medical billing specialist

Onesoltech

Medical Billing Specialist (US Clients)We are seeking an experienced Medical Billing Specialist with a proven background in managing US-based client accounts. The ideal candidate will have 3&ndash;4 years of hands-on experience in medical billing, excellent communication skills, and the ability to engage directly with clients through calls and meetings. This role requires strong attention to detail, problem-solving skills, and the ability to work independently while managing client relationships effectively.Key Responsibilities<ul><li>Manage the end-to-end medical billing process for US clients, including charge entry, claim submission, payment posting, and follow-ups.</li><li>Verify patient eligibility, insurance benefits, and pre-authorizations as required.</li><li>Review and correct claims to minimize denials and rejections.</li><li>Conduct follow-up on unpaid or denied claims to ensure timely resolution.</li><li>Prepare account reconciliations and generate client reports as needed.</li><li>Communicate directly with US clients over calls and email to provide updates, resolve issues, and maintain strong professional relationships.</li><li>Stay up-to-date with payer guidelines, billing procedures, and compliance requirements.</li></ul>Requirements<ul><li>3&ndash;4 years of experience in US medical billing.</li><li>Strong understanding of the RCM (Revenue Cycle Management) process.</li><li>Experience handling denials, rejections, and appeals.</li><li>Excellent English communication skills, both written and verbal.</li><li>Confidence in conducting client calls and maintaining professional interactions.</li><li>Proficiency in medical billing software and MS Office applications.</li><li>Strong organizational skills and ability to manage multiple client accounts simultaneously.</li><li>Ability to work independently with minimal supervision.</li></ul>Preferred Qualifications<ul><li>Experience working with multiple specialties in medical billing.</li><li>Familiarity with HIPAA compliance standards.</li><li>Strong problem-solving and analytical skills.</li></ul>Employment Details<ul><li>Full-time position</li><li>Competitive compensation package based on experience</li><li>Growth-oriented role with opportunities for professional development</li></ul>Job Type: Full-timePay: Rs60,000.00 - Rs100,000.00 per monthWork Location: In person

Medical Billing Specialist

Cube Discipline

We are seeking a motivated and detail-oriented Medical Billing Follow-Up Specialist with 1&ndash;2 years of experience in the US healthcare revenue cycle domain. The ideal candidate will have strong communication skills, hands-on expertise in denial management, and the ability to work independently while collaborating with a team.Key ResponsibilitiesPerform follow-up on medical claims to ensure timely reimbursement from insurance companies.Manage denials, rejections, and appeals by analyzing root causes and creating effective appeal letters.Resolve outstanding AR (Accounts Receivable) claims and reduce aging buckets.Coordinate with payers via phone calls, portals, and email to ensure claim resolution.Maintain accurate records of follow-up actions and update claim statuses in billing software.Prepare and maintain Excel reports to track denials, appeals, collections, and productivity.Work closely with the billing team to identify process improvements.Qualifications &amp; Skills1&ndash;2 years of experience in US medical billing follow-up/AR calling.Strong understanding of denial management, rejections, and appeal processes.Excellent communication skills (verbal and written) to interact with insurance representatives.Proficient in MS Excel (pivot tables, VLOOKUP, reporting).Knowledge of medical billing software/EMR systems is a plus.Job Type: Full-timeWork Location: In person

Blanchard Valley Health System

<div>PURPOSE OF THIS POSITION
This position is responsible for all medical claims including pre-billing and follow up activities for delayed claims by ensuring, through various activities, that claims are clean and should be paid promptly by insurers without requiring further intervention. This staff member performs all pre-claim submission activities, including verifying existing information is accurate, determining when additional data is needed, and collecting necessary details to ensure claims are complete. Additionally, this individual follows departmental productivity and quality control measures that support the organization&rsquo;s operational goals. This position promotes revenue integrity and accurate reimbursement for the organization by ensuring timely and accurate billing, timely payer follow-up activities and collection of accounts.
JOB DUTIES/RESPONSIBILITIES<ul>
<li>
Duty 1: Maintains a thorough understanding and education of federal and state regulations and payer specific policies and requirements to promote compliant claims submission practices. Adheres to HIPAA related privacy, security and transaction &amp; code set regulations in compliance with the federal guidelines. Accurately documents all account activity.</li>
<li>Duty 2: Accurately and efficiently works daily electronic billing file through the organization&rsquo;s billing system by resolving all necessary corrections with valid resolution to obtain a clean first-time reimbursement.</li>
<li>Duty 3: Corrects all claims issues prior to submission which may be, but are not limited to, quality audits of patient demographic information and insurance eligibility, cross referencing with previous services, verifying payer authorizations, identifies and bills missing and late charges and corrects all necessary discrepancies. Submits required clinical documentation for submission with claims and collaborates with additional departments of the hospital to ensure claims are ready for billing and first-time payment.</li>
<li>Duty 4: Educates staff in other departments when existing documentation is not sufficient for billing.</li>
<li>Duty 5: Prepares and submits manual insurance claims to payers who do not accept electronic claims or who require special handling.</li>
<li>Duty 6: Monitors and analyzes error reports to identify significant trends, process improvements or efficiencies and increase accuracy to achieve the overall goals of the department and organization.</li>
<li>Duty 7: Monitors outstanding billing holds, escalates accounts as necessary, accurately works delayed claims and reports any trends, issues or findings to supervisor.</li>
<li>Duty 8: Observes best practice billing, follow up and customer service activities and reports any suspected compliance issues to supervisor.</li>
<li>Duty 9: Identifies high-risk accounts, prioritizes follow up efforts, efficiently contacts various insurance payors to determine reasons for outstanding claims and proactively communicates to facilitate timely payment of submitted claims.</li>
<li>Duty 10: Investigates any over/underpayments and communicates with payers when necessary to rectify any pending or delayed claims.</li>
<li>Duty 11: Proactively recognizes and rectifies any issues to prevent future insurance payor audits and communicates findings promptly to leadership.</li>
<li>Duty 12: Regularly attends and actively participates in staff meetings, training and continuing education that aligns with recognized improvement opportunities, payer policies and procedures and ensures to maintain up to date certifications.</li>
<li>Duty 13: The above duties reflect the general duties considered necessary to describe the principal functions of the job as identified and should not be considered a detailed description of all the work requirements that may be inherent to the position.</li>
</ul>
REQUIRED QUALIFICATIONS<ul>
<li>
High school graduate or GED equivalent</li>
<li>CPFSS certifications required within 12 months of hire (PRN status does not require certification)</li>
<li>Familiarity with medical terminology and an understanding of HIPAA requirements</li>
<li>Ability to perform project work which may require independent work or collaboration with others</li>
<li>Proficient in Microsoft Office Programs, especially Excel</li>
<li>Ability to manage multiple tasks and complex issues with excellent time management &amp; organizational skills</li>
<li>Demonstrated problem solving skills with excellent self-direction and creative solutions for operational efficiencies</li>
<li>Adapts positively to changes in the working setting with ease</li>
<li>A valid driver's license is required (if you do not have a valid Ohio driver&rsquo;s license you must obtain one within 30 days of your residency in the state). You must also meet BVHS's company fleet policy and insurance company requirements, and any other requirements that may be required to operate a vehicle.</li>
<li>Individual must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patient served on his/her assigned unit/department. The individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient status. Must be able to interpret the appropriate information needed to identify each patient&rsquo;s requirements relative to their age-specific needs and to provide the care needed as described in the area&rsquo;s policies and procedures</li>
</ul>
PREFERRED QUALIFICATIONS<ul>
<li>
Associate&rsquo;s degree, CPC certification or 2-3 years of experience in medical billing, coding or other revenue cycle functions preferred</li>
<li>Conversant with various code sets (e.g., ICD-10, CPT, HCPCS, Modifiers, etc.)</li>
<li>Familiarity with data elements on standard billing forms (e.g., CMS-1500)</li>
</ul>
PHYSICAL DEMANDS
This position requires a full range of body motion with intermittent activities in walking, lifting, bending, squatting, climbing, kneeling, and twisting. The associate will be required to sit for five hours a day. The individual must be able to lift ten to twenty pounds and reach work above the shoulders. This position requires corrected vision and hearing in the normal range. The individual must have excellent eye-hand coordination and verbal communication skills to perform daily tasks.</div>
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</div><div></div><div><h3 class="jobSectionHeader">Job Snapshot</h3>
<div><h4 class="jobSectionHeader">Employee Type</h4>
Full-Time
</div><div><h4 class="jobSectionHeader">Street Address</h4>
1100 East Main Cross Street
</div><div><h4 class="jobSectionHeader">Location Map</h4>
</div><div><h4 class="jobSectionHeader">Date Posted</h4>
10/02/2025
</div><div><h4 class="jobSectionHeader">Job ID</h4>
19024
</div><div><h4 class="jobSectionHeader">Shift</h4>
1st</div></div></div>

PFS Facility Medical Billing Specialist

Macrise Tech Solutions

Medical Billing<ul><li>Prepare and submit accurate insurance claims and patient invoices in a timely manner.</li><li>Review all claims to ensure completeness, coding accuracy, and compliance with payer requirements.</li><li>Maintain organized billing documentation and up-to-date records in the practice management system.</li><li>Accurately process adjustments, credit memos, and payment postings.</li><li>Regularly update and verify patient demographics and insurance information.</li><li>Generate monthly billing statements and customized Revenue Cycle Management (RCM) reports.</li><li>Support the accounting team with reconciliations and month-end financial reporting.</li><li>Recommend process improvements to streamline billing operations and enhance efficiency.</li></ul>Collections<ul><li>Proactively follow up on unpaid insurance claims and patient balances to secure timely payments.</li><li>Monitor and manage A/R aging reports, prioritizing overdue accounts for resolution.</li><li>Communicate with insurance payers to resolve delays, denials, and underpayments.</li><li>Address patient billing concerns professionally and establish payment arrangements when necessary.</li><li>Partner with billing and patient services teams to resolve complex collection cases.</li><li>Accurately document all collection activities, follow-ups, and communications in the system.</li></ul>Job Type: Full-timePay: Rs40,000.00 - Rs80,000.00 per monthAbility to commute/relocate:<ul><li>Lahore: Reliably commute or planning to relocate before starting work (Preferred)</li></ul>Application Question(s):<ul><li>Willing to work the night shift?</li></ul>Experience:<ul><li>Medical Billing: 1 year (Preferred)</li></ul>Language:<ul><li>English (Preferred)</li></ul>Work Location: In person

Medical Billing & Collections Specialist

HRMD Solutions

Location: Gulberg 3, Lahore Shift: Night (Full-time, On-site Only) Salary: Rs. 70,000 &ndash; Rs. 100,000/monthIMPORTANT: Please read before applying&#9989; ONLY candidates with prior experience in Prior Authorization or Medical Billing will be considered.&#10060; Applicants without relevant healthcare experience (e.g., teaching, engineering, IT, sales, etc.) will be automatically rejected.About the Role:We are urgently hiring a Prior Authorization Specialist to join our growing medical billing team focused on pain management. The ideal candidate must have hands-on experience in obtaining insurance authorizations for medical procedures and medications.Key Responsibilities:<ul><li>Obtain and manage prior authorizations for pain management treatments (injections, surgeries, etc.)</li><li>Review and validate patient records to ensure accurate and complete documentation</li><li>Coordinate with insurance companies, providers, and patients to facilitate approvals</li><li>Handle appeals for denied authorizations when necessary</li><li>Track authorization status and follow up regularly to avoid delays</li><li>Collaborate with the clinical team to meet billing and documentation standards</li></ul>Requirements:<ul><li>Minimum 6 months of relevant experience in Prior Authorization or Medical Billing</li><li>Knowledge of pain management treatments is a plus</li><li>Strong understanding of medical coding, terminology, and insurance guidelines</li><li>Familiarity with EHR systems and RCM processes</li><li>Excellent communication and follow-up skills</li></ul>Job Type: Full-timePay: Rs70,000.00 - Rs100,000.00 per monthApplication Question(s):<ul><li>Do you live in lahore?</li><li>Can you work night shift (on site)?</li></ul>Work Location: In person

Prior Authorization Specialist – Medical Billing (Night Shift | On-site Only)

Jawa Health Care

Here&rsquo;s Credentialing Job TitleCredentialing Specialist &mdash; Medical Billing / Provider EnrollmentPosition SummaryThe Credentialing Specialist is responsible for managing the full lifecycle of provider credentialing and enrollment with payers (commercial, Medicare, Medicaid, third&#8209;party networks) to ensure that providers are properly authorized to bill and receive reimbursement. This role liaises between providers, payers, billing teams, and internal departments to maintain compliance, minimize credentialing delays, and support revenue integrity.Key Responsibilities / Duties<ul><li>Provider Credentialing &amp; Enrollment</li><li>Prepare, compile, and submit initial credentialing applications to payers, Medicare/Medicaid, IPAs, health networks.</li><li>Manage re&#8209;credentialing and renewals of existing provider credentials.</li><li>Maintain and update provider profiles (e.g. CAQH, NPPES, PECOS, payer portals).</li><li>Obtain and track provider identifiers (Provider IDs, NPI, Tax IDs, etc.).</li><li>Coordinate with providers (physicians, DME, therapists, clinics) to gather required documentation (licenses, board certifications, CVs, malpractice insurance, etc.).</li><li>Follow up on application status, resolve discrepancies, and expedite submissions.</li><li>Verification &amp; Compliance</li><li>Perform primary source verification (PSV) of credentials (licensure boards, education, certifications).</li><li>Audit credentialing files to ensure completeness, accuracy, and consistency.</li><li>Monitor credential expiration dates (licenses, DEA, certifications) and trigger renewals proactively.</li><li>Ensure compliance with payer, state, and regulatory credentialing requirements, including policy changes and updates.</li><li>Data &amp; Documentation Management</li><li>Maintain credentialing databases, logs, tracking systems, and reports on status metrics (turnaround time, backlog, approval rates).</li><li>Document interactions with payers and providers, maintain records of submissions, denials, and appeals.</li><li>Generate periodic credentialing status reports for management and internal stakeholders.</li><li>Stakeholder Communication &amp; Issue Resolution</li><li>Communicate with payers and insurance networks to resolve credentialing issues, contract queries, missing documentation, and provider disputes.</li><li>Liaise with billing, contracting, HR, compliance, legal, and provider offices for credentialing&#8209;related matters.</li><li>Support billing teams in credential&#8209;related denials or rejections (for example, provider not enrolled).</li><li>Process Improvement &amp; Quality Assurance</li><li>Identify credentialing process bottlenecks and suggest workflow improvements.</li><li>Participate in audits, quality checks, and compliance reviews.</li><li>Stay current on industry trends, payer credentialing rules, regulatory changes, and best practices in provider enrollment.</li></ul>Qualifications &amp; Requirements<ul><li>Education: Bachelor&rsquo;s degree preferred (Healthcare Administration, Business, Health Information Management, or related field). Some organizations accept equivalent experience.</li><li>Experience: 2+ years of experience in provider credentialing, enrollment, or similar role (in a medical billing, RCM, or healthcare setting).</li><li>Knowledge / Technical Skills:</li><li>Familiarity with CAQH, NPPES, PECOS, payer portals, credentialing software/platforms.</li><li>Understanding of commercial &amp; government payers (Medicare, Medicaid) credentialing rules.</li><li>Strong knowledge of medical licensure, board certification, education verification, regulatory compliance.</li><li>Proficiency in MS Office (Excel, Word, Outlook).</li><li>Skills / Competencies:</li><li>Strong attention to detail, organizational skills, and ability to manage multiple credentialing tracks simultaneously.</li><li>Excellent written and verbal communication skills.</li><li>Analytical and problem-solving mindset.</li><li>Ability to work independently and interface with multiple stakeholders.</li><li>Discretion and confidentiality in handling provider data.</li><li>Desired / Optional:</li><li>Certification such as CPCS (Certified Provider Credentialing Specialist) or CPMSM.</li><li>Experience with multi&#8209;state credentialing or large group practices.</li><li>Experience with medical billing, claims, or revenue cycle functions.</li><li>Knowledge of HIPAA or healthcare compliance standards.</li></ul>Working Conditions / Schedule<ul><li>This role is generally in office or hybrid/remote (depending on the organization).</li><li>May require working non&#8209;standard shifts (e.g. night shift) if supporting international clients or off&#8209;hours payer windows.</li><li>Keyboard / computer work, calls, email communications.</li><li>Occasional high volume / urgency periods requiring extra effort to meet credentialing deadlines.</li></ul>Key Performance Indicators (KPIs)<ul><li>Turnaround time for credentialing submissions / approvals</li><li>Percentage of credentialing applications approved without rework</li><li>Number of credentialing backlog / pending items</li><li>Accuracy rate (errors in credentialing files)</li><li>Provider uptime (minimizing provider downtime due to credentialing issues)</li></ul>Job Type: Full-timePay: Rs50,000.00 - Rs80,000.00 per monthWork Location: In person

Experienced Credentialing Specialist in medical billing

IGarner System

Job Opportunity: Dental Billing Specialist Cyber System Medical Billing - Now Hiring Onsite!Location: Mozang, 03 Fane RoadAre you an experienced and meticulous Dental Billing Specialist with exceptional English communication skills? Join the dedicated team at Cyber System Medical Billing and help us ensure accurate and timely revenue cycles for our dental clients! This is a full-time, onsite position.The Role: Dental Billing SpecialistAs a Dental Billing Specialist, you will be crucial in managing the complete billing cycle for our US-based dental practices. Your primary focus will be on maximizing collections, minimizing claim denials, and ensuring compliance.Key Responsibilities:<ul><li>Claim Submission: Prepare, review, and submit dental claims (ADA codes) accurately and promptly to various insurance carriers (PPOs, HMOs, etc.).</li><li>A/R Follow-up: Aggressively follow up on outstanding claims, appeals, and denials via phone and online portals.</li><li>Payment Posting: Accurately post insurance and patient payments, adjustments, and denials.</li><li>Verification: Perform detailed insurance eligibility and benefits verification for scheduled procedures.</li><li>Communication: Liaise effectively with insurance company representatives and internal teams, often requiring complex explanation and negotiation.</li><li>Reporting: Generate reports on billing activities, collection rates, and denial trends.</li></ul>Required Qualifications:<ul><li>Prior Experience is a Must: Proven, verifiable experience as a Dental Billing Specialist or similar role in the healthcare/medical billing sector.</li><li>Exceptional English Speaking Skills: Mandatory requirement for clear, professional, and effective communication with US contacts.</li><li>Dental Coding Proficiency: Deep knowledge of coding, dental terminology, and standard dental billing practices.</li><li>Onsite Commitment: Must be available to work full-time, onsite at our Mozang, 03 Fane Road office.</li><li>Technical Skills: Proficient with dental practice management softwares</li><li>Detail-Oriented: Excellent organizational skills and attention to detail to ensure billing accuracy.</li></ul>Why Join Cyber System Medical Billing?<ul><li>Competitive salary package.</li><li>Stable, professional, and supportive work environment.</li><li>Opportunity to be part of a growing company in the revenue cycle management industry.</li></ul>Job Type: Full-timePay: Rs80,000.00 - Rs100,000.00 per monthWork Location: In person

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