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medical billing executive

medical billing specialist

Abacus Outsourcing

Job Summary: The Medical Billing Verification Specialist is responsible for managing end-to-end billing, claims processing, payment posting, and denial management to ensure accurate and timely reimbursement. This role supports healthcare providers, administrative teams, and patients by ensuring clean claim submission, resolving billing discrepancies, and maintaining compliance with regulatory and payer guidelines.Key Responsibilities:&middot; Review patient demographic, insurance, and clinical documentation to ensure accurate claim creation and billing. &middot; Verify patient insurance eligibility, benefits, and coverage requirements prior to claim submission. &middot; Prepare, submit, and monitor medical claims to payers, ensuring timely and accurate processing. &middot; Investigate and resolve claim denials, rejections, and underpayments by coordinating with payers, providers, and internal teams. &middot; Ensure compliance with federal, state, and payer-specific billing regulations, including coding and HIPAA requirements. &middot; Maintain comprehensive and up-to-date records in practice management and EMR/RCM systems. &middot; Generate reports on claims status, collections, denials, and revenue performance. &middot; Support internal audits and quality improvement initiatives within the revenue cycle. &middot; Provide guidance to team members on billing guidelines, payer policies, and RCM best practices.Qualifications:&middot; Bachelor&rsquo;s degree in healthcare administration, business, life sciences, or related field preferred but not required. &middot; Prior experience in medical billing, RCM, claims processing, or health insurance is preferred. &middot; Strong understanding of medical billing practices, CPT/ICD coding, modifiers, and healthcare reimbursement workflows. &middot; Familiarity with EMR, EHR, and RCM/billing software systems. &middot; Excellent written and spoken English communication skills for interacting with patients, providers, and insurers. &middot; Strong attention to detail, accuracy, and organizational skills. &middot; Ability to maintain confidentiality and handle sensitive financial and medical information.Key Competencies:&middot; Analytical thinking and problem-solving. &middot; Accuracy and attention to detail. &middot; Time management and multitasking. &middot; Interpersonal skills and professionalism. &middot; Strong English communication skills (C1) for documentation, correspondence, and payer interactions.Timings: 7 PM to 4 AM Working Days: 5 Days a weekBenefits:&middot; Weekly 2 days off &middot; EOBI &middot; Medical Life Insurance (IPD + OPD)At Abacus, we&rsquo;re not just a workplace; we&rsquo;re a community built on core values. As advocates of diversity and inclusion, we proudly stand as an Equal Opportunity Employer, ensuring equitable opportunities for all. We uphold the highest standards of accountability, encouraging every team member to take ownership of their work and contribute to our shared goals. Collaboration is fundamental to our success; we believe in the power of teamwork. We foster a culture of continuous learning, where curiosity is celebrated, and growth is nurtured. Respect and empathy guide our interactions, and we embrace bold ideas and open dialogue, believing that innovation flourishes in an environment of openness.Join us at Abacus, where our values not only define our work but also shape our identity as a community!Job Type: Full-time Work Location: In person (Lahore)Job Type: Full-timePay: Rs100,000.00 - Rs130,000.00 per monthWork Location: In person

Medical Billing Verification Specialist

Healthrix

We are seeking a highly motivated and detail-oriented Accounts Receivable (AR) Specialist (NH) to join our medical billing team. The AR Specialist will be responsible for managing accounts receivable functions, including billing, collections, and resolving outstanding claims. <ul><li>Process and submit medical claims to insurance companies, government agencies, and other third-party payers.</li><li>Communicate with insurance companies, patients, and healthcare providers to resolve billing issues and inquiries.</li><li>Investigate and resolve claim denials, rejections, and discrepancies promptly and work on Appeal Management.</li><li>Collaborate with other departments, such as coding and revenue cycle. management, to streamline billing processes and improve collections efficiency.</li><li>Must know healthcare regulations, insurance policies, and billing procedures.</li><li>Follow up on outstanding accounts receivable balances to ensure timely payment.</li><li>Identify and bill secondary or tertiary insurance.</li></ul>Required Competencies:<ul><li>Nursing Homes plus point.</li><li>Strong written and verbal communication skills.</li><li>Proficiency in Microsoft Office Suite.</li><li>Proficiency in Microsoft Office Suite.</li><li>Excellent organizational skills.</li><li>At least 2 to 3 years of relevant experience.</li></ul>Job Location:<ul><li>Lahore</li><li>Willing to work in night shift </li></ul>Gender:<ul><li>Male / Female</li></ul>Job Type: Full-timePay: From Rs70,000.00 per monthWork Location: In person

AR Specialist (Nursing Homes)

Overview As an RCM Specialist, you will play a pivotal role in the revenue cycle management process, ensuring that our healthcare operations run smoothly and efficiently. You will be responsible for managing medical billing, coding, and collections to optimize revenue flow while maintaining compliance with industry standards. Your expertise in medical terminology and coding systems will be essential in facilitating accurate documentation and processing of medical records.What you&rsquo;ll do<ul><li>Review and analyze patient records to ensure accurate coding using ICD-9, ICD-10, CPT coding, and DRG (Diagnosis-Related Group) methodologies.</li><li>Process medical billing and collections efficiently to maximize revenue recovery.</li><li>Collaborate with healthcare providers to clarify documentation and coding discrepancies.</li><li>Utilize EMR (Electronic Medical Records) and EHR (Electronic Health Records) systems for data entry and retrieval of patient information.</li><li>Maintain up-to-date knowledge of medical terminology, coding guidelines, and billing regulations.</li><li>Conduct audits of medical records to ensure compliance with legal and regulatory requirements.</li><li>Provide support in resolving billing inquiries from patients or insurance companies promptly.</li><li>Assist in training staff on best practices related to medical coding and billing processes.</li></ul>Basic qualifications<ul><li>Proven experience in medical office settings with a focus on RCM processes.</li></ul>Preferred qualifications<ul><li>Proficiency in DRG, CPT coding, ICD-9, ICD-10, and general medical coding practices.</li><li>Familiarity with EMR and EHR systems for effective patient data management.</li><li>Strong understanding of medical terminology and documentation standards.</li><li>Excellent communication skills for effective collaboration with healthcare teams and patients.</li></ul>Why you&rsquo;ll love it here We are dedicated to fostering an environment where our employees can thrive both professionally and personally. Our commitment extends beyond just the workplace; we offer a range of benefits designed to support your overall well-being.Our benefits include:<ul><li>Comprehensive health coverage options that cater to your needs.</li><li>Opportunities for professional development and continuous learning.</li><li>A supportive workplace culture that values teamwork and collaboration.</li><li>Resources aimed at enhancing your physical and mental health. Join us as we strive to enhance the quality of care through effective revenue cycle management! Your contributions as an RCM Specialist will directly impact our mission to provide exceptional healthcare services while ensuring financial sustainability.</li></ul>Job Type: Full-timeWork Location: In person

RCM Specialist

The Garden of Eve

About the roleThe Team Lead in Medical Billing is a leadership position responsible for overseeing and managing a team of medical billers and coders within a healthcare organization. The primary objective of this role is to ensure the accurate and timely submission of medical claims, while adhering to industry regulations and organizational standards. The Team Lead plays a vital role in maintaining the efficiency and effectiveness of the billing process, ensuring compliance with relevant laws, and optimizing the overall revenue cycle managementResponsibilities &amp; Tasks<ul><li>Team Management and Supervision: Lead, mentor, and provide direction to a team of medical billing professionals. This includes conducting regular training, performance evaluations, and offering continuous support to team members to foster skill development and team cohesion.</li><li>Billing Oversight: Ensure that all medical claims are accurately prepared, reviewed, and submitted to insurance companies and payers in accordance with established guidelines and industry standards</li><li>Issue Resolution: Act as the primary point of contact for resolving billing discrepancies, claim denials, rejections, and appeals. Collaborate with insurance companies, patients, and healthcare providers to facilitate timely resolutions.</li><li>Regulatory Compliance: Ensure the team's adherence to all relevant healthcare regulations, including HIPAA, CMS guidelines, and payer-specific requirements, to maintain the integrity and compliance of the billing process.</li><li>Process Improvement: Continuously assess and refine billing procedures to improve efficiency, accuracy, and productivity. Implement best practices to enhance the team&rsquo;s performance and minimize errors or delays in claims processing.</li><li>Reporting and Analysis: Monitor and report on the performance of the team, tracking key metrics such as claim submission accuracy, revenue cycle status, and denial rates. Provide comprehensive reports to management for strategic decision-making.</li><li>Collaboration: Work closely with other departments, including healthcare providers, insurance companies, and patient services, to ensure smooth communication and coordination in the billing process.</li><li>Customer Service: Address billing inquiries from patients and third-party payers, providing clear and accurate information regarding billing procedures, payments, and account status.</li></ul>Position Requirements<ul><li>Education: Bachelor's degree in healthcare administration, business, or a related field (preferred).</li><li>Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification, HIPAA certification.</li><li>Strong knowledge of medical billing and coding procedures, including ICD-10, CPT, and HCPCS codes.</li><li>Experience: 4-6 years of experience as medical biller.</li></ul>Required Skills<ul><li>Leadership</li><li>Time Management</li><li>Revenue Forecasting</li><li>Monitoring and Supervision</li><li>Staff Training &amp; Development</li><li>Problem Solving</li><li>Auditing Proficiency</li><li>Expertise in Medical Billing</li><li>Reporting</li><li>Proficiency in healthcare billing and coding software and EHR systems.</li></ul>Goals / KPIsKPI 1: First Pass Resolution RateKPI 2: Claim Lag TimeKPI 3: Coder ProductivityKPI 4: Clean Claim RateKPI 5: Denial RateKPI 6: Days in Accounts Receivable (A/R)KPI 7: Net Collection Rate.KPI 8: Cost to Collect.KPI 9: Patient Satisfaction Score related to billing.KPI 10: Timeliness of response to patient queries.KPI 11: Resolution rate of patient billing concerns.About 7 Kings Code7 Kings Code has a global presence with our head office in Coral Springs, Florida.We are US based IT Staffing &amp; Software solutions company. We provide excellent customized IT Solutions to fit start-up to enterprise level companies. We support our partners and clients globally in USA, CANADA, EUROPE, INDIA, PAKISTAN &amp; MIDDLE EAST.If you are a motivated and ambitious US Medical Billing professional with a passion for Billing industry, we want to hear from you! Apply now to join our team as an &ldquo;Team Lead US Medical Billing&rdquo;.Share your latest resume / CV to Ibtesam@7kctech.comJob Type: Full-timePay: From Rs100,000.00 per monthWork Location: In person

Team Lead- Medical Billing

One Four Art

Job Title: Medical BillerLocation: Johar Town, Lahore Timings: 6:00 PM &ndash; 2:00 AM (Night Shift) Experience Required: Minimum 5+ YearsJob Overview:We are seeking an experienced and detail-oriented Medical Biller to join our team. The ideal candidate will have at least five years of hands-on experience in medical billing, insurance claims processing, and revenue cycle management. Strong communication skills in both English and Urdu are essential for this role, along with the ability to work efficiently in a fast-paced environment.Key Responsibilities:<ul><li>Manage the complete billing process for medical services, ensuring accuracy and timely submission.</li><li>Handle insurance claims, including verification, submission, and follow-ups for approvals and reimbursements.</li><li>Review and correct claim errors to prevent denials or delays.</li><li>Communicate with insurance companies, patients, and internal teams regarding billing inquiries.</li><li>Maintain detailed documentation and patient billing records.</li><li>Ensure compliance with industry regulations, coding standards, and company policies.</li><li>Monitor unpaid claims and initiate timely follow-ups to maximize revenue collection.</li><li>Collaborate with the accounts and operations teams to improve overall billing efficiency.</li></ul>Requirements:<ul><li>Minimum 5 years of proven experience in medical billing or healthcare revenue cycle management.</li><li>Strong understanding of ICD, CPT, and HCPCS coding, claim forms, and insurance guidelines.</li><li>Excellent communication skills in English and Urdu (both written and verbal).</li><li>Strong analytical and problem-solving abilities.</li><li>Ability to work the night shift (6 PM to 2 AM).</li><li>Proficiency with medical billing software, EMR systems, and MS Office.</li><li>High attention to detail, accuracy, and confidentiality.</li><li>Ability to work independently as well as part of a team.</li></ul>What We Offer:<ul><li>Competitive salary (based on experience)</li><li>Professional and supportive work environment</li><li>Opportunities for growth within the company</li></ul>Job Type: Full-timePay: From Rs100,000.00 per monthApplication Question(s):<ul><li>What is your salary expectation?</li><li>What is your notice period?</li></ul>Experience:<ul><li>Medical Billing: 5 years (Preferred)</li></ul>Work Location: In person

Medical Biller

E-Med Services

About the RoleWe are offering an exciting internship opportunity for freshers and students who are eager to build a career in Medical Billing. As a Billing Executive Intern, you will receive hands-on training and practical exposure to U.S. medical billing processes.What You&rsquo;ll Learn<ul><li>Basics of U.S. medical billing</li><li>Insurance claim submission &amp; follow-up</li><li>Payment posting &amp; denial management</li><li>Use of billing software and tools</li><li>Documentation &amp; compliance standards</li></ul>Who Can Apply<ul><li>Fresh/Under graduates (Students can also apply)</li><li>Students looking for industry experience</li><li>Individuals wanting to learn medical billing</li><li>Candidates with good communication and analytical skills</li></ul>Requirements<ul><li>Basic computer knowledge</li><li>Good English communication</li><li>Eagerness to learn</li><li>No prior experience required</li></ul>Working Hours: 10:00 AM &ndash; 6:00 PM Work Days: Monday to Friday Employment Type: Internship (For freshers, interns, or students)Job Types: Internship, FresherPay: Rs25,000.00 per monthWork Location: In person

Internship Opportunity: Medical Billing Intern – Freshers

Circle5

Job Description:We are looking to hire a skilled and detail-oriented Medical Billing Executive to manage end-to-end billing processes for healthcare providers. The ideal candidate must have hands-on experience with medical billing workflows and strong understanding of insurance claim submissions.Key Responsibilities:<ul><li>Prepare, review, and submit medical claims to insurance companies</li><li>Perform AR follow-up and resolve outstanding claims</li><li>Manage denial handling and re-submissions</li><li>Verify insurance eligibility and patient demographics</li><li>Maintain accurate documentation and ensure timely filing</li><li>Coordinate with team members to ensure efficient billing operations</li><li>Use billing software (e.g., Kareo/Tebra, Office Ally, Athena, eClinicalWorks, etc.)</li></ul>Requirements:<ul><li>Minimum 1 year of experience in medical billing</li><li>Strong understanding of CPT, ICD-10, and insurance claim procedures</li><li>Good written &amp; verbal communication in English</li><li>Ability to work independently and meet deadlines</li><li>Excellent attention to detail</li></ul>What We Offer:<ul><li>Work with a supportive and experienced medical billing team.</li><li>Exposure to multiple specialties and healthcare systems.</li><li>Opportunities for professional growth and long-term career advancement.</li><li>Make a real impact in improving patient satisfaction and provider operations.</li><li>Competitive salary and performance-based incentives.</li><li>Annual/Sick/Casual Leaves</li><li>Access to training and certification materials.</li><li>Paid Holiday on U.S. Federal Holidays</li><li>Monthly &ldquo;Employee of the Month&rdquo; recognition certificate and reward.</li><li>Token gifts, digital certificates/additional day-off upon work anniversary.</li><li>Flexible Scheduling: (if approved by management)</li></ul>Job Type: Full-timePay: Rs50,000.00 - Rs70,000.00 per monthWork Location: In person

Medical Billing Executive

Explore 361+ Medical billing specialist in Lahore this December. Find roles across top companies and apply now to boost your career.