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account receivable - medical billing Jobs in Lahore

account receivable - medical billing

accounting & payroll specialist Jobs in Lahore

accounting & payroll specialist

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ar associate – medical billing department Jobs in Lahore

ar associate – medical billing department

senior medical billing specialist

IGarner System

Job Advert: Senior AR Specialist &ndash; Workers' Comp, PIP, &amp; No-Fault ClaimsAre You a Claims-Juggling Expert? Master the Revenue of the Most Complex Medical Billing Systems![Your Company Name] is a rapidly growing leader in [Your Industry/Specialty, e.g., Orthopedics, Physical Therapy, Revenue Cycle Management]. We are seeking a highly skilled and analytical AR Specialist to join our team, focusing exclusively on the challenging and lucrative Accounts Receivable (AR) for Workers' Compensation (WC), Personal Injury Protection (PIP), and No-Fault claims.If you thrive on uncovering denied revenue, navigating state-specific fee schedules, and closing out high-dollar, multi-party claims, this role is for you.What You'll Do: The Core MissionYou will be the final authority and lead executor for our most complex and high-value AR accounts. Your primary mission is to ensure maximum, timely reimbursement for services rendered under WC, PIP, and No-Fault guidelines.<ul><li>Aggressive Claims Follow-Up: Manage a specialized aging report, prioritizing accounts based on value and timely filing limits for WC, PIP, and No-Fault claims.</li><li>Denial Management &amp; Appeals: Investigate and resolve all claim denials, including those related to compensability, medical necessity, pre-authorization, and state fee schedule discrepancies. Draft and submit formal first- and second-level appeals.</li><li>Fee Schedule Mastery: Expertly read, interpret, and apply state-specific Workers' Compensation Fee Schedules and No-Fault state regulations to ensure accurate payment.</li><li>Payer Communication: Maintain professional, results-driven communication with WC Adjusters, PIP Carriers, and legal firms to push claims to final payment or settlement.</li><li>Coordination of Benefits (COB): Navigate complex scenarios where WC and PIP are secondary to each other or another insurance, ensuring proper balance-billing rules are followed.</li></ul>What You'll Bring: Essential Qualifications<ul><li>3+ years of dedicated, hands-on experience managing Accounts Receivable for Workers' Compensation and/or Personal Injury Protection (PIP)/No-Fault medical claims.</li><li>In-depth knowledge of at least one major No-Fault state (e.g., NY, FL, MI, NJ) regulations and their corresponding medical fee schedules.</li><li>Proven ability to successfully overturn denied claims and reduce days in AR for complex payer groups.</li><li>Strong understanding of medical terminology, CPT/ICD-10 codes, and their impact on claims adjudication.</li><li>Exceptional organizational skills and the ability to manage a high-volume pipeline of complex cases with detailed documentation.</li></ul>Job Type: Full-timePay: Rs60,000.00 - Rs80,000.00 per monthWork Location: In person

Medical Billing Specialist

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

Physicians Revenue Group

Job Title: Team Lead &ndash; AR (Accounts Receivable) Location: Johar Town, Lahore Company: PRGJob Description: PRG is hiring a Team Lead &ndash; AR with strong leadership skills and experience in medical billing. The candidate will oversee AR operations, lead the team to achieve targets, and ensure smooth claim processing and follow-ups.Key Responsibilities:<ul><li>Supervise and guide the AR team.</li><li>Monitor performance and ensure targets are met.</li><li>Oversee claim submissions and follow-ups.</li><li>Resolve billing and reimbursement issues.</li><li>Improve team efficiency and processes.</li></ul>Requirements:<ul><li>2&ndash;3 years of experience in Medical Billing (AR).</li><li>Previous Team Lead/Senior AR Executive experience preferred.</li><li>Strong communication and problem-solving skills.</li><li>Ability to manage a team in a fast-paced environment.</li></ul>Contact: 0308-8882130 Email: zainab8278@prgmd.comJob Type: Full-timeAbility to commute/relocate:<ul><li>Lahore: Reliably commute or planning to relocate before starting work (Preferred)</li></ul>Education:<ul><li>Bachelor's (Preferred)</li></ul>Experience:<ul><li>3year: 1 year (Preferred)</li></ul>Location:<ul><li>Lahore (Preferred)</li></ul>Work Location: In person

Team Lead - AR( Medical Billing )

Medatron Private Limited

About Us: Medatron is a trusted name in US healthcare revenue cycle management, providing comprehensive billing, coding, and AR recovery services to practices across all 50 states. We&rsquo;re expanding our Accounts Receivable (AR) team and looking for passionate, detail-oriented individuals eager to grow in the medical billing field.Position Overview: The AR Associate will be responsible for following up on insurance claims, resolving denials, and ensuring timely payments from payers. This role requires analytical thinking, attention to detail, and effective communication skills to interact with insurance representatives and internal teams.Key Responsibilities:<ul><li>Follow up with insurance companies on unpaid or denied claims.</li><li>Identify and resolve claim issues to ensure timely collections.</li><li>Post and reconcile payments accurately in the billing system.</li><li>Prepare and maintain AR reports and follow-up logs.</li><li>Coordinate with the billing and payment posting teams for claim resolution.</li></ul>Requirements:<ul><li>6 to 12 months of experience in US Medical Billing (AR follow-up preferred) OR</li><li>A basic understanding of the US medical billing process (training will be provided).</li><li>Strong communication and analytical skills.</li><li>Proficiency in MS Excel and basic reporting tools.</li><li>Fresh graduates with good communication and Excel skills are encouraged to apply.</li></ul>What We Offer:At Medatron, we value our employees and provide a comprehensive benefits package, including:<ul><li>Competitive Salary</li><li>Fuel Allowances</li><li>Health Insurance</li><li>EOBI &amp; Provident Fund</li><li>Comprehensive Leave Policy, including:</li></ul>Casual &amp; Sick LeaveAnnual LeavePaternity LeaveMarriage LeaveUmrah LeaveA professional environment that promotes learning, career growth, and stability.If you&rsquo;re passionate about building your career in the medical billing field, we&rsquo;d love to hear from you!Job Type: Full-timePay: Rs40,000.00 - Rs60,000.00 per monthLanguage:<ul><li>English Fluently (Required)</li></ul>Location:<ul><li>Lahore Johar Town (Preferred)</li></ul>Work Location: In person

AR Associate – Medical Billing Department

Billing Freedom

We are looking for enthusiastic and detail-oriented fresh graduates to join our medical billing team. As a Medical Billing Executive, you will learn and assist in handling the end-to-end medical billing process, including claim creation, submission, payment posting, and denial management for our US-based healthcare clients.Key Responsibilities:<ul><li>Learn and assist in preparing and submitting medical claims to insurance companies.</li><li>Verify patient information, insurance details, and billing codes.</li><li>Follow up on unpaid or rejected claims and ensure timely resolution.</li><li>Post payments accurately to patient accounts.</li><li>Maintain billing records and documentation for audits.</li><li>Communicate with insurance companies and internal teams to resolve billing issues.</li><li>Ensure compliance with HIPAA and other healthcare regulations.</li></ul>Requirements:<ul><li>Bachelor&rsquo;s degree in any discipline (preferably in commerce, business, or life sciences).</li><li>Good communication skills (verbal and written).</li><li>Basic knowledge of computers and MS Office.</li><li>Attention to detail and ability to work with numbers.</li><li>Willingness to work in night shifts (if required for US-based clients).</li><li>Eager to learn and grow in the healthcare revenue cycle industry.</li></ul>Job Type: Full-timePay: Rs30,000.00 - Rs45,000.00 per monthApplication Question(s):<ul><li>Are you able to do a night shift job from 8pm to 5am?</li></ul>Education:<ul><li>Bachelor's (Required)</li></ul>Language:<ul><li>English (Required)</li></ul>Work Location: In person

Medical Billing Executive (Fresh)

Healthrix

Overview As an RCM Specialist, you will play a pivotal role in the revenue cycle management process, ensuring that our healthcare operations run smoothly and efficiently. You will be responsible for managing medical billing, coding, and collections to optimize revenue flow while maintaining compliance with industry standards. Your expertise in medical terminology and coding systems will be essential in facilitating accurate documentation and processing of medical records.What you&rsquo;ll do<ul><li>Review and analyze patient records to ensure accurate coding using ICD-9, ICD-10, CPT coding, and DRG (Diagnosis-Related Group) methodologies.</li><li>Process medical billing and collections efficiently to maximize revenue recovery.</li><li>Collaborate with healthcare providers to clarify documentation and coding discrepancies.</li><li>Utilize EMR (Electronic Medical Records) and EHR (Electronic Health Records) systems for data entry and retrieval of patient information.</li><li>Maintain up-to-date knowledge of medical terminology, coding guidelines, and billing regulations.</li><li>Conduct audits of medical records to ensure compliance with legal and regulatory requirements.</li><li>Provide support in resolving billing inquiries from patients or insurance companies promptly.</li><li>Assist in training staff on best practices related to medical coding and billing processes.</li></ul>Basic qualifications<ul><li>Proven experience in medical office settings with a focus on RCM processes.</li></ul>Preferred qualifications<ul><li>Proficiency in DRG, CPT coding, ICD-9, ICD-10, and general medical coding practices.</li><li>Familiarity with EMR and EHR systems for effective patient data management.</li><li>Strong understanding of medical terminology and documentation standards.</li><li>Excellent communication skills for effective collaboration with healthcare teams and patients.</li></ul>Why you&rsquo;ll love it here We are dedicated to fostering an environment where our employees can thrive both professionally and personally. Our commitment extends beyond just the workplace; we offer a range of benefits designed to support your overall well-being.Our benefits include:<ul><li>Comprehensive health coverage options that cater to your needs.</li><li>Opportunities for professional development and continuous learning.</li><li>A supportive workplace culture that values teamwork and collaboration.</li><li>Resources aimed at enhancing your physical and mental health. Join us as we strive to enhance the quality of care through effective revenue cycle management! Your contributions as an RCM Specialist will directly impact our mission to provide exceptional healthcare services while ensuring financial sustainability.</li></ul>Job Type: Full-timeWork Location: In person

RCM 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>Job 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

Medical Billing - AR Executive

Explore 681+ Senior medical billing specialist in Lahore this October. Find roles across top companies and apply now to boost your career.