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AppedologyPK Recruitment

Job Summary:We are seeking a detail-oriented and analytical professional to join our team as a Denial Management Specialist within the Medical/Behavioral Health domain. The primary responsibility of this role is to identify, analyze, and resolve claim denials to ensure accurate and timely reimbursement. The ideal candidate will possess a strong understanding of insurance processes, medical billing, and payer guidelines, particularly within behavioral health services. This position requires excellent problem-solving skills, attention to detail, and the ability to multitask effectively while maintaining a high level of accuracy and compliance. The candidate should also demonstrate strong communication abilities to coordinate with payers, clients, and internal teams for swift resolution of denied or underpaid claims.Key Responsibilities:<ul><li>Review and analyze denied or underpaid medical and behavioral health claims to determine root causes.</li><li>Work with insurance companies to resolve denials and ensure timely and accurate reimbursement.</li><li>Identify recurring denial trends and collaborate with billing and clinical teams to prevent future occurrences.</li><li>Prepare and submit appeals with appropriate supporting documentation in accordance with payer requirements.</li><li>Maintain detailed records of denial activities, appeal statuses, and resolutions in the billing system.</li><li>Communicate effectively with payers, clients, and internal departments to ensure issues are addressed promptly.</li><li>Monitor claim status and follow up proactively to reduce outstanding accounts receivable.</li><li>Ensure compliance with all HIPAA, payer, and organizational policies during all denial management processes.</li></ul>Requirements:<ul><li>High school diploma or equivalent; associate&rsquo;s or bachelor&rsquo;s degree in accounting, finance, or a related field is a plus.</li><li>Proven experience in billing, accounting, or administrative roles.</li><li>Strong attention to detail and numerical accuracy.</li><li>Proficiency in Microsoft Excel and billing/accounting software.</li><li>Excellent communication and organizational skills.</li><li>Ability to work independently and meet deadlines.</li></ul>Job Type: Full-time

Denial Management Specialist (MEDICAL BILLING US HEALTHCARE)

ARPAZ Technology Services

Hiring for fresh GraduatesPosition: Medical Billing Executive Qualification:Minimum Graduates in any disciplineJob Description:<ul><li>Maintain policies and ensure timely service delivery.</li><li>Handle daily insurance billing and monitor rejections.</li><li>Follow up on unpaid claims and accounts.</li><li>Resolve billing or coding issues promptly.</li><li>Review medical records and maintain accurate billing data.</li></ul>Job Requirements:Minimum Graduates in any discipline.Good written and spoken English communication.Fresh candidates are encouraged to apply.Location: Gulistan-e-Johar Block 12, near Johar ChorangiJob Timing: Night Shift, Onsite (9 PM to 6 AM)Off Days: Saturday &amp; SundaySalary: (for female candidates)Benefits:&#9989; PKR 50,000 salary&#9989; 5000 Attendance Allowance&#9989; Complimentary meals &ndash; Enjoy delicious food with us!&#9989; Gym reimbursement &ndash; Stay fit for free!&#9989; 5-day workweek (Sat &amp; Sun off)&#9989; Comprehensive medical insurance (In-patient &amp; Out-patient)&#9989; Free Pick and drop (For Female staff)&#9989; Annual bonus &ndash; Get rewarded for your hard workJob Type: Full-timeAbility to commute/relocate:<ul><li>Karachi: Reliably commute or planning to relocate before starting work (Required)</li></ul>Work Location: In person

Medical Billing Executive

Eplanet Global

Eplanet Global is Hiring: Business Development Executive (Medical Billing Domain)Location: Karachi, Pakistan Shift: Night (U.S. Time Zone) Experience: 2&ndash;3 YearsAbout the Role: We are looking for a dynamic and results-driven Business Development Executive with experience or a strong interest in the U.S. Medical Billing and RCM (Revenue Cycle Management) industry. The ideal candidate will identify growth opportunities, build lasting client relationships, and drive revenue by promoting our medical billing and RCM services to U.S.-based healthcare providers and organizations.Key Responsibilities:<ul><li>Identify, research, and pursue new business opportunities in the U.S. healthcare and medical billing sector.</li><li>Generate qualified leads through cold calling, email outreach, LinkedIn networking, and other digital platforms.</li><li>Conduct market research to analyze client needs, competitors, and industry trends.</li><li>Build and maintain strong relationships with physicians, clinics, hospitals, and healthcare organizations.</li><li>Present company services effectively and handle negotiations to close deals.</li><li>Collaborate with internal teams to ensure smooth onboarding and client satisfaction.</li><li>Achieve monthly and quarterly sales targets and contribute to overall business growth.</li></ul>Requirements:<ul><li>Bachelor&rsquo;s degree in Business Administration, Marketing, Healthcare Management, or related field.</li><li>2&ndash;3 years of experience in Business Development / Sales (preferably in the Medical Billing or Healthcare BPO sector).</li><li>Good understanding of RCM processes such as charge entry, claims submission, payment posting, AR follow-up, and denial management (a plus).</li><li>Excellent communication and negotiation skills.</li><li>Willingness to work in night shifts (U.S. time zone).</li><li>Target-oriented mindset with strong analytical and problem-solving abilities.</li></ul>Job Type: Full-timePay: From Rs100,000.00 per monthWork Location: In person

Business Development (Medical Billing domain)

Position: Medical Billing Executive (Female)Qualification:Bachelor of Eastern Medicine &amp; Surgery (BEMS)BS PhysiologyPharm-D / PharmacistNight Shift, Onsite (9 PM to 6 AM) Off Days: Saturday &amp; SundayJob Description:<ul><li>Maintain departmental policies and ensure quality service delivery.</li><li>Handle daily insurance claim billing and monitor claim rejections.</li><li>Follow up on pending claims and unpaid accounts.</li><li>Resolve billing, coding, and documentation issues.</li><li>Review medical records to verify diagnoses and procedures.</li><li>Keep accurate and updated patient billing records.</li></ul>Job Requirements:Graduation in BEMS, BS Physiology, or Pharm-D is mandatory.Good written and spoken English communication.Fresh candidates.Location: Gulistan-e-Johar Block 12, near Johar ChorangiJob Timing: Night Shift, Onsite (9 PM to 6 AM)Off Days: Saturday &amp; SundayBenefits:&#9989; PKR 50,000 salary&#9989; 5000 Attendance Allowance&#9989; Complimentary meals &ndash; Enjoy delicious food with us!&#9989; Gym reimbursement &ndash; Stay fit for free!&#9989; 5-day workweek (Sat &amp; Sun off)&#9989; Comprehensive medical insurance (In-patient &amp; Out-patient)&#9989; Free Pick and drop&#9989; Annual bonus &ndash; Get rewarded for your hard workJob Type: Full-timeAbility to commute/relocate:<ul><li>Karachi: Reliably commute or planning to relocate before starting work (Required)</li></ul>Work Location: In person

Medical Billing Executive (Female) (Night Shift)

Hiffey

Claims Med pioneers in Medical Billing for Healthcare providers in the United States. We are looking for fresh, energetic individuals who can not only add value to our firm, but also find endless opportunities in a growing firm.We are currently hiring for our medical billing teams and looking for candidates who are willing to learn and apply themselves in a short period of time.Job Description<ul><li>Medical records evaluation</li><li>Insurance eligibility verification</li><li>Claim generation and submission</li><li>Follow-up on pending claims</li><li>Account Receivables</li></ul>Requirements<ul><li>Morning shift availability (9am to 6Pm)</li><li>Mondays to Fridays</li><li>Graduation (required)</li><li>English Proficiency is must</li></ul>LocationShaheed-e-Millat Rd, KarachiPaid training will be provided. Finalists will begin a 3-month probation period and will be re-evaluated before becoming permanent employees.Permanent employees enjoy several performance, and punctuality based bonuses, along with other perks.Please submit your resumes and begin your journey of becoming an integral part of the Claims Med family.Job Type: Full-timePay: Rs40,000.00 - Rs45,000.00 per monthWork Location: In person

Medical Billing Analyst(Female)

Caregenix Solutions

Job Description:<ul><li>Perform Eligibility and Verification of Benefits (VOB) for patients across multiple insurance providers.</li><li>Ensure timely and accurate processing of referred patient eligibility.</li><li>Coordinate with insurance companies to resolve eligibility-related issues.</li><li>Extract, analyze, and segregate reports from EMR/EHR systems.</li><li>Maintain accurate and up-to-date patient records and eligibility status.</li><li>Identify discrepancies in data and provide resolutions.</li><li>Manually extract data from various EMR/EHRs.</li></ul>Job Location: Cherry's Plaza, DHA Phase 7, Karachi, SindhShift: 6pm-3am (Mon-Fri)Salary: Upto 80K + fuel allowanceJob Type: Full-timePay: Rs50,000.00 - Rs80,000.00 per monthApplication Question(s):<ul><li>Timings 6 PM - 3 AM (Night Shift) :</li><li>Have you worked on Medical Billing/ RCM before?</li><li>Rate your Excel Skills: /10</li></ul>Work Location: In person

Eligibility & Reporting Executive

Medical Billing Executive (Female)

Explore 398+ Medical billing specialist in Karachi this October. Find roles across top companies and apply now to boost your career.