medical biller

Doctors Urgent Care Group

We are seeking an experienced Medical Biller with a strong background in Rheumatology billing and coding to join our team. The ideal candidate will have in-depth knowledge of Rheumatology-specific procedures, modifiers, infusion billing, and insurance authorizations, ensuring timely and accurate reimbursement.Key Responsibilities<ul><li>Prepare, review, and submit accurate medical claims to insurance companies (electronic and paper) for Rheumatology services.</li><li>Verify insurance coverage, obtain authorizations, and ensure claims comply with payer policies.</li><li>Review documentation for appropriate CPT, ICD-10, and HCPCS coding specific to Rheumatology (e.g., infusion therapy, biologics, joint injections).</li><li>Monitor aging reports and follow up on unpaid or denied claims promptly.</li><li>Correct claim errors, re-bill, and appeal denied or underpaid claims.</li><li>Post insurance and patient payments, process refunds, and reconcile accounts.</li><li>Communicate with patients regarding billing inquiries and outstanding balances.</li><li>Collaborate with providers and front-desk staff to ensure complete and accurate documentation for billing.</li><li>Maintain up-to-date knowledge of Rheumatology-specific coding changes, payer regulations, and compliance standards (HIPAA, CMS).</li></ul>Job Type: Full-timeApplication Question(s):<ul><li>Do you have experience working with rheumatology?</li></ul>Work Location: Remote

Medical Biller

IKONIC

<div>
 
 Position Title:
 
 Jr. Billing Executive
 
 
 
 Timings:
 
 6:00pm - 3:00am
 
 
 
 Department:
 
 Medical Billing
 
 
 
 Location:
 
 Ikonic, Plot # 176, Korang Road, near Rahat Bakers, I-10/3, Islamabad
 
 
 
 About Us:
 
 
 
 RHB is a subsidiary of IKONIC Solution
 
 
 Reliable Healthcare Billing ( RHB ) stands as a dynamic force within the healthcare sector, committed to optimizing revenue cycles and reshaping the financial landscape for healthcare providers. Our mission is to equip healthcare organizations with state-of-the-art technology and profound industry knowledge, providing inventive billing solutions that enhance profitability, streamline operations, and ensure sustained financial well-being.With an unwavering dedication to excellence, RHB has emerged as a reliable partner for healthcare providers navigating the intricate financial challenges of the industry. We take pride in our capacity to deliver tailored, results-oriented solutions that adapt to the ever-changing healthcare landscape.
 
 
 Our team is driven by a passion to redefine the future of healthcare finance, and we're here to support healthcare providers in thriving amid an increasingly competitive environment. Join us in redefining success in healthcare finance and charting a path toward financial prosperity.
 
 
 
 Position Purpose:
 
 
 
 We are currently seeking talented and driven individuals to join our team as Jr. Billing Executive for the Medical Billing team. The candidates should possess a minimum of 1 years of basic level experience with medical billing &amp; EHR. Communication skills are paramount for this role.
 
 
 
 Education &amp; Professional Qualification:
 
 
 
 <ul>
 <li>
 Degree(s)/Major(s): Bachelor's degree in healthcare administration or related field preferred.
 </li>
 <li>
 Certification(s): Certification with Medicine/medical/health care will be preferred.
 
 
 
 </li>
 </ul>
 
 Experience:
 
 
 
 <ul>
 <li>
 1.5 years of experience with Medical billing and EHRs.
 </li>
 <li>
 Proficiency with AdvancedMD is a must.
 
 
 
 </li>
 </ul>
 
 Responsibilities:
 
 
 
 <ul>
 <li>
 Assist in the timely submission of insurance claims for services provided to patients.
 </li>
 <li>
 Accurately post payments received from insurance companies and patients into the billing system.
 </li>
 <li>
 Follow up on outstanding claims and unpaid balances, ensuring timely resolution and maximum reimbursement.
 </li>
 <li>
 Investigate and address claim denials promptly, working to resolve issues and resubmit claims as necessary.
 </li>
 <li>
 Verify patient insurance coverage and eligibility for services prior to billing.
 </li>
 <li>
 Generate billing reports and assist in analyzing financial data related to revenue cycle management.
 </li>
 <li>
 Collaborate with other departments such as coding, finance, and patient services to ensure accurate and efficient billing processes.
 </li>
 <li>
 Adhere to all relevant regulations, guidelines, and policies related to medical billing and coding.
 </li>
 <li>
 Maintain accurate and detailed records of billing activities, including notes on interactions with insurance companies and patients.
 </li>
 <li>
 Provide excellent customer service to patients and insurance companies, addressing inquiries and resolving billing-related issues in a timely manner.
 </li>
 <li>
 Stay updated on changes in healthcare regulations, coding guidelines, and insurance policies to ensure compliance and accuracy in billing processes.
 </li>
 <li>
 Identify opportunities for process improvement in billing procedures and contribute ideas for enhancing efficiency and effectiveness.
 </li>
 <li>
 Participate in training sessions and workshops to enhance skills and knowledge related to medical billing and coding.
 </li>
 <li>
 Ad Hoc Duties Perform other ad hoc duties as assigned by the billing manager or supervisor to support the overall billing operations of the organization.
 
 
 
 </li>
 </ul>
 
 Requirements:
 
 
 
 <ul>
 <li>
 Bachelor's degree in healthcare administration, finance, business administration, or related field.
 </li>
 <li>
 Minimum of 1 year of experience in medical billing or a related field, preferably in a healthcare setting.
 </li>
 <li>
 Proficiency in electronic health record (EHR) systems, with experience in using systems.
 </li>
 <li>
 Familiarity with billing software and tools commonly used in healthcare settings, such as billing software like AdvancedMD, Office Ally, Kareo, or Waystar.
 </li>
 <li>
 Understanding of medical billing processes, including claim submission, payment posting, denial management, and insurance verification.
 </li>
 <li>
 Strong analytical skills with the ability to review and interpret billing reports and financial data accurately.
 </li>
 <li>
 Keen attention to detail to ensure accuracy in billing and coding processes, minimizing errors and discrepancies.
 </li>
 <li>
 Communication Skills: Excellent written and verbal communication skills to interact effectively with patients, insurance companies, and other healthcare professionals.
 </li>
 <li>
 Ability to work collaboratively as part of a team, as well as independently, to achieve common goals and objectives.
 </li>
 <li>
 Basic understanding of medical terminology and coding (ICD-10, CPT, HCPCS) to accurately interpret medical records and documents.
 </li>
 <li>
 Strong customer service skills with a focus on providing a positive experience for patients and insurance companies.
 </li>
 <li>
 Knowledge of healthcare regulations and compliance requirements, including HIPAA regulations, to ensure patient privacy and confidentiality.
 </li>
 <li>
 Certification in medical billing and coding (e.g., Certified Professional Coder - CPC) is a plus, but not required.
 </li>
 <li>
 Ability to identify and resolve billing-related issues and discrepancies in a timely and efficient manner.
 
 
 
 </li>
 </ul>
 
 Benefits:
 
 
 
 <ul>
 <li>
 Competitive Salary
 </li>
 <li>
 Tax Exempted Salaries
 </li>
 <li>
 Medical Health Insurance
 </li>
 <li>
 Bonuses
 </li>
 <li>
 Annual Leaves
 </li>
 <li>
 Casual leaves
 </li>
 <li>
 Sick Leaves
 </li>
 <li>
 Bereavement Leaves
 </li>
 <li>
 Marriage Leaves
 </li>
 <li>
 Paternity Leaves
 </li>
 <li>
 Maternity Leaves
 </li>
 <li>
 Bi-Annual Reviews
 
 
 
 </li>
 </ul>
 
 Why Should You Join Us?
 
 
 
 At
 
 Reliable Health medical Billing,
 
 we believe in providing opportunities to all its employees, which is why our job comes with a variety of challenging assessments meant to catapult your career to the next level. This is made evident with our offerings such as:
 
 
 <ul>
 <li>
 A growth mindset through the help of experienced and helpful Mentors. RHB is made up of passionate individuals who aim to support each other in their training as well as day-to-day tasks.
 </li>
 <li>
 A Dynamic Environment where we focus on encouraging initiatives, promoting agility and creating a work/life balance. We know the value you bring in, and we aim to nurture it.
 </li>
 <li>
 Market Competitive Compensation based upon your professional qualifications and skill set
 </li>
 <li>
 As an Equal employment opportunity provider. All employment associated decisions are based on an individual's merit.
 
 
 
 </li>
 </ul>
 
 Note: Above goals and job descriptions are indicative and subject to change.
 
</div>

Junior Medical Biller

Speak Viral

We are seeking a qualified and dedicated medical biller to join our administrative office. In this position, you will be responsible for a variety of tasks requiring data analysis, in-depth evaluation, and sound judgment. As our medical biller, your daily duties will include maintaining billing software, appealing denied claims, and recording late payments.To succeed in this role, you must possess in-depth knowledge of billing software and medical insurance policies. The ideal candidate must also be able to demonstrate excellent written and verbal communication skills, as communicating with clients and various insurance agents will form a large part of the job.Medical Biller Responsibilities:<ul><li>Preparing and submitting billing data and medical claims to insurance companies.</li><li>Ensuring the patient&rsquo;s medical information is accurate and up to date.</li><li>Preparing bills and invoices, and documenting amounts due for medical procedures and services.</li><li>Collecting and reviewing referrals and pre-authorizations.</li><li>Monitoring and recording late payments.</li><li>Following up on missed payments and resolving financial discrepancies.</li><li>Examining patient bills for accuracy and requesting any missing information.</li><li>Investigating and appealing denied claims.</li><li>Helping patients develop patient payment plans.</li><li>Maintaining billing software by updating rate change, cash spreadsheets, and current collection reports.</li></ul>Medical Biller Requirements:<ul><li>Bachelor&rsquo;s degree in business, health care administration, accounting, or a relevant field.</li><li>A minimum of 4 years of experience as a medical biller or similar role.</li><li>Solid understanding of billing software and electronic medical records.</li><li>Must have the ability to multitask and manage time effectively.</li><li>Excellent written and verbal communication skills.</li><li>Outstanding problem-solving and organizational abilities.</li></ul>Job Type: Full-timePay: Rs45,000.00 - Rs75,000.00 per monthApplication Question(s):<ul><li>Will you be able to work in night shift(6pm to 3am)?</li><li>Will you be able to commute to Bahria Town Phase 7 Rawalpindi?</li><li>How many years of experience do you have in medical billing?</li></ul>Work Location: In person

Senior Medical Billing Executive

We are seeking a qualified and dedicated Medical Billing Team Lead to join our office. In this position, you will be responsible for a variety of tasks requiring data analysis, in-depth evaluation, and sound judgment. As our medical biller, your daily duties will include maintaining billing software, appealing denied claims, and recording late payments.To succeed in this role, you must possess in-depth knowledge of billing software and medical insurance policies and specialties. The ideal candidate must also be able to demonstrate excellent written and verbal communication skills, as communicating with clients and various insurance agents will form a large part of the job.Responsibilities:<ul><li>Preparing and submitting billing data and medical claims to insurance companies.</li><li>Ensuring the patient&rsquo;s medical information is accurate and up to date.</li><li>Preparing bills and invoices, and documenting amounts due for medical procedures and services.</li><li>Collecting and reviewing referrals and pre-authorizations.</li><li>Monitoring and recording late payments.</li><li>Following up on missed payments and resolving financial discrepancies.</li><li>Examining patient bills for accuracy and requesting any missing information.</li><li>Investigating and appealing denied claims.</li><li>Helping patients develop patient payment plans.</li><li>Maintaining billing software by updating rate change, cash spreadsheets, and current collection reports.</li></ul>Requirements:<ul><li>Bachelor&rsquo;s degree in business, health care administration, accounting, or a relevant field.</li><li>A minimum of 3 years of experience as a medical biller or similar role.</li><li>Solid understanding of billing software and electronic medical records.</li><li>Must have the ability to multitask and manage time effectively.</li><li>Excellent written and verbal communication skills.</li><li>Outstanding problem solving and organizational abilities.</li></ul>Job Type: Full-timePay: Rs70,000.00 - Rs120,000.00 per monthApplication Question(s):<ul><li>Will you be able to work in night shift(6pm to 3am)?</li><li>Will you be able to commute to Bahria Town Phase 7 Rawalpindi?</li><li>How many years of experience do you have in medical billing?</li></ul>Work Location: In person

Medical Billing Team Lead

We seek a qualified and dedicated AR Specialist to join our administrative office. In this position, you will be responsible for analytical tasks related to debt collection, and invoicing. The role involves ensuring accurate and timely billing, resolving payment issues, managing accounts receivable, and maintaining financial records.Key Responsibilities:<ul><li>Submit and track medical claims to insurance companies Ensure claims are accurate and comply with payer requirements.</li><li>Record payments and adjustments into the billing system.</li><li>Review and address claim denials and rejections by analyzing the reasons for denial, correcting issues, and resubmitting claims.</li><li>Follow up on outstanding accounts.</li><li>Reconcile accounts to ensure all payments, adjustments, and write-offs are accurately recorded.</li><li>Prepare and review reports on accounts receivable.</li><li>Ensure that all billing practices comply with healthcare policies.</li></ul>Skills and Qualifications:<ul><li>Accurate data entry and meticulous record-keeping are crucial.</li><li>Understanding codes for claim submissions and denials.</li><li>Ability to effectively communicate with insurance companies.</li><li>Capable of analyzing financial data and identifying discrepancies or patterns.</li><li>Familiarity with billing software.</li></ul>Education and Experience:<ul><li>Bachelor&rsquo;s degree in business, health care administration, accounting, or a relevant field.</li><li>A minimum of 2 years of experience as a medical biller.</li><li>Previous experience in medical billing or a related field is required, with experience in AR management</li></ul>Benefits:<ul><li>Free Meal</li><li>Market Comparative Salary</li><li>Paid Holidays</li><li>Provident Fund</li><li>Career Growth</li><li>Annual, Bi-Anual Increments</li></ul>Job Type: Full-timePay: Rs40,000.00 - Rs80,000.00 per monthApplication Question(s):<ul><li>Will you be able to work in night shift(6pm to 3am)?</li><li>Will you be able to commute to Bahria Town Phase 7 Rawalpindi?</li></ul>Work Location: In person

AR Specialist in Medical Billing

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

PRODAT IT SOLUTIONS (INDIA) PVT. LTD

Job Description:<ul><li>Review the claim allocated and check status by calling the payer or through IVR /Web Portal</li><li>Ask a series of relevant questions depending on the issue with the claim and record the responses</li><li>Prepare call notes, initiate or execute the corrective measures by sending necessary documents to Payers</li><li>Record the actions and post the notes on the clients revenue cycle platform</li><li>Use appropriate client specific call note standards for documentation</li><li>Adhere to Company&rsquo;s information, HIPAA and security guidelines</li><li>Be in the center of ethical behavior and never on the sidelines</li></ul>Job Profile:<ul><li>Should have worked as an AR Caller for at least 2 years to 3 years with medical billing service providers</li><li>Good knowledge of Revenue Cycle and Denial Management concept</li><li>Positive attitude to solve problems</li><li>Ability to absorb client&rsquo;s business rules</li><li>Strong communication skills with a neutral accent</li><li>Graduate degree in any field</li></ul>Note- Immediate Joiners preferred. Job Type: Full-timePay: Up to &#8377;550,000.00 per yearBenefits:<ul><li>Health insurance</li><li>Provident Fund</li></ul>Application Question(s):<ul><li>What is your Notice Period ?</li></ul>Experience:<ul><li>AR Caller: 1 year (Preferred)</li></ul>Work Location: In person

AR Caller - Medical Billing

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