credentialing specialist

sales analyst specialist

accounts receivable specialist Jobs in Lahore

accounts receivable specialist

accounts receivable specialist (rcm) Jobs in Lahore

accounts receivable specialist (rcm)

ar executive for medical billing company Jobs in Lahore

ar executive for medical billing company

medical billing specialist

Progressive Resource

Job Title: Business Development Specialist&ndash; Medical Billing Location: Gulberg, Jail Road, Lahore Job Type: Full-Time Shift: Monday to Friday, 5:00 PM &ndash; 2:00 AM Salary: CompetitiveJob Description:We are looking for a highly motivated and experienced Business Development Executive to join our growing sales team. The ideal candidate will have a strong background in business development within the medical billing sector, with the ability to drive sales, manage client relationships, and lead a team to achieve ambitious targets.Key Responsibilities:<ul><li>Drive new client acquisition and expand business within the medical billing industry.</li><li>Develop and implement effective sales strategies to meet or exceed revenue targets.</li><li>Manage, mentor, and guide a small team to maximize performance and efficiency.</li><li>Track sales metrics, prepare reports, and provide actionable insights to management.</li><li>Collaborate with internal teams to ensure smooth onboarding and post-sales support.</li></ul>Requirements:<ul><li>2&ndash;4 years of experience in business development within medical billing.</li><li>Proven ability to handle sales independently while managing a team.</li><li>Strong communication, negotiation, and relationship-building skills.</li><li>Self-motivated, target-driven, and able to work in a fast-paced environment.</li><li>Comfortable with night shift timings (6:00 PM &ndash; 3:00 AM).</li></ul>Benefits:<ul><li>Free company meal</li><li>Medical insurance</li><li>Fuel card</li><li>Paid leaves + encashment</li><li>US holidays + your weekend is actually a weekend</li><li>No rotational shifts &mdash; just stability</li><li>Uncapped earnings on commission</li></ul>Job Type: Full-timeApplication Question(s):<ul><li>How many years have you been working in Medical Billing?</li></ul>Experience:<ul><li>Business Development in Medical Billing: 2 years (Required)</li></ul>Work Location: In person

Business Development Specialist – Medical Billing

EdSavvy Solutions

Job Title: Accounts Receivable Specialist &amp; Medical Billing SpecialistCompany: Edsavvy Solutions Location: Lahore (Near UCP) Shift Timing: 5:00 PM &ndash; 2:00 AMJob Type: Full-timeAbout Us: Edsavvy Solutions is a growing medical billing company based in Lahore, providing services to clients in the United States. We are currently expanding our team and looking for motivated and skilled professionals to join us.Open Positions:<ul><li>Accounts Receivable Specialist</li><li>Medical Billing Specialist</li></ul>Key Requirements:<ul><li>6 months to 2 years of relevant experience in medical billing or accounts receivable</li><li>Good communication skills (ability to communicate effectively with international clients)</li><li>Willingness to work in the night shift (5:00 PM &ndash; 2:00 AM)</li></ul>What We Offer:<ul><li>Professional work environment</li><li>Growth and learning opportunities</li><li>Exposure to international clients</li></ul>How to Apply: Interested candidates are encouraged to send their resumes to: Email: hr@edsavvysolutions.comPay: Rs50,000.00 - Rs100,000.00 per hourWork Location: In person

Accounts Receivable Specialist

ob Title: Accounts Receivable Specialist &amp; Medical Billing SpecialistCompany: Edsavvy Solutions Location: Lahore (Near UCP) Shift Timing: 5:00 PM &ndash; 2:00 AMJob Type: Full-timeAbout Us: Edsavvy Solutions is a growing medical billing company based in Lahore, providing services to clients in the United States. We are currently expanding our team and looking for motivated and skilled professionals to join us.Open Positions:<ul><li>Accounts Receivable Specialist</li><li>Medical Billing Specialist</li></ul>Key Requirements:<ul><li>6 months to 2 years of relevant experience in medical billing or accounts receivable</li><li>Good communication skills (ability to communicate effectively with international clients)</li><li>Willingness to work in the night shift (5:00 PM &ndash; 2:00 AM)</li></ul>What We Offer:<ul><li>Professional work environment</li><li>Growth and learning opportunities</li><li>Exposure to international clients</li></ul>How to Apply: Interested candidates are encouraged to send their resumes to: Email: hr@edsavvysolutions.comPay: Rs50,000.00 - Rs100,000.00 per hourExpected hours: 40.0 per weekWork Location: In person

Accounts Receivable Specialist (RCM)

Top Line Resource Group (TLRG)

Location: DHA Phase 8, Lahore [Onsite]Employment Type: Full-timeWork Timing: 05 PM &ndash; 02 AM Pakistan Time (US Business Hours)Job OverviewTopline Resource Group (TLRG) is seeking a dedicated Eligibility &amp; Authorization Specialist to manage the critical front-end operations for our US-based healthcare clients. This role is focused entirely on securing the financial foundation of the practice by ensuring every patient has active coverage and every procedure has the required clinical approval before services are rendered.Key Responsibilities<ul><li>Verify patients' insurance coverage and eligibility in real-time to ensure policies are active and services are covered on the specific Date of Service (DOS).</li><li>Obtain pre-authorizations from insurance companies for medical procedures and treatments.</li><li>Communicate directly with patients regarding their insurance status, coverage specifics, and any required actions or out-of-pocket responsibilities.</li><li>Maintain accurate and meticulous records of insurance verifications and authorizations, including representative names and unique reference numbers for audit trails.</li><li>Collaborate with healthcare providers to ensure all necessary clinical information, physician notes, and CPT/ICD-10 codes are obtained for successful pre-authorizations.</li><li>Monitor and follow up on pending authorizations daily to ensure timely processing and stay within the 7&ndash;10 day payer response window.</li><li>Analyze insurance benefits to identify exact copays, unmet deductibles, and co-insurance percentages to ensure accurate front-end collections.</li><li>Identify if the provider is in-network or out-of-network and determine if specific plan tiers (HMO/EPO) require a PCP referral before the visit.</li><li>Stay up to date with insurance policies, CMS regulations, and HIPAA guidelines to ensure 100% compliance across all US healthcare accounts.</li><li>Track and manage KPIs, including the clean claim rate and authorization turnaround time, to reduce AR aging and increase collection rates.</li></ul>Required Qualifications<ul><li>3+ years of experience in US Medical Billing, specifically focused on Front-End operations (Eligibility and Authorizations).</li><li>Expert-level familiarity with CPT, ICD-10, and HCPCS codes and their specific relationship to authorization requirements.</li><li>Deep understanding of US insurance plans, including Medicare, Medicaid, HMO, PPO, and Commercial plans.</li><li>Hands-on experience with EHR/EMR systems, Practice Management software, and major US payer portals (Availity, Navinet, etc.).</li><li>Excellent verbal and written English communication skills for professional interaction with US insurance companies and clinical teams.</li><li>Strong analytical ability to interpret Verification of Benefits (VOB) reports and payer medical necessity criteria to resolve issues before service delivery.</li></ul>Pay: Rs100,000.00 - Rs125,000.00 per monthExperience:<ul><li>eligibility &amp; authorization: 2 years (Required)</li></ul>Work Location: In person

Eligibility & Authorization Specialist

HRMD Solutions

Job DescriptionThe Patient Support Specialist will be responsible for calculating, communicating, and documenting medical costs and copayments prior to appointments.NOTE: Any CV with no related experince will be rejected immediately.Key Responsibilities:<ul><li>Work as a bridge between providers, patients and insurances.</li><li>Outbound calls to patients</li><li>Calculate procedure cost</li><li>Explain patients their financial responsibility in each case</li><li>Calculate and explain deductible, copay and others costs not covered by the insurance</li></ul>Requirements:<ul><li>Experience related to Verification, prior authorization, medical billing and/ or customer service is a MUST</li><li>Detailed Oriented</li><li>Strong understanding of medical billing</li><li>Advanced math understanding</li><li>Excellent written and verbal communication skills</li><li>Ability to work in a fast-paced, team-oriented environment.</li><li>Financial diploma is a plus</li></ul>Job Type: Full-timePay: Rs85,000.00 - Rs100,000.00 per monthNIGHT SHIFT: 6 pm - 3 amJob Type: Full-timePay: Rs85,000.00 - Rs100,000.00 per monthApplication Question(s):<ul><li>Do you live in lahore?</li><li>Are you able to work night shifts?</li></ul>Work Location: In person

Patient Support Specialist

Diglip

We are seeking a highly experienced Laboratory Billing Specialist / RCM Manager to oversee and optimize all aspects of our diagnostic laboratory billing operations. This role will act as the internal billing authority, working closely with our third-party billing company to ensure clean claim submission, minimize denials, and maximize reimbursement.The ideal candidate must have deep expertise in clinical laboratory billing, coding, payer guidelines, and denial management, and should be capable of identifying gaps, resolving issues, and implementing process improvements.Key Responsibilities<ul><li>Oversee and audit the performance of the external billing company</li><li>Review and ensure clean claim submission (first-pass resolution)</li><li>Analyze and resolve denials (CO-45, CO-97, CO-16, PR-96, etc.)</li><li>Identify root causes of denials and implement corrective workflows</li><li>Monitor AR (Accounts Receivable) and aging reports</li><li>Ensure proper usage of CPT codes, ICD-10 codes, modifiers (e.g., 59, 91, 25)</li><li>Validate medical necessity compliance (LCD/NCD guidelines)</li><li>Manage payer-specific requirements (Medicare, Medicaid, BCBS, Aetna, UHC, etc.)</li><li>Work on eligibility verification and benefits investigation</li><li>Review EOBs/ERAs and payment posting accuracy</li><li>Ensure proper credentialing and enrollment (NPI, CLIA, PECOS, CAQH)</li><li>Maintain compliance with HIPAA and CMS billing regulations</li><li>Coordinate with lab operations for proper test coding &amp; panel setup</li><li>Optimize workflows for high-volume tests (CBC, CMP, Ferritin, Toxicology, etc.)</li><li>Track rejection trends and clearinghouse errors</li><li>Generate weekly/monthly billing performance reports</li><li>Implement strategies to reduce write-offs and maximize collections</li></ul>Required Skills &amp; ExpertiseCore Billing Knowledge<ul><li>Strong understanding of Laboratory Billing (Clinical &amp; Toxicology preferred)</li><li>Expertise in:</li><li>CPT / HCPCS coding</li><li>ICD-10 diagnosis coding</li><li>Modifiers usage</li><li>Medical necessity rules</li><li>Hands-on experience with:</li><li>Denial Management &amp; Appeals</li><li>AR Follow-ups</li><li>Insurance Verification</li><li>Charge Entry &amp; Payment Posting</li></ul>Technical &amp; System Skills<ul><li>Experience with LIS (Laboratory Information Systems) and billing software</li><li>Familiarity with Clearinghouses (Office Ally, Change Healthcare, etc.)</li><li>Knowledge of EDI transactions (837, 835, 270/271)</li><li>Ability to audit data between LIS and Billing Systems</li><li>Strong Excel / Google Sheets skills for reporting &amp; analytics</li></ul>Payer &amp; Compliance Knowledge<ul><li>Experience handling:</li><li>Medicare / Medicaid billing</li><li>Commercial insurance (BCBS, Aetna, UHC, Cigna, etc.)</li><li>Understanding of:</li><li>LCD/NCD policies</li><li>Frequency limitations</li><li>Bundling &amp; unbundling rules</li><li>Familiarity with CLIA regulations for lab billing</li></ul>Credentialing &amp; Enrollment<ul><li>Experience with:</li><li>Provider Enrollment (PECOS, CAQH)</li><li>NPI registration and maintenance</li><li>CLIA certification handling</li><li>Ability to ensure lab is properly enrolled with all payers</li></ul>Preferred Qualifications<ul><li>Experience working with high-complexity labs or toxicology labs</li><li>Prior experience managing or auditing outsourced billing teams</li><li>Knowledge of HL7 integrations and lab-machine workflows</li><li>Certification such as:</li><li>CPB (Certified Professional Biller)</li><li>CPMA / CPC (AAPC)</li></ul>Key Performance Indicators (KPIs)<ul><li>Reduction in denial rate (%)</li><li>Increase in clean claim rate</li><li>Improvement in AR days</li><li>Recovery of underpaid / denied claims</li><li>Accuracy in coding and billing compliance</li></ul>Note: Candidates without hands-on lab billing experience will not be considered.Job Type: Full-timePay: Rs150,000.00 - Rs200,000.00 per monthApplication Question(s):<ul><li>How many years of US laboratory billing experience do you have?</li><li>Have you worked with denial codes like CO-45, CO-97, CO-16, PR-96?</li><li>Are you comfortable working onsite and night shifts (US hours)?</li></ul>Work Location: In person

Laboratory Billing Specialist / Revenue Cycle Manager (RCM)

Physicians Revenue Group

Job SummaryWe are looking for an AR Specialist to manage accounts receivable activities, including claim follow-ups, payment posting review, and issue resolution, to ensure timely collections and maximum reimbursement. The candidate should have working knowledge of US medical billing and AR processes.Key Responsibilities<ul><li>Perform AR follow-ups on unpaid and underpaid insurance claims.</li><li>Review claim status, EOBs, and ERAs to identify payment issues.</li><li>Work on basic denials, rejections, and corrected claims as required.</li><li>Communicate with insurance companies via calls and payer portals.</li><li>Update claim status and maintain accurate AR records.</li><li>Ensure compliance with HIPAA and payer guidelines.</li><li>Meet assigned productivity and turnaround time targets.</li></ul>Required Skills &amp; Experience<ul><li>6 months or more experience in AR / US Medical Billing.</li><li>Basic knowledge of CPT, ICD-10, and HCPCS codes.</li><li>Experience handling EOBs, ERAs, and AR aging reports.</li><li>Familiarity with Medicare, Medicaid, and Commercial payers.</li><li>Good communication and follow-up skills.</li><li>Willingness to work in night shift (US time zone).</li></ul>Job Type: Full-timeAbility to commute/relocate:<ul><li>Lahore Johar Town: Reliably commute or planning to relocate before starting work (Preferred)</li></ul>Education:<ul><li>Middle School (Preferred)</li></ul>Experience:<ul><li>2year: 1 year (Preferred)</li></ul>Work Location: In person

AR Representative - Medical Billing

Explore 242+ Medical billing specialist in Lahore this April. Find roles across top companies and apply now to boost your career.