customer service representative Jobs in Karachi

customer service representative

customer support representative Jobs in Karachi

customer support representative

customer sales representative Jobs in Karachi

customer sales representative

billing specialist

customer service specialist Jobs in Karachi

customer service specialist

revenue cycle specialist

Mac Care

We are seeking a detail-oriented and analytical Insurance Verification &amp; Eligibility Specialist to join our Revenue Cycle team. The ideal candidate will be responsible for verifying patient insurance coverage, determining eligibility, obtaining prior authorizations, and ensuring accurate documentation to support timely claim submission and payment. This role is critical in reducing claim denials, accelerating reimbursements, and supporting overall financial performance in a U.S. healthcare environment.Key Responsibilities: Insurance Verification &amp; Eligibility:<ul><li>Verify patient insurance coverage (commercial, Medicare, Medicaid, and other payers) prior to appointments or services.</li><li>Confirm benefits, deductibles, co-insurance, co-payments, policy limitations, and exclusions.</li><li>Review and interpret payer portals, EHR systems, and clearinghouses for real-time eligibility updates.</li><li>Ensure accurate documentation of verified benefits in the system.</li></ul>Authorization &amp; Pre-Certification:<ul><li>Obtain prior authorizations as required by payers for specific procedures, diagnostic tests, or treatments.</li><li>Communicate with insurance companies to resolve authorization discrepancies or incomplete information.</li><li>Track authorization status and follow up to secure approvals before service dates.</li></ul>Communication &amp; Coordination:<ul><li>Coordinate with providers, schedulers, and billing teams to ensure all insurance-related requirements are met prior to patient appointments.</li><li>Communicate coverage issues, payer requirements, or eligibility concerns to relevant teams promptly.</li><li>Provide guidance to patients regarding coverage expectations, if required.</li></ul>Documentation &amp; Data Accuracy:<ul><li>Maintain complete and accurate patient insurance information in the practice management or billing system.</li><li>Document all interactions, verification results, and authorization details in compliance with organizational policies.</li><li>Identify and correct missing or outdated insurance information.</li></ul>Denial Prevention &amp; RCM Support:<ul><li>Identify potential coverage issues that may result in claim denials.</li><li>Work closely with AR and Billing teams to support clean claim submission.</li><li>Review denial trends related to coverage or eligibility and provide feedback to the team.</li></ul>Qualifications &amp; Requirements:Education:<ul><li>Bachelor&rsquo;s degree preferred, but not mandatory.</li><li>High school diploma or equivalent required.</li></ul>Experience:<ul><li>1&ndash;2 years of experience in U.S. Healthcare Revenue Cycle Management (Insurance Verification, Eligibility, Front-End RCM).</li><li>Experience with commercial insurances, Medicare, Medicaid, and managed care plans preferred.</li><li>Familiarity with EMR systems, clearinghouses, and payer portals.</li></ul>Job Type: Full-timeWork Location: In person

Insurance Verification-Eligibility Specialist

Sybrid Careers

<div>
 
 Qualifications &amp; Experience
 
 
 
 <ul>
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 Education: Intermediate, O-Levels, or A-Levels.
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 Experience: 1&ndash;2 years of hands-on experience specifically in an International Medical Billing department.
 </li>
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 Location: Karachi (On-site)
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 Shift: 6:00 PM &ndash; 3:00 AM (Monday &ndash; Friday)
 
 
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 </ul>
 
 Key Responsibilities:
 
 
 
 As a Core Member Of Our Billing Department, You Will Ensure The Financial Health Of Our Clients By Managing The End-to-end Revenue Cycle. Your Daily Impact Includes
 
 
 
 Payment Posting:
 
 Accurately recording payments and balancing accounts.
 
 AR Management:
 
 Proactively following up on outstanding claims to maximize revenue.
 
 Denial &amp; Rejection Handling:
 
 Investigating, correcting, and resubmitting claims with precision.
 
 Strategic Planning:
 
 Managing projected collections and assisting Team Leads with workflow optimization.
 
 Client Relations:
 
 Maintaining clear, professional communication with international stakeholders
</div>

Medical Billing Executive

Hafzak

Job SummaryWe are looking for a detail-oriented and experienced Medical Biller to join our team. The ideal candidate will be responsible for managing the complete revenue cycle process, ensuring timely submission of claims, and maximizing reimbursements from insurance companies.______________Key Responsibilities<ul><li>Submit medical claims to insurance companies accurately and on time</li><li>Follow up on unpaid or denied claims</li><li>Handle claim rejections and denials efficiently</li><li>Verify patient insurance eligibility and benefits</li><li>Post payments and reconcile accounts</li><li>Maintain accurate patient billing records</li><li>Communicate with insurance companies regarding claim status</li><li>Ensure compliance with HIPAA and US healthcare billing regulations</li><li>Work on AR (Accounts Receivable) and reduce aging</li><li>Coordinate with internal teams for missing information</li></ul>______________Required Skills &amp; Qualifications<ul><li>Minimum 1&ndash;2 years of experience in US medical billing</li><li>Strong knowledge of:</li><li>-CPT, ICD-10, and HCPCS codes-Insurance claim processes-Denial management</li><li>Experience with billing software (e.g., Kareo, AdvancedMD, eClinicalWorks, etc.)</li><li>Excellent communication skills (especially for US clients)</li><li>Strong attention to detail and problem-solving ability</li><li>Ability to work independently and meet deadlines</li></ul>______________Preferred Qualifications<ul><li>Experience working with US healthcare providers</li><li>Knowledge of different specialties (e.g., cardiology, dermatology, etc.)</li><li>Prior experience in AR calling is a plus</li></ul>Shift Night Shift (7:00 PM &ndash; 3:00 AM)How to Apply Send your CV to: drhamza@pcslogistics.netJob Type: Full-timePay: Rs85,000.00 - Rs90,000.00 per monthWork Location: In person

Medical Biller

Murtaza and Co

<ul><li>Patient Billing &amp; Revenue. </li><li>Billing Accuracy: Verify patient bills against services rendered (lab tests, room charges, surgery).</li><li>Insurance/Corporate Claims:</li><li>Process and follow up on insurance claims and corporate panels.</li><li>Daily Cash Balancing:</li><li>Reconcile daily cash, credit card, and online collections from the front desk.</li><li>Pharmacy &amp; Inventory Accounting. Stock Verification:</li><li>Reconcile pharmacy sales with physical stock levels to prevent leakage.</li><li>Purchase Orders:</li><li>Verify vendor invoices against Goods Received Notes (GRNs) for medicine and surgical supplies.</li><li>Consultant &amp; Vendor Payments. Doctor Payouts:</li><li>Calculate and process monthly shares/fees for consultants based on patient visits and procedures.</li><li>Vendor Management:</li><li>Manage the accounts payable cycle for medical equipment, utility bills, and facility suppliers.</li><li>Bank Reconciliations:</li><li>Perform daily/weekly reconciliation of all hospital bank accounts.</li><li>Payroll &amp; Statutory Tax. Salary Processing:</li><li>Prepare monthly payroll, including deductions for leave, advances, and &quot;our time&quot; (overtime/attendance) tracking.</li><li>Tax Compliance: Calculate and file withholding taxes (TDS) on vendor payments and consultant fees.</li><li>Statutory Filings:</li><li>GST (if applicable), Income Tax returns, and annual audits.</li></ul>Job Type: Full-timeAbility to commute/relocate:<ul><li>Karachi Nazimabad: Reliably commute or planning to relocate before starting work (Preferred)</li></ul>Application Question(s):<ul><li>Candidate must be finance and commerce graduate having certification will be preferable.</li></ul>Education:<ul><li>Bachelor's (Preferred)</li></ul>Work Location: In person

Team Member Accounts

ACTIVE8 WIRELESS

Working Days: Monday to Saturday (Six days)Shift Timings: 8 PM to 5 AM (Night Shift)Location: Onsite &ndash; RJ Mall, KarachiAbout Us:Active8 is a fast-growing US-based company operating 350+ Metro by T-Mobile retail stores across the United States. Our Karachi-based back office plays a vital role in supporting our US operations through strategic insight, data analysis, and operational excellence.About the Role:We are seeking a detail-oriented Medical Billing Executive to support billing and revenue cycle operations for multiple healthcare practices across various medical specialties in the US healthcare system.The candidate will be responsible for insurance claim submission, accounts receivable management, denial resolution, payment posting, and payer follow-ups to ensure timely reimbursements and compliance with payer policies.Key Responsibilities<ul><li>Review patient demographics, insurance eligibility, and billing information for multiple specialties and providers.</li><li>Submit clean claims to insurance companies and clearinghouses in a timely manner.</li><li>Perform Accounts Receivable (AR) follow-up on unpaid or underpaid claims.</li><li>Manage denial management and appeals to recover unpaid claims.</li><li>Verify insurance payments and ensure accuracy according to payer contracts and fee schedules.</li><li>Process primary, secondary, and tertiary insurance claims.</li><li>Communicate with insurance companies regarding claim status, discrepancies, and payment issues.</li><li>Post insurance and patient payments accurately in the billing system.</li><li>Respond to patient and insurance billing inquiries professionally.</li><li>Maintain accurate documentation and billing records for each practice.</li><li>Ensure compliance with US healthcare billing regulations and HIPAA standards.</li><li>Collaborate with providers, clients, and internal teams across multiple practices.</li></ul>Requirements<ul><li>Bachelor&rsquo;s degree required.</li><li>1&ndash;3 years of experience in US Medical Billing / Dental Billing preferred.</li><li>Knowledge of CPT, ICD-10, and HCPCS coding systems.</li><li>Experience with Accounts Receivable (AR), Denial Management, and Appeals.</li><li>Familiarity with major US insurance payers (Medicare, Medicaid, BCBS, Aetna, Cigna, UnitedHealthcare, etc.).</li><li>Strong communication and problem-solving skills.</li><li>Ability to manage multiple providers and specialties simultaneously.</li></ul>Preferred Skills<ul><li>Experience with EHR / Practice Management systems (Kareo, Athena, eClinicalWorks, AdvancedMD, etc.)</li><li>Knowledge of specialty-specific billing guidelines</li><li>Strong attention to detail and analytical skills</li><li>Ability to work in a fast-paced RCM environment</li></ul>Job Type: Full-timePay: Rs55,000.00 - Rs95,000.00 per monthWork Location: In person

Medical Billing Executive (US-Health Sector)

Caregenix Solutions

Role: RCM Specialist Location: Cherry Plaza, DHA Phase 2, Karachi Shift: 6:00 PM &ndash; 3:00 AM (US Hours) Compensation: Competitive Salary + Fuel Allowance / TransportRequirements: <ul><li>3&ndash;5 years of proven experience in Medical Billing / Revenue Cycle Management.</li><li>Strong understanding of US healthcare billing processes, insurance claims, and denials management.</li><li>Excellent English communication skills (written &amp; spoken).</li><li>Leadership skills and ability to mentor junior team members.</li><li>Detail-oriented, analytical, and results-driven.</li></ul>What We Offer:<ul><li>A competitive compensation package</li><li>Opportunities for career growth and leadership roles</li><li>A collaborative and supportive work environment</li></ul>Job Type: Full-timePay: Up to Rs150,000.00 per monthApplication Question(s):<ul><li>What is your expected pay?</li></ul>Work Location: In person

RCM Specialist/Medical billing Specialist

Apex Tech World

Job Description:We are seeking an experienced RCM Manager to oversee the revenue cycle operations.Requirements:<ul><li>Minimum 5 years of experience in Revenue Cycle Management</li><li>Strong knowledge of medical billing and collections</li><li>Leadership and team management skills</li></ul>What We Offer:<ul><li>Attractive salary package</li><li>Career growth opportunities</li></ul>Apply:Apply via Indeed or send your CV to hr@apextechworld.comWork Location: In person

RCM Manager

Explore 413+ Revenue cycle specialist in Karachi this May. Find roles across top companies and apply now to boost your career.