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medical billing specialist

Prima Systems

Digital Prima Systems is a reputable healthcare technology company specializing in providing innovative solutions for medical billing and revenue cycle management. We are committed to assisting healthcare providers in optimizing their financial operations and ensuring timely reimbursement for services rendered.Responsibilities:<ul><li>Insurance Claims Processing:</li><li>Review and prepare accurate insurance claims for submission to various payers.</li><li>Verify patient insurance coverage, benefits, and eligibility.</li><li>Ensure proper coding (CPT, ICD-10, HCPCS) and documentation for claims accuracy.</li><li>Submit claims electronically or by paper according to payer requirements.</li><li>Payment Posting and Reconciliation:</li><li>Post payments received from insurance companies and patients into the billing system.</li><li>Reconcile payments against billed amounts to identify discrepancies.</li><li>Investigate and resolve any discrepancies in payments, adjustments, or denials.</li><li>Accounts Receivable Management:</li><li>Monitor and follow up on unpaid or denied claims to ensure timely resolution.</li><li>Contact insurance companies to inquire about claim status and facilitate payment.</li><li>Review aging reports regularly to prioritize and address delinquent accounts.</li><li>Initiate appeals for denied or underpaid claims and track the appeal process.</li><li>Patient Billing and Communication:</li><li>Generate patient statements and invoices for outstanding balances.</li><li>Work with patients to establish payment plans or arrangements.</li><li>Provide clear and compassionate communication regarding billing inquiries or issues.</li><li>Documentation and Reporting:</li><li>Maintain accurate and organized records of all billing and collection activities.</li><li>Generate reports on accounts receivable status, aging trends, and collection efforts.</li><li>Prepare regular updates and summaries for management review.</li><li>Compliance and Regulations:</li><li>Ensure compliance with HIPAA regulations and other billing guidelines.</li><li>Stay informed about changes in billing regulations and payer policies.</li><li>Implement best practices to maximize reimbursement and minimize compliance risks.</li></ul>Requirements:<ul><li>Proven experience as an Accounts Receivable Specialist in medical billing or a related field.</li><li>In-depth knowledge of medical terminology, billing codes (CPT, ICD-10, HCPCS), and insurance claims processes.</li><li>Proficiency in using medical billing software and electronic health record (EHR) systems.</li><li>Strong understanding of insurance policies, reimbursement methodologies, and billing guidelines.</li><li>Excellent analytical skills to identify and resolve billing discrepancies efficiently.</li><li>Effective communication skills to interact professionally with insurance companies, patients, and internal teams.</li><li>Detail-oriented with a high level of accuracy in data entry and financial calculations.</li></ul>Please share your resume 0325-7666161Job Type: Full-timePay: Rs80,000.00 - Rs95,000.00 per monthExperience:<ul><li>Account Receivable: 1 year (Preferred)</li></ul>Language:<ul><li>English (Preferred)</li></ul>Work Location: In person

AR Executive - Medical Billing

Nobox Idea

The Medicators is a leading healthcare solutions provider specializing in medical billing and practice management. We are committed to delivering accurate, efficient, and high-quality services to our clients across various healthcare platforms.Position Overview: We are seeking a detail-oriented and proactive Quality Assurance (QA) to join our dynamic team. The ideal candidate will be responsible for ensuring the accuracy and quality of reports generated across multiple medical billing software platforms.Key Responsibilities:<ul><li>Review, validate, and ensure the accuracy of reports in multiple medical billing systems.</li><li>Conduct audits to identify discrepancies and maintain data integrity.</li><li>Collaborate with team members to resolve quality-related issues.</li><li>Document findings and provide feedback for process improvement.</li><li>Ensure compliance with company standards and client requirements.</li></ul>Software Expertise (Preferred):<ul><li>EclinicalWorks</li><li>Office Ally</li><li>Athena</li><li>ICANotes</li><li>ModMed</li><li>nAbleMD</li><li>WRS</li><li>Enable Healthcare</li><li>Tebra</li><li>Epic</li></ul>Requirements:<ul><li>Prior experience in quality assurance within healthcare/medical billing.</li><li>Strong analytical, problem-solving, and attention-to-detail skills.</li><li>Excellent communication and teamwork abilities.</li><li>Ability to manage multiple tasks and meet deadlines.</li></ul>What We Offer:<ul><li>Competitive salary package.</li><li>Professional growth and career development opportunities.</li><li>Supportive and collaborative work environment.</li><li>Exposure to multiple healthcare systems and technologies.</li></ul>Job Type: Full-timeWork Location: In person

Quality Assurance Specialist – Medical Billing

One Machine Software

We are looking for a detail-oriented Medical Coder with experience in getting approvals. The ideal candidate will be responsible for accurately coding patient diagnoses, treatments, and procedures to support proper insurance billing and compliance. This is a full-time, on-site role based in Gulberg 3, Lahore, requiring availability for night shifts. Candidates without relevant experience will not be considered.Key Responsibilities:Required Qualifications:Additional Information: This is a full-time position offering a monthly salary between Rs55,000 and Rs80,000. The role is based on-site in Gulberg 3, Lahore, and requires candidates to be available for evening shifts. Applicants must reside in Lahore to be eligible for consideration.Candidates who meet the outlined qualifications and are comfortable working evening hours are encouraged to apply.<ul><li>Review clinical documentation to ensure correct coding for insurance and billing purposes.</li><li>Maintain compliance with healthcare regulations and coding standards.</li><li>Work closely with healthcare providers to clarify any coding-related information when needed.</li><li>Certification as a CPC (Certified Professional Coder), CCS (Certified Coding Specialist), or an equivalent credential.</li><li>Strong understanding of medical terminology, anatomy, and disease processes.</li><li>Proven experience in medical coding, preferably within a hospital or clinical setting.</li><li>Exceptional attention to detail and strong organizational skills.</li></ul>Job Type: Full-timePay: Rs55,000.00 - Rs80,000.00 per monthWork Location: In person

Medical Billing Associate / Verification Specialist

Amanah Mall

Role OverviewWe are seeking a highly detail-oriented and analytical Billing &amp; Invoicing Specialist to join our team. The successful candidate will work with invoices and CSV files received from major couriers such as DPD UK, UPS, and DPD Europe, ensuring accuracy in billing, client reconciliation, and margin application.Key Responsibilities<ul><li>Review and break down courier invoices (DPD UK, UPS, DPD Europe).</li></ul><ul><li>Match invoice data against CSV files, manifests, and client reference numbers.</li></ul><ul><li>Allocate charges to the correct client account.</li></ul><ul><li>Apply company margin to the reconciled costs.</li></ul><ul><li>Prepare and issue client invoices based on breakdowns.</li></ul><ul><li>Maintain accurate records of spending per client and margins earned.</li></ul><ul><li>Provide reporting to management on costs and profitability per client.</li></ul>Requirements<ul><li>Strong analytical and numerical skills.</li></ul><ul><li>Proficiency in Excel / Google Sheets (formulas, lookups, pivot tables).</li></ul><ul><li>Previous experience with logistics invoices, freight forwarding, or courier billing is an advantage.</li></ul><ul><li>Ability to work independently with accuracy and attention to detail.</li></ul><ul><li>Strong English communication skills (written &amp; spoken).</li></ul>Benefits<ul><li>Competitive salary (to be discussed based on experience).</li></ul><ul><li>Opportunity to work with a UK-based logistics company.</li></ul><ul><li>Career growth in an expanding international business.</li></ul><ul><li>Supportive team environment.</li></ul>Job Type: Full-timeWork Location: In person

Billing & Invoicing Specialist

Jawa Health Care

The AR Executive will be responsible for managing the accounts receivable process within the medical billing revenue cycle. This includes analyzing claims, following up with insurance companies and patients, resolving denials, and ensuring timely payment of medical claims to maximize collections and minimize aging.Key Responsibilities:<ul><li>Follow up on outstanding insurance claims via phone calls and web portals.</li><li>Analyze denied, unpaid, or underpaid claims and take corrective actions.</li><li>Perform timely follow-up with insurance carriers and healthcare providers.</li><li>Work on insurance aging reports and reduce Days in Accounts Receivable (AR).</li><li>Handle appeals and re-submissions of claims with supporting documentation.</li><li>Ensure accurate and timely posting of payments and adjustments.</li><li>Collaborate with the billing team to identify and resolve billing issues.</li><li>Maintain thorough documentation of all interactions and updates in the system.</li><li>Meet or exceed daily/weekly/monthly productivity and quality targets.</li></ul>Requirements:<ul><li>1&ndash;3 years of experience in AR follow-up/medical billing (US Healthcare domain).</li><li>Good understanding of the US healthcare RCM process and insurance guidelines.</li><li>Experience with commercial and government payers (Medicare, Medicaid, etc.).</li><li>Strong knowledge of CPT, ICD-10, and HCPCS codes is a plus.</li><li>Familiarity with EOBs (Explanation of Benefits), ERAs, and denial codes.</li><li>Proficiency with medical billing software (e.g., Kareo, AdvancedMD, Athena, eClinicalWorks, etc.).</li><li>Excellent communication skills &ndash; both verbal and written.</li><li>Strong analytical, organizational, and problem-solving skills.</li><li>Ability to work independently and as part of a team.</li></ul>Preferred Qualifications:<ul><li>Bachelor&rsquo;s degree or equivalent in any field.</li><li>Certification in Medical Billing/Coding or RCM is a plus.</li></ul>Key Performance Indicators (KPIs):<ul><li>AR aging &gt; 90 days reduction</li><li>Claim resolution rate</li><li>Denial rate and recovery</li><li>Collection percentage</li><li>Daily call volume and documentation accuracy</li></ul>Location: Lahore (On-site)Schedule: 6:00 PM - 3:00 AM (Monday to Friday)Category: Medical Billing &amp; Health Care ServicePerks &amp; Benefits&middot; Market Competitive Salary&middot; Attractive Commission Structure&middot; Fuel Allowance&middot; Employment Confirmation After Probation&middot; And more perks and benefitsJoin our team and grow with a company that's reshaping the future of medical billing services.Job Type: Full-timeJob Type: Full-timePay: Rs60,000.00 - Rs100,000.00 per monthWork Location: In person

Senior AR Executive Experienced in All Script Software

Ali Enterprise

We are looking for a highly skilled and responsible Team Lead &ndash; U.S. Medical Billing, Insurance Authorization &amp; Office Operations with proven experience working with U.S. medical offices. The ideal candidate will have in-depth expertise in medical billing, insurance verification, and authorization processes (including Personal Injury Protection &ndash; PIP), along with knowledge of Letter of Medical Necessity (LOMN) procedures and pharmacokinetic analysis. This individual must demonstrate strong leadership capabilities to manage and supervise an entire office while ensuring compliance, efficiency, and high-quality performance.Key Responsibilities:<ul><li>Team Leadership &amp; Office Supervision</li><li>Lead and manage the medical billing and call center teams, ensuring smooth day-to-day operations.</li><li>Supervise staff performance, assign tasks, provide training, and maintain accountability.</li><li>Foster a professional, results-driven work culture with focus on accuracy and compliance.</li><li>Medical Billing &amp; Revenue Cycle Management (RCM)</li><li>Oversee the full billing cycle: charge entry, claim submission, payment posting, denial management, and collections.</li><li>Ensure proper use of CPT, ICD, and HCPCS coding in compliance with U.S. healthcare standards and HIPAA regulations.</li><li>Monitor Accounts Receivable (A/R) and implement strategies to reduce denials and improve collections.</li><li>Insurance Authorization &amp; Verification</li><li>Conduct insurance verification and eligibility checks for patients across multiple payers.</li><li>Handle pre-authorizations, prior authorizations, and Personal Injury Protection (PIP) insurance cases.</li><li>Coordinate with insurance carriers to secure approvals and resolve claim-related issues.</li><li>Specialized Medical Support</li><li>Manage Letter of Medical Necessity (LOMN) preparation and submission for treatments and prescriptions.</li><li>Support providers and patients with pharmacokinetic analysis processes and documentation.</li><li>Call Center &amp; Patient Interaction</li><li>Oversee inbound/outbound calls regarding billing, insurance, and patient queries.</li><li>Ensure excellent communication, patient support, and issue resolution.</li><li>Track and improve call center KPIs such as FCR, AHT, and customer satisfaction.</li><li>System &amp; Portal Management</li><li>Utilize and oversee work on leading medical portals/software such as AdvancedMD, Availity, Epic, and others.</li><li>Maintain accurate records, reports, and dashboards for management review.</li><li>Reporting &amp; Compliance</li><li>Generate regular performance reports on billing, denials, collections, and team productivity.</li><li>Ensure strict compliance with HIPAA, payer policies, and U.S. healthcare regulations.</li></ul>Requirements:<ul><li>Bachelor&rsquo;s degree in Healthcare Administration, Business, or a related field (preferred).</li><li>Minimum 4&ndash;6 years of experience in U.S. medical billing, insurance authorization/verification, and office operations.</li><li>Proven expertise in Personal Injury Protection (PIP) cases, LOMN preparation, and pharmacokinetic analysis.</li><li>Hands-on experience with billing portals such as AdvancedMD, Availity, Epic (must).</li><li>Strong leadership skills with prior experience managing teams or supervising office operations.</li><li>Excellent English communication skills (written &amp; verbal).</li><li>Responsible, dedicated, and able to work under pressure with minimal supervision.</li></ul>Job Type: Full-timePay: Rs200,000.00 - Rs250,000.00 per monthWork Location: In person

Team Lead – Medical Billing & Call Center Operations

Prima Ssytems

Job Description <ul><li>Knowledge and understanding of USA health insurance guidelines especially Medicare and state Medicaid</li><li>To work on the Account Receivables, Denial Management, Appeal Management.</li><li>Follow up on unpaid claims within standard billing cycle timeframe</li><li>Check each insurance payment for accuracy and compliance with contract discount</li><li>Review patient bills for accuracy and completeness and obtain any missing information</li><li>Call insurance companies regarding any discrepancy in payments if necessary</li><li>Identify and bill secondary or tertiary insurances</li><li>All accounts are to be reviewed for insurance or patient follow-up</li><li>To communicate effectively with Team and Clients.</li><li>To maintain the protocols and documentation of each performed task.</li><li>Any other task as assigned by the management.</li></ul>Requirement: <ul><li>Proficient in English speaking Excellent communication skills</li><li>Experienced of AR/Billing 2 Year or above</li><li>Able to work from 5 PM-2AM (5-Days in a week)</li></ul>Skills Commercial Insurance, Medical Billing, Processing, Medical Information SystemsJob Type: Full-timePay: Rs80,000.00 - Rs95,000.00 per monthEducation:<ul><li>Bachelor's (Required)</li></ul>Experience:<ul><li>Medical Billing AR: 2 years (Required)</li></ul>Language:<ul><li>English Fluently (Required)</li></ul>Work Location: In person

Medical Billing AR Executive (Lahore)

Explore 344+ Medical billing specialist in Lahore this September. Find roles across top companies and apply now to boost your career.