authorization specialist in medical billing

business development & sales support specialist

business development manager (bdm) – billing field

experienced usa / uk syllabus teacher (english / bio / chemistry)

amazon brand specialist Jobs in Rawalpindi

amazon brand specialist

amazon fba specialist

authorization specialist in medical billing Jobs in Rawalpindi

business development & sales support specialist Jobs in Rawalpindi

business development manager (bdm) – billing field Jobs in Rawalpindi

medical billing specialist

Meds IT Nexus

Meds Nexus is a US-based Medical Billing Revenue Cycle Management Company. We are looking for enthusiastic and experienced Senior A/R Specialist / Medical Billing Professionals with experience in working with US-based Medical Billing Companies. Prospect should have experience in Billing, AR, Denial Management, Appeals, Good Excel, and reporting skills.Candidates should meet the following criteria to qualify for the job:Review patients&rsquo; Claims for accuracy and completeness and obtain any missing informationKnowledge of insurance guidelines, especially Medicare and state MedicaidFollow-up on unpaid claims within the standard billing cycle timeframeCheck each insurance payment is for accuracy and in compliance with the contract discountCall insurance companies regarding any discrepancy in payments if necessaryIdentify and bill secondary or tertiary insurance counts that are to be reviewed for insurance or patient follow-upAnswer patient or insurance telephone inquiries about assigned accounts.To Communicate Effectively with Team Lead and Manager.To perform the Account Receivables, Denial Management, and Appeal Management.To maintain the protocols and documentation of each performed task.Any other task as assigned by the management.Strong verbal communication skills (English) will be a plus.Job Specification:Excellent working knowledge of EHRs &amp; Medical Billing Software like OfficeAlly, AdvancedMD, eCW Kareo, Practice Fusion, MS Office, Web Fax (Metro Fax), Encoder Pro, Payer Portals, and other related tools and software.Good knowledge of Medical Billing and CodingDenial management and AppealAuthorizationsResearch and Management ReportingStrong verbal (English) and written communication (Good Typing speed).Meds It Nexus provides a great career path and our employees are compensated with competitive compensation commensurate with their experience, please let us know if you are in the market to work as a Medical Billing /Senior A/R Specialist. We prefer prospects seeking full-time employment.Job Rewards and Benefits:- Paid Leaves- HR Bonus- Loan Policy- Advance Salary- Yearly Loyalty Rewards- Leave Encashment- Inflation Bonus- Promotion- Increments- Medical (TBD)- Employee Equity Funds Program (EEFP)- Saturday and Sunday Off- Complementary Food (Dinner) &amp; Tea/Green Tea (Two times)Send your resume to: careers@medsnexus.comContact Information:- Phone: 051 889-2889Job Type: Full-timeJob Type: Full-timeWork Location: In person

Senior AR Specialist - Medical Billing

PMTAC Pvt Ltd

Job Title: SNF Medicare Billing Specialist &ndash; PDPM (Skilled Nursing Facility)Location: Rawalpindi, Pakistan (Onsite) Company: PMTAC Pvt. Ltd. Shift: Night Shift (US Healthcare)Position OverviewPMTAC is seeking an experienced SNF Medicare Billing Specialist with strong knowledge of the Patient-Driven Payment Model (PDPM) and Skilled Nursing Facility (SNF) Medicare Part A billing requirements. The ideal candidate will have hands-on experience with MDS-driven reimbursement, HIPPS coding, and UB-04 claim submission.This role requires a strong understanding of Centers for Medicare &amp; Medicaid Services (CMS) billing guidelines and compliance regulations.Key Responsibilities1. Medicare Eligibility Verification<ul><li>Verify Medicare Part A coverage for SNF residents.</li><li>Confirm qualifying 3-day hospital stay and benefit period.</li><li>Review secondary insurance coverage (Medicaid, Medicare Advantage, commercial payers).</li></ul>2. MDS &amp; PDPM Coordination<ul><li>Review and ensure accurate completion of Minimum Data Set (MDS) assessments.</li><li>Validate:</li><li>Clinical conditions</li><li>Functional status</li><li>Comorbidities</li><li>Confirm HIPPS code generation from MDS.</li><li>Ensure documentation supports PDPM classification.</li><li>Understand and apply the guidelines of the Patient-Driven Payment Model.</li></ul>3. UB-04 (CMS-1450) Claim Preparation<ul><li>Prepare and submit facility claims using the UB-04 (CMS-1450) form.</li><li>Accurately complete required fields including:</li><li>Type of Bill (21X)</li><li>Statement Covers Period</li><li>Revenue Codes (0022&ndash;0029 for PDPM)</li><li>HIPPS Code</li><li>Units (covered days)</li><li>Total Charges</li><li>Occurrence Codes (qualifying hospital stay)</li><li>Ensure proper reporting of PDPM per diem billing structure.</li></ul>4. Claim Submission &amp; Follow-Up<ul><li>Submit claims electronically via EDI/clearinghouse or CMS DDE.</li><li>Work with Medicare Administrative Contractors (MACs).</li><li>Monitor claim status and resolve denials or RTPs.</li><li>Submit corrected claims when MDS or HIPPS codes change.</li></ul>5. Payment Reconciliation &amp; Post-Processing<ul><li>Post Medicare payments and reconcile PDPM variable per diem rates.</li><li>Identify underpayments or discrepancies.</li><li>Coordinate professional claims (CMS-1500) separately from facility billing.</li></ul>6. Compliance &amp; Audit Readiness<ul><li>Ensure clinical documentation supports billed services.</li><li>Maintain compliance with CMS and Medicare billing regulations.</li><li>Assist with audits and ADR responses.</li></ul>Required Qualifications<ul><li>Minimum 2&ndash;3 years of SNF Medicare Part A billing experience.</li><li>Strong knowledge of PDPM reimbursement methodology.</li><li>Experience working with MDS assessments and HIPPS coding.</li><li>Proficiency in UB-04 (CMS-1450) claim preparation.</li><li>Understanding of revenue codes 0022&ndash;0029.</li><li>Familiarity with Medicare Administrative Contractors (MACs).</li><li>Experience with electronic billing systems and clearinghouses.</li><li>Strong attention to detail and regulatory compliance knowledge.</li></ul>Preferred Qualifications<ul><li>RHIT, RHIA, CPC, or CPB certification.</li><li>Experience in long-term care or post-acute care settings.</li><li>Knowledge of Medicare Advantage SNF billing.</li></ul>Core Competencies<ul><li>Knowledge of PDPM case-mix components (PT, OT, SLP, Nursing, NTA).</li><li>Understanding of variable per diem adjustments.</li><li>Ability to analyze MDS-driven reimbursement.</li><li>Strong denial management skills.</li><li>Excellent documentation review and audit readiness skills.</li></ul>Interested candidates with SNF Medicare Billing Specialist are encouraged to apply by sharing their CV at: careers@pmtac.coma.arslan@pmtac.com Subject: SNF Medicare Billing SpecialistJob Type: Full-timePay: Rs80,000.00 - Rs150,000.00 per monthExperience:<ul><li>SNF Medicare PDPM billing: 2 years (Required)</li><li>MDS assessments and HIPPS coding: 2 years (Required)</li><li>UB-04 (CMS-1450) claim preparation: 2 years (Required)</li></ul>License/Certification:<ul><li>RHIT, RHIA, CPC, or CPB certification (Required)</li></ul>Location:<ul><li>Rawalpindi (Required)</li></ul>Work Location: In person

SNF Medicare Billing Specialist – PDPM (Skilled Nursing Facility)

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

Bbm solutions

Responsibilities:<ul><li>Submit and follow up on medical claims to ensure timely payment.</li><li>Resolve billing discrepancies and insurance denials.</li><li>Manage accounts receivable and monitor AR aging.</li><li>Maintain accurate billing records and generate reports.</li></ul>Requirements:<ul><li>Proven experience in medical billing and AR.</li><li>Knowledge of medical coding, insurance, and billing software.</li><li>Detail-oriented with strong communication skills.</li></ul>Job Type: Full-timePay: Rs70,000.00 - Rs100,000.00 per monthWork Location: In person

Senior Medical Billing Executive/ AR Specialist

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

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

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>Manage provider credentialing and payer enrollment.</li><li>Collect, verify, and maintain required provider documents.</li><li>Submit and track applications with insurance payers.</li><li>Maintain accurate provider records in the EHR/EMR system.</li><li>Follow up on application status and resolve issues.</li><li>Ensure files meet compliance and regulatory requirements.</li></ul>Qualifications<ul><li>Bachelor&rsquo;s degree or equivalent experience.</li><li>Experience or understanding of provider credentialing/payer enrollment.</li><li>Familiarity with EHR/EMR systems preferred.</li><li>Strong attention to detail and organization.</li><li>Good communication and follow-up skills.</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>Are you a resident of Bahria Town Phase 7/8, or DHA 1/2? If not, kindly state your area of residency.</li><li>The timings for this role are 6:00 PM to 3:00 AM (Winters), 5:00 PM to 2:00 AM (Summers). Are you comfortable with the shift timings?</li><li>This role requires an on-site interview, will you be available for that? We don't facilitate online interviews.</li></ul>Work Location: In person

Credentialing Representative

Explore 68+ Medical billing specialist in Rawalpindi this February. Find roles across top companies and apply now to boost your career.