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authorization specialist in medical billing Jobs in Rawalpindi

billing senior phd specialist Jobs in Rawalpindi

billing senior phd specialist

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csr - sales executive (aca and medicare) Jobs in Rawalpindi

csr - sales executive (aca and medicare)

medical billing follow up executive eligibility verification intern

BLS Solutions

The Eligibility Verification Executive is responsible for making outbound fresh follow-up calls to insurance companies and patients to verify coverage, benefits, and claim status for medical billing. The role ensures accurate and timely confirmation of eligibility to support clean claim submission and reduce denials.Key Responsibilities:Make outbound fresh calls to insurance payers to verify patient eligibility and benefits.Confirm:<ul><li>Active coverage</li><li>Policy effective dates</li><li>Co-pay, co-insurance, and deductible</li><li>Plan limitations and exclusions</li><li>Referral and authorization requirements</li><li>Check claim status for submitted medical bills.</li><li>Update eligibility and verification of details in the billing system.</li><li>Document call reference numbers and payer responses accurately.</li></ul>Identify and report:<ul><li>Inactive policies</li><li>Incorrect member information</li><li>Coverage terminations</li><li>Coordinate with the medical billing and AR team for claim corrections.</li><li>Maintain daily productivity and quality targets.</li><li>Follow HIPAA and data confidentiality guidelines.</li><li>Required Skills</li><li>Good communication and listening skills</li><li>Basic knowledge of medical billing and insurance terminology</li><li>Ability to handle payer portals and call workflows</li><li>Strong attention to detail</li><li>Time management and target-oriented work approach</li><li>Basic computer skills (EHR/Practice Management System, MS Excel)</li><li>Preferred Qualifications</li><li>Bachelor&rsquo;s degree (or equivalent)</li></ul>Fresh:<ul><li>Medical billing</li><li>Eligibility verification</li><li>AR follow-up</li><li>Knowledge of CPT, ICD-10, and HCPCS codes (preferred but not mandatory for fresh candidates)</li><li>Key Performance Indicators (KPIs)</li><li>Number of calls completed per day</li><li>Accuracy of eligibility verification</li><li>Documentation quality</li><li>Reduction in eligibility-related claim denials</li></ul>Job Type: Full-timePay: From Rs50,000.00 per monthWork Location: In person

Medical Billing Follow-up Executive / Eligibility Verification Intern

The Inventor Solutions

Location: On-Site &ndash; Rawalpindi Shift: Night Shift (7PM to 4AM) Employment Type: Full-TimeAbout The Inventor SolutionsThe Inventor Solutions is a US-focused healthcare RCM and digital solutions company providing medical and dental billing services to clinics across the United States. We are expanding our medical billing division and seeking an experienced Pulmonology Billing Specialist to join our growing operations team.Key Responsibilities<ul><li>End-to-end medical billing for Pulmonology practices (US market)</li><li>Charge entry &amp; claim submission (CMS-1500)</li><li>Insurance verification &amp; eligibility checks</li><li>AR follow-up on commercial, Medicare &amp; Medicaid claims</li><li>Denial management &amp; appeals</li><li>Posting ERA/EOB payments</li><li>Handling PFTs, Sleep Studies (CPT 94010, 94660, 95800&ndash;95811 etc.)</li><li>DME &amp; CPAP-related billing knowledge preferred</li><li>Coordination with front desk &amp; providers for documentation gaps</li></ul>Required Experience<ul><li>2+ years US medical billing experience</li><li>Minimum 1 year in Pulmonology billing (mandatory)</li><li>Strong understanding of ICD-10, CPT, HCPCS</li><li>Experience with Medicare guidelines</li><li>Knowledge of modifier usage (26, TC, 25, 59 etc.)</li><li>Familiar with EMR/EHR systems</li></ul>Preferred Qualifications<ul><li>Experience with Sleep Medicine billing</li><li>Familiarity with DME claims</li><li>Experience handling high AR aging accounts</li><li>Ability to work independently under KPIs</li></ul>What We Offer<ul><li>Competitive market salary</li><li>Performance-based growth structure</li><li>Career progression within US RCM operations</li><li>Professional, growth-oriented work environment</li></ul>Job Type: Full-timeExperience:<ul><li>Medical Billing: 1 year (Required)</li><li>Pulmonology: 1 year (Required)</li></ul>Work Location: In person

Medical Billing Associate - Pulmonology

Speak Viral

The Authorization Expert is responsible for obtaining, verifying, and managing prior authorizations for medical services to ensure timely reimbursement and compliance with payer requirements. This role works closely with providers, billing teams, insurance companies, and patients to prevent claim denials and delays related to authorization issues.Key Responsibilities<ul><li>Obtain prior authorizations, referrals, and pre-certifications from insurance payers for medical procedures, treatments, and diagnostic services</li><li>Verify patient insurance eligibility, benefits, coverage limits, and authorization requirements</li><li>Review physician orders and clinical documentation to ensure accuracy and compliance with payer guidelines</li><li>Communicate with insurance companies to follow up on authorization status, appeals, and approvals</li><li>Document authorization details accurately in billing and practice management systems</li><li>Identify and resolve authorization-related denials and underpayments</li><li>Collaborate with providers and billing teams to ensure services are rendered within authorization guidelines</li><li>Stay current with payer policies, authorization rules, and regulatory changes</li><li>Maintain compliance with HIPAA and organizational policies</li><li>Meet productivity, accuracy, and turnaround time standards</li></ul>Required Qualifications<ul><li>2+ years of experience in medical billing, insurance verification, or prior authorizations</li><li>Strong knowledge of insurance plans (commercial, Medicare, Medicaid, managed care)</li><li>Familiarity with CPT, ICD-10, and HCPCS codes</li><li>Experience working with EMR/EHR and medical billing software</li><li>Strong attention to detail and organizational skills</li><li>Excellent verbal and written communication skills</li></ul>Preferred Qualifications<ul><li>Experience in specialty practices (e.g., radiology, surgery, cardiology, orthopedics)</li><li>Certification such as CPC, CPB, or equivalent</li><li>Knowledge of denial management and appeals processes</li></ul>Skills &amp; Competencies<ul><li>Analytical and problem-solving abilities</li><li>Ability to multitask in a fast-paced environment</li><li>Strong follow-up and time-management skills</li><li>Team-oriented with the ability to work independently</li><li>Professional and patient-focused communication style</li></ul>Job Type: Full-timePay: Rs50,000.00 - Rs80,000.00 per monthApplication Question(s):<ul><li>Will you be able to work in night shift(7pm to 4am)?</li><li>Will you be able to commute to Bahria Town Phase 7 Rawalpindi?</li></ul>Work Location: In person

Authorization Specialist in Medical Billing

Lenslo.com

Medical and Dental Solutions, Inc. is a growing healthcare solutions company providing revenue cycle management and practice support services for clinics and healthcare providers. We combine skilled professionals, structured processes, and modern technology to help practices operate efficiently. As we expand our dental support team, we are looking for confident and highly professional individuals to join us.We are seeking a Dental Front Desk / Virtual Assistant to support US-based dental practices. This role requires exceptional English communication skills, a professional tone and accent, and the ability to handle patient interactions with confidence and clarity. The ideal candidate will have prior experience working with a medical clinic or private practice and understand the importance of professionalism in patient communication.Key Responsibilities<ul><li>Answer incoming patient calls and respond to inquiries professionally</li><li>Schedule, confirm, and reschedule appointments</li><li>Communicate treatment plans and follow up with patients</li><li>Verify insurance eligibility and benefits</li><li>Maintain accurate patient records and documentation</li><li>Coordinate with billing teams regarding insurance and payment matters</li><li>Send reminders and follow up on missed appointments</li><li>Handle email communication with patients and clinic staff</li><li>Maintain a positive and professional tone in all interactions</li></ul>Required Skills &amp; Qualifications<ul><li>Female candidate required</li><li>Minimum 1 year of experience working with a medical clinic or private practice</li><li>Exceptional written and spoken English skills</li><li>Clear, confident communication style with a professional accent</li><li>Strong interpersonal skills and patient-focused approach</li><li>Ability to multitask and stay organized in a fast-paced environment</li><li>Bachelor&rsquo;s degree is preferred</li><li>Basic understanding of insurance verification and scheduling systems</li><li>Strong computer literacy and attention to detail</li></ul>Work Schedule<ul><li>Timings: 6:00 PM &ndash; 3:00 AM, Monday to Friday</li><li>Location: Rawalpindi (on-site only)</li><li>Employment Type: Full-time</li></ul>Pay: Rs50,000.00 - Rs95,000.00 per monthExperience:<ul><li>Call Handling: 1 year (Required)</li></ul>Work Location: In person

Dental Virtual Assistant

sequel technologies

Location: Bahria Town Phase 7, Rawalpindi (Preference for residents of Bahria, DHA, or nearby areas)Company Description Sequel Technologies, a software company providing healthcare IT and medical billing services to the US market.Responsibilities <ul><li>Process and submit accurate medical claims to insurance companies and government payers.</li><li>Review patient bills for accuracy and completeness prior to submission.</li><li>Verify insurance coverage and ensure correct patient and payer information is recorded.</li><li>Follow up on unpaid or denied claims and resolve billing discrepancies.</li><li>Post payments, adjustments, and denials into the billing system.</li><li>Communicate with insurance companies regarding claim status, appeals, and payment issues.</li><li>Maintain compliance with healthcare regulations and payer-specific billing guidelines.</li><li>Work with internal teams to correct coding or documentation issues affecting claim processing.</li><li>Prepare and submit claim appeals when necessary.</li><li>Generate billing reports and track claim status to ensure timely reimbursement.</li><li>Maintain confidentiality of patient information in accordance with HIPAA and</li></ul>Qualifications/Skills <ul><li>2&ndash;3 years of experience in medical billing, healthcare revenue cycle, or a related role.</li><li>Strong understanding of medical billing processes, claim submission, and payment posting.</li><li>Familiarity with CPT, ICD-10, and HCPCS coding systems.</li><li>Experience with medical billing software and electronic health record (EHR) systems.</li><li>Knowledge of insurance verification, claim denials, and appeals processes.</li><li>Strong attention to detail and accuracy in handling financial and patient data.</li><li>Excellent analytical and problem-solving skills for resolving billing issues.</li><li>Good communication skills for interacting with insurance representatives and internal teams.</li><li>Ability to manage multiple claims and tasks while meeting deadlines.</li><li>Proficiency in Microsoft Office, particularly Excel.</li></ul>Timings <ul><li>5:00 PM to 2:00 AM (Summer)</li><li>6:00 PM to 3:00 AM (Winters)</li></ul>Benefits <ul><li>Healthcare (OPD + IPD)</li><li>Entertainment Allowance</li><li>Cellular Allowance</li><li>Provident Fund</li></ul>Job Type: Full-timeApplication Question(s):<ul><li>Do you have 2-5 years of experience in the Medical Billing field.</li><li>Are you a resident of Bahria Town Phase 7/8, or DHA 1/2? If not, kindly state your area of residency.</li></ul>Experience:<ul><li>Medical Billing: 5 years (Required)</li></ul>Location:<ul><li>Rawalpindi (Required)</li></ul>Work Location: In person

Medical Billing Representatives

The Medical Billing Executive is responsible for managing the end-to-end medical billing process to ensure accurate and timely submission of claims to insurance companies, patients, and other payers. This role involves reviewing patient data, ensuring compliance with billing regulations, resolving claim denials, and maintaining accurate financial records to optimize revenue cycle performance.Key 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>Qualifications &amp; Skills:<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 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(7pm to 4am)?</li><li>Will you be able to commute to Bahria Town Phase 7 Rawalpindi?</li></ul>Work Location: In person

Medical Billing Executive

The Medical Billing Team Lead is responsible for overseeing and executing the end-to-end medical billing process, ensuring accuracy, compliance, and timeliness in claims submission, payment posting, and account reconciliation. This role requires strong analytical skills, attention to detail, and extensive knowledge of healthcare billing regulations and payer requirements. The Senior Executive will also mentor junior team members and collaborate with internal departments to optimize revenue cycle performance.Key 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>Qualifications:<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: Rs60,000.00 - Rs110,000.00 per monthApplication Question(s):<ul><li>Will you be able to work in night shift(7pm to 4am)?</li><li>Will you be able to commute to Bahria Town Phase 7 Rawalpindi?</li></ul>Work Location: In person

Medical Billing Team Lead

Explore 177+ Medical billing follow up executive eligibility verification intern in Rawalpindi this March. Find roles across top companies and apply now to boost your career.