PM To 03:00 AMJob Location: Islamabad Sector I-9/3Job DescriptionPMBC are US based Medical Billing Revenue Cycle Management Company. We are looking for enthusiastic and experienced Medical Billing Professionals with experience of working with US based Medical Billing Companies.Prospect should have experience in Billing , AR , Denial Management , Appeals , Good Excel and reporting skills.The Candidates should be meet the following Criteria in order to qualify for the job :<ul><li>Working on CPT/ICD coding</li><li>Review patient bills for accuracy and completeness and obtain any missing information</li><li>Knowledge of insurance guidelines especially Medicare and state Medicaid</li><li>Follow up on unpaid claims within standard billing cycle timeframe</li><li>Check each insurance payment is for accuracy and compliance with contract discount</li><li>Call insurance companies regarding any discrepancy in payments if necessary</li><li>Identify and bill secondary or tertiary insurances</li><li>All accounts are to be reviewed for insurance or patient follow-up</li><li>Answer patient or insurance telephone inquiries pertaining to assigned accounts.</li><li>To Communicate Effectively with Team and Clients.</li><li>To perform the Account Receivables, Denial Management, Appeal Management.</li><li>To maintain the protocols and documentation of each performed task.</li><li>Any other task as assigned by the management.</li><li>Strong verbal communication skills (English).</li></ul>Job Specification:<ul><li>Excellent working knowledge of EHR's &amp; Medical Billing Software's like CureMD , Kareo, Practice Fusion, MS Office, Web Fax (Metro Fax), Encoder pro, Payer Portals and other related tools and software&rsquo;s.</li><li>Good knowledge of Medical Billing and Coding</li><li>Denial management and Appeal</li><li>Authorization (Pre, Post, and Retro)</li><li>Research and Management Reporting</li><li>Must be a good team player</li><li>Strong verbal (English) and written communication (Good Typing speed).</li></ul>PMBC provide a great career path and our employee are compensated with competitive compensation commensurate with their experience , Please let us know if you are in market to work as a Senior A/R Medical Billing Specialist . We prefer prospects seeking full time employment.Experience:3 - 5 yearsJob Rewards and Benefits<ul><li>Paid Leaves</li><li>Medical</li><li>EOBI</li><li>Saturday and Sunday Off</li><li>Complementary Food (Dinner)</li></ul>Job Type: Full-timeApplication Question(s):<ul><li>Do you have a Degree? Please name it.</li><li>Do you have AR or billing experience in Medical billing? How much?</li><li>Can you work in night shift?</li><li>Can you communicate in English?</li></ul>Work Location: In person

AR Executive Islamabad

NextCare Urgent Care

<div>POSITION SUMMARY:
The accounts receivable specialist will be responsible for maintaining the organization's financial health, with a focus on timely and accurate resolution of outstanding medical claims. The accounts receivable specialist is required to have a deep understanding of the medical billing lifecycle, advanced knowledge or payer guidelines, and a proven ability to reduce accounts receivable aging through proactive follow up and denial management.

ESSENTIAL FUNCTIONS:
<ul><li>Pre-claim Eligibility and Benefits: Verify patient insurance eligibility and benefits before claim submission</li>
<li>Clearinghouse Rejections: Review and analyze clearinghouse rejections and identify root causes for rejected claims.</li>
<li>Claims Management: Monitor and follow up on unpaid and denied medical claims across a variety of payers (Commercial, Medicare, Medicaid, Workers Comp Carriers, etc.) to ensure timely reimbursement.</li>
<li>Denial Resolution: Research, analyze, and resolve claim denials and underpayments by identifying root causes, correcting errors, submitting appeals, or providing additional documentation as needed.</li>
<li>Account Reconciliation: Reconcile accounts receivable by posting adjustments and resolving discrepancies to maintain accurate financial records.</li>
<li>Trend Analysis &amp; Reporting: Generate and analyze A/R reports to identify patterns in denials, reimbursement delays, or system inefficiencies, and recommend process improvements.</li>
<li>Collaboration: Partner with billing, coding, and compliance teams to ensure claims are processed accurately and efficiently.</li>
<li>Compliance: Maintain strict adherence to HIPAA regulations, payer-specific guidelines, and company policies to ensure data integrity and patient confidentiality</li>
<li>Treats patients and co-workers consistent with the NextCare Mission Statement, Vision, Values and Performance Standards.
</li><li>Performs other related duties as assigned or described in Company policy.</li>
</ul>
ESSENTIAL SKILLS AND EXPERIENCE:
Education: Minimum of High School diploma or equivalent.
Experience: Minimum of 5 years of experience in medical billing or accounts receivable with a strong emphasis on insurance claim resolution and denial management.
Knowledge: In-depth understanding of medical billing and coding principles (CPT, ICD-10, HCPCS) and payer reimbursement methodologies.

Technical Skills: Proficiency with medical billing software; experience with NextGen Billing strongly preferred. Waystar Clearinghouse expertise required.

Analytical Skills: Strong ability to interpret EOBs, remittance advice, and payer correspondence to resolve complex claim issues.

Attention to Detail: Exceptional accuracy in data entry, financial reconciliation, and documentation.

Communication Skills: Effective written and verbal communication skills to interact with payers, internal teams, and external stakeholders in a professional manner.

PHYSICAL DEMANDS AND WORK ENVIRONMENT:
The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Physical Demands:
While performing the essential functions of this job, the employee is occasionally required to stand; walk; sit; lift; carry; use hands to handle or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop; kneel, crouch or crawl, talk, hear and lift and/or move up to 40 pounds.

Work Environment:
While performing the essential functions of this job, the employee comes in contact with patient in a wide variety of circumstances. The employee may be exposed to unpleasant situations including accidents, injuries, illnesses, patient elements and varying or unpredictable situations.</div>

Accounts Receivable Specialist

East Indianapolis Specialty Group

Job Summary We are seeking a detail-oriented and organized Claims Investigator/Denial Management specialist to join our team. This position requires an understanding of medical coding, insurance processing and the ability to work efficiently within a fast-paced environment.Duties<ul><li>Reviewing unpaid and denied claims for payment.</li><li>Investigating path for getting problem claims paid</li><li>Use insurance web sites and other resources to assist in claim investigation</li></ul>Qualifications<ul><li>Proven experience in medical billing/account receivable within a healthcare setting is required.</li><li>Familiarity in navigating insurance web sites for claim resolution</li><li>Strong attention to detail with excellent organizational skills.</li></ul>Join our dedicated team where your expertise will contribute significantly to our operations while supporting patient care.Job Type: Full-timePay: $21.00 - $24.00 per hourBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Application Question(s):<ul><li>Are you located in Indianapolis or surrounding area?</li></ul>Experience:<ul><li>Medical AR Work: 1 year (Required)</li></ul>Work Location: In person

Medical Office Accounts Receivable Specialist

Dental Outsource Pvt. Ltd.

Job SummaryWe are seeking an experienced and detail-oriented Dental Compliance Officer to support our NightShift Operations. The candidate will work closely with the Aging/Accounts Receivable (AR) team tomanage and resolve dental denial claims while ensuring full compliance with dental billingregulations and payer guidelines. The ideal candidate must have strong knowledge of dental billing,coding (CDT), and denial management processes.Key Responsibilities<ul><li>Review and analyze dental claim denials and underpayments</li><li>Prepare and submit appeals with appropriate documentation</li><li>Work closely with the Aging/AR team to reduce outstanding receivables</li><li>Conduct root cause analysis of recurring denials and implement corrective actions</li><li>Ensure compliance with federal, state, and payer-specific dental billing guidelines</li><li>Audit claims for accuracy in coding, documentation, and submission</li><li>Monitor updates in CDT codes, payer policies, and billing regulations</li><li>Maintain accurate records of appeals, compliance checks, and reports</li><li>Provide guidance and training to billing staff on compliance best practices</li><li>Meet daily, weekly, and monthly productivity targets</li></ul>Required Qualifications<ul><li>2&ndash;5 years of experience in dental billing, coding, and denial management</li><li>Strong knowledge of CDT codes and dental claim submission processes</li><li>Experience handling dental insurance payers and EOB review</li><li>Understanding of AR aging reports and follow-up procedures</li><li>Familiarity with dental practice management software</li><li>Strong analytical and problem-solving skills</li><li>Excellent written and verbal communication skills</li><li>Ability to work independently during night shift hours</li></ul>Preferred Qualifications<ul><li>Certification in Dental Billing/Coding (preferred)</li></ul><ul><li>Experience in U.S. dental insurance claims processing</li></ul><ul><li>Prior compliance, audit, or quality assurance experience in dental RCM</li></ul>Job Types: Full-time, PermanentPay: ₹35,000.00 - ₹45,000.00 per monthBenefits:<ul><li>Food provided</li><li>Health insurance</li><li>Life insurance</li><li>Provident Fund</li></ul>Application Question(s):<ul><li>Do you have a degree in BDS (Bachelor of Dental Surgery)?</li></ul>Work Location: In person

Dental Compliance Officer

Digital Trust Technologies Private Limited

Job Description: Medical Billing TraineePosition OverviewThe Medical Billing Trainee will support the end‑to‑end medical billing process for healthcare providers in the U.S. market. This role is designed for fresh graduates or individuals beginning their career in revenue cycle management (RCM). The trainee will receive structured training on medical billing workflows, software tools, compliance standards, and communication protocols.Key ResponsibilitiesAssist in entering, verifying, and updating patient demographic and insurance information.Learn and support claim creation, submission, and follow‑up processes.Review claims for accuracy, completeness, and compliance with payer guidelines.Coordinate with senior billers to resolve claim rejections and denials.Maintain documentation and update billing systems with relevant notes.Understand basic medical terminology, CPT/ICD codes, and insurance rules (training provided).Ensure confidentiality and compliance with HIPAA and organizational policies.Participate in team meetings, training sessions, and performance reviews.Required Skills &amp; QualificationsBachelor&rsquo;s degree (any discipline); preference for commerce, life sciences, or healthcare‑related fields.Strong attention to detail and ability to work with numerical data.Good communication skills (written and verbal).Basic computer proficiency&mdash;MS Office, email, and data entry.Willingness to learn U.S. healthcare billing processes and payer requirements.Ability to work in a fast‑paced, process‑driven environment.Preferred AttributesPositive attitude and eagerness to learn.Analytical mindset with problem‑solving ability.Flexibility to work in shifts if required.Prior exposure to medical billing or RCM (not mandatory, but good have).Career PathSuccessful trainees may progress to roles such as:Medical Billing AssociateAR Caller / AR AnalystPayment Posting ExecutiveDenial Management SpecialistSenior Biller / Team LeadJob Types: Full-time, Permanent, FresherPay: ₹15,000.00 - ₹25,000.00 per monthBenefits:<ul><li>Health insurance</li><li>Provident Fund</li></ul>Education:<ul><li>Bachelor's (Preferred)</li></ul>Language:<ul><li>English (Preferred)</li></ul>Location:<ul><li>Punjagutta, Hyderabad, Telangana (Preferred)</li></ul>Work Location: In person

Medical Billing Trainee

Adeptmed Healthcare Solutions

About the RoleWe are hiring US Medical Billing Accounts Receivable (AR) Executives for our US Healthcare Revenue Cycle Management (RCM) team. This role is for candidates with hands-on experience in US Medical Billing, AR Calling, Denial Management, Claim Follow-ups, and Insurance Collections. Candidates with only general Accounts Receivable (Non-US Healthcare) experience will not be considered.Key Responsibilities (Keyword-Rich)<ul><li>AR Calling to US insurance payers (UHC, Aetna, BCBS, Cigna, Humana, etc.)</li><li>Claim follow-up, insurance follow-ups &amp; payment tracking</li><li>Work on unpaid / underpaid claims and reduce AR aging</li><li>Handle claim denials, rejections, and appeals</li><li>Analyze EOBs / ERAs and resolve payment discrepancies</li><li>Coordinate with coding &amp; billing teams to fix claim errors</li><li>Update claim notes and maintain AR work queues</li><li>Meet productivity, quality, and TAT metrics</li></ul>Required Skills &amp; Keywords<ul><li>1&ndash;5 years of US Healthcare AR / US Medical Billing experience</li><li>Strong knowledge of Revenue Cycle Management (RCM)</li><li>Experience with denial management, AR follow-up, insurance calling</li><li>Understanding of claim life cycle, CPT, ICD-10, EOB, ERA</li><li>Good spoken English (US payer calling)</li><li>Comfortable with US Night Shift</li><li>Experience with billing software / EMR / Practice Management systems</li></ul>Benefits<ul><li>Competitive salary</li><li>5-day working (Saturday &amp; Sunday off)</li><li>Health insurance</li><li>Life insurance</li><li>Leave encashment</li><li>Training &amp; growth in US Healthcare RCM</li><li>Rewards &amp; recognition</li></ul>How to ApplyEmail your CV: msinha@asllc.org Subject: US Medical Billing AR &ndash; Gurugram Immediate joiners preferredJob Types: Full-time, PermanentPay: ₹25,000.00 - ₹50,000.00 per monthBenefits:<ul><li>Health insurance</li><li>Leave encashment</li><li>Provident Fund</li></ul>Work Location: In person

US Medical Billing AR Executive | US Healthcare Night Shift

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