senior medical billing specialist

Abir Solutions, LLC

Medical Billing Specialist- No work from Home availableNo transportation availableWork at night only Job Summary:Raj Consultancy is seeking a Medical Biller with a strong background in medical billing and coding. This position will be responsible for the collection of past due medical bills from patients and processing payments. The position will also be responsible for collecting and processing payments for services rendered. The position will report to the billing manager.Essential Duties and Responsibilities:<ul><li>Collect past due medical bills from patients.</li><li>Process payments (cash, check, credit cards) for patients.</li><li>Maintain patient files.</li><li>Answer patient calls and direct them to the correct billing department.</li><li>Answer patient billing questions regarding their account.</li><li>Review past due medical bills and prepare payment plans for patients who do not pay their billings in a timely manner.</li><li>Ensure that all billing procedures are followed and follow all established procedures to ensure that our process is efficient and accurate.</li><li>Perform other duties as assigned by the Manager of Accounting or Executive Director of Operations.</li></ul>Required Skills: &middot;Excellent written and verbal communication skills, including the ability to clearly articulate thoughts and ideas to others in written, verbal, or diagram form. &middot;Strong organizational skills with a proven ability to meet deadlines in a fast-paced environment. &middot;Excellent time management skills with the ability to plan ahead for future needs and prioritize tasks based on urgency. &middot;A strong work ethic with an ability to work independently or as part of a team, as required or appropriate, depending on the needs of the department, department head, or client. &middot;A strong understanding of medical billing procedures and practices, including CPT/ICD/VHEI coding, insurance verification, collection practices, data entry procedures, computer knowledge, and proficiency in using an electronic medical record system (e.g., Aetna CareCloud). Knowledge of other medical terminology is helpful but not required for this position.OFFICE TIMING: 5:30pm to 3:00am / 6.30pm to 4amJob Type: Full-timePay: &#8377;25,000.00 - &#8377;50,000.00 per monthBenefits:<ul><li>Paid time off</li></ul>Experience:<ul><li>ICD-10: 1 year (Required)</li></ul>Work Location: In person

Medical Billing Specialist

The Garden of Eve

About the roleThe Team Lead in Medical Billing is a leadership position responsible for overseeing and managing a team of medical billers and coders within a healthcare organization. The primary objective of this role is to ensure the accurate and timely submission of medical claims, while adhering to industry regulations and organizational standards. The Team Lead plays a vital role in maintaining the efficiency and effectiveness of the billing process, ensuring compliance with relevant laws, and optimizing the overall revenue cycle managementResponsibilities &amp; Tasks<ul><li>Team Management and Supervision: Lead, mentor, and provide direction to a team of medical billing professionals. This includes conducting regular training, performance evaluations, and offering continuous support to team members to foster skill development and team cohesion.</li><li>Billing Oversight: Ensure that all medical claims are accurately prepared, reviewed, and submitted to insurance companies and payers in accordance with established guidelines and industry standards</li><li>Issue Resolution: Act as the primary point of contact for resolving billing discrepancies, claim denials, rejections, and appeals. Collaborate with insurance companies, patients, and healthcare providers to facilitate timely resolutions.</li><li>Regulatory Compliance: Ensure the team's adherence to all relevant healthcare regulations, including HIPAA, CMS guidelines, and payer-specific requirements, to maintain the integrity and compliance of the billing process.</li><li>Process Improvement: Continuously assess and refine billing procedures to improve efficiency, accuracy, and productivity. Implement best practices to enhance the team&rsquo;s performance and minimize errors or delays in claims processing.</li><li>Reporting and Analysis: Monitor and report on the performance of the team, tracking key metrics such as claim submission accuracy, revenue cycle status, and denial rates. Provide comprehensive reports to management for strategic decision-making.</li><li>Collaboration: Work closely with other departments, including healthcare providers, insurance companies, and patient services, to ensure smooth communication and coordination in the billing process.</li><li>Customer Service: Address billing inquiries from patients and third-party payers, providing clear and accurate information regarding billing procedures, payments, and account status.</li></ul>Position Requirements<ul><li>Education: Bachelor's degree in healthcare administration, business, or a related field (preferred).</li><li>Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification, HIPAA certification.</li><li>Strong knowledge of medical billing and coding procedures, including ICD-10, CPT, and HCPCS codes.</li><li>Experience: 4-6 years of experience as medical biller.</li></ul>Required Skills<ul><li>Leadership</li><li>Time Management</li><li>Revenue Forecasting</li><li>Monitoring and Supervision</li><li>Staff Training &amp; Development</li><li>Problem Solving</li><li>Auditing Proficiency</li><li>Expertise in Medical Billing</li><li>Reporting</li><li>Proficiency in healthcare billing and coding software and EHR systems.</li></ul>Goals / KPIsKPI 1: First Pass Resolution RateKPI 2: Claim Lag TimeKPI 3: Coder ProductivityKPI 4: Clean Claim RateKPI 5: Denial RateKPI 6: Days in Accounts Receivable (A/R)KPI 7: Net Collection Rate.KPI 8: Cost to Collect.KPI 9: Patient Satisfaction Score related to billing.KPI 10: Timeliness of response to patient queries.KPI 11: Resolution rate of patient billing concerns.About 7 Kings Code7 Kings Code has a global presence with our head office in Coral Springs, Florida.We are US based IT Staffing &amp; Software solutions company. We provide excellent customized IT Solutions to fit start-up to enterprise level companies. We support our partners and clients globally in USA, CANADA, EUROPE, INDIA, PAKISTAN &amp; MIDDLE EAST.If you are a motivated and ambitious US Medical Billing professional with a passion for Billing industry, we want to hear from you! Apply now to join our team as an &ldquo;Team Lead US Medical Billing&rdquo;.Share your latest resume / CV to Ibtesam@7kctech.comJob Type: Full-timePay: From Rs100,000.00 per monthWork Location: In person

Team Lead- Medical Billing

EZ MD Solutions

Job Overview:We are looking for a Billing Specialist to join our dynamic and growing team. The ideal candidate will be responsible for overseeing all aspects of the medical billing process from claim preparation and submission to payment posting, denial management, and account reconciliation. This role demands strong analytical abilities, excellent communication skills, and a deep understanding of U.S. healthcare billing procedures.Key Responsibilities:<ul><li>Prepare, review, and submit clean and accurate medical claims to insurance companies in a timely manner.</li><li>Perform eligibility and benefits verification (VOBs) for patients and document details accurately.</li><li>Analyze and address claim denials, rejections, and underpayments with attention to detail and accuracy.</li><li>Post insurance and patient payments, perform adjustments, and reconcile accounts.</li><li>Maintain up-to-date knowledge of payer policies, billing regulations, and compliance requirements.</li><li>Communicate effectively with insurance companies, patients, and internal departments to resolve billing-related issues.</li><li>Prepare and maintain reports on billing activities, payments, and outstanding claims.</li><li>Support process improvement initiatives to enhance billing accuracy and efficiency.</li><li>Manage Accounts Receivable (A/R) by following up on unpaid claims and ensuring prompt resolution.</li><li>Ensure compliance with HIPAA and other federal/state regulations regarding patient data.</li><li>Collaborate with management to identify trends in denials or delays and propose corrective actions.</li></ul>Qualifications:<ul><li>Experience: Minimum 6 month &ndash;1 years of proven experience in U.S. medical billing, revenue cycle management, DME Billing or Nursing home.</li><li>Knowledge: Strong understanding of CPT, ICD-10, and HCPCS coding standards.</li><li>Software Skills: Proficiency in medical billing software (e.g., Kareo, Office Ally, eClinicalWorks, etc.) and MS Office (Excel, Word, Outlook).</li><li>Communication: Excellent verbal and written English communication and the ability to interact professionally with clients, patients, and insurance representatives.</li><li>Education: Bachelor&rsquo;s degree in management, or related field (preferred).</li><li>Attention to Detail: High level of accuracy, organization, and ability to multitask in a fast-paced environment.</li><li>Team Player: Ability to collaborate effectively within a team while taking ownership of assigned tasks.</li></ul>Why Join Us:<ul><li>Opportunity to work in a collaborative and supportive environment.</li><li>Exposure to diverse medical billing specialties and payer systems.</li><li>Competitive salary and growth potential within the company.</li><li>Continuous training and skill development opportunities.</li></ul>Job Type: Full-timePay: Rs45,000.00 - Rs70,000.00 per monthAbility to commute/relocate:<ul><li>Rawalpindi: Reliably commute or planning to relocate before starting work (Required)</li></ul>Application Question(s):<ul><li>What are your salary expectations for this role?</li><li>Are you willing to work onsite from 7:00 PM to 4:00 AM at our Rawalpindi office?</li></ul>Education:<ul><li>Bachelor's (Preferred)</li></ul>Experience:<ul><li>Medical Billing: 1 year (Required)</li></ul>Work Location: In person

Speak Viral

We seek a qualified and dedicated AR Specialist to join our administrative office. In this position, you will be responsible for analytical tasks related to debt collection, and invoicing. The role involves ensuring accurate and timely billing, resolving payment issues, managing accounts receivable, and maintaining financial records.Key Responsibilities:<ul><li>Submit and track medical claims to insurance companies Ensure claims are accurate and comply with payer requirements.</li><li>Record payments and adjustments into the billing system.</li><li>Review and address claim denials and rejections by analyzing the reasons for denial, correcting issues, and resubmitting claims.</li><li>Follow up on outstanding accounts.</li><li>Reconcile accounts to ensure all payments, adjustments, and write-offs are accurately recorded.</li><li>Prepare and review reports on accounts receivable.</li><li>Ensure that all billing practices comply with healthcare policies.</li></ul>Skills and Qualifications:<ul><li>Accurate data entry and meticulous record-keeping are crucial.</li><li>Understanding codes for claim submissions and denials.</li><li>Ability to effectively communicate with insurance companies.</li><li>Capable of analyzing financial data and identifying discrepancies or patterns.</li><li>Familiarity with billing software.</li></ul>Education and Experience:<ul><li>Bachelor&rsquo;s degree in business, health care administration, accounting, or a relevant field.</li><li>A minimum of 2 years of experience as a medical biller.</li><li>Previous experience in medical billing or a related field is required, with experience in AR management</li></ul>Benefits:<ul><li>Free Meal</li><li>Market Comparative Salary</li><li>Paid Holidays</li><li>Provident Fund</li><li>Career Growth</li><li>Annual, Bi-Anual Increments</li></ul>Job Type: Full-timePay: Rs40,000.00 - Rs80,000.00 per monthApplication Question(s):<ul><li>Will you be able to work in night shift(6pm to 3am)?</li><li>Will you be able to commute to Bahria Town Phase 7 Rawalpindi?</li></ul>Work Location: In person

AR Specialist in Medical Billing

LAL Technologies

We are seeking a dedicated and detail-oriented Accounts Receivable (AR) Specialist with at least 6 months of experience in the US-based healthcare system. As part of our revenue cycle team, you will be responsible for managing claims follow-up, payment posting, denial analysis, and resolution&mdash;ensuring timely and accurate reimbursement from payers.Key Responsibilities:<ul><li>Work AR follow-up for insurance claims (Commercial, Medicare, Medicaid)</li><li>Identify and resolve denied or underpaid claims</li><li>Perform payer calling to determine claim status and resolve issues</li><li>Process appeals and re-submissions as needed</li><li>Post payments and adjustments accurately</li><li>Document actions taken in billing system</li><li>Meet daily and weekly productivity targets</li></ul>Requirements:<ul><li>Minimum 6 months of experience in AR or RCM processes within the US healthcare system</li><li>Strong understanding of insurance guidelines, EOBs, and denial management</li><li>Experience with billing software</li><li>Strong communication skills (verbal and written)</li><li>Comfortable working night shifts (aligned with US time zone)</li><li>High attention to detail and excellent problem-solving skills</li></ul>Preferred Qualifications:<ul><li>Experience in multi-specialty medical billing</li><li>Familiarity with HIPAA compliance</li><li>Prior experience with US-based clients or BPO settings</li></ul>Benefits:<ul><li>Competitive salary</li><li>Performance-based incentives</li></ul>Job Type: Full-timePay: Up to Rs50,000.00 per monthWork Location: In person

Medical Billing A.R Specialist (Night)

Macrise Tech Solutions

We are looking for a highly organized and detail-focused Accounts Receivable &amp; Denials Resolution Specialist to support our medical billing operations. In this position, you will manage outstanding insurance claims, resolve denials, and ensure timely and accurate reimbursement from payers. The ideal candidate is analytical, efficient, and skilled in communicating professionally with patients, providers, and insurance companies.Key ResponsibilitiesAccounts Receivable &amp; Denial Management<ul><li>Monitor, track, and manage all pending insurance claims to minimize AR balances.</li><li>Perform daily follow-up on claim denials and ensure quick resolution.</li><li>Review ERA reports to identify common denial trends and suggest preventive strategies.</li><li>Prepare, file, and monitor appeals for denied or underpaid claims, including all required documentation.</li><li>Identify payment discrepancies and escalate complex issues to the Billing Manager.</li><li>Maintain updated AR aging reports with consistent weekly and monthly reporting.</li><li>Manage claims for specialized services such as TMS, Spravato, and psychological evaluations.</li><li>Coordinate with the Billing Manager to meet AR reduction, accuracy, and recovery targets.</li></ul>Patient &amp; Provider Coordination<ul><li>Address billing inquiries from patients, providers, and internal teams in a timely manner.</li><li>Verify and update patient account information before starting collection processes.</li><li>Collaborate with providers to correct claim issues, including coding or documentation errors.</li><li>Work with insurance payers on eligibility, authorizations, and network-related matters.</li><li>Resolve patient concerns respectfully and process refunds when applicable.</li></ul>System &amp; Workflow Optimization<ul><li>Create, monitor, and resolve support tickets in eClinicalWorks (eCW).</li><li>Provide training and guidance to team members on AR and denial workflows.</li><li>Coordinate with U.S. billing teams to ensure proper and timely claim submission.</li><li>Participate in performance review meetings, analyze trends, and recommend process improvements.</li><li>Stay informed about payer rules, regulatory updates, and evolving medical billing standards.</li></ul>Job Type: Full-timePay: Rs45,000.00 - Rs70,000.00 per monthAbility to commute/relocate:<ul><li>Wapda Town: Reliably commute or planning to relocate before starting work (Required)</li></ul>Application Question(s):<ul><li>Willing to work the night shift in Wapda Town, Lahore?</li></ul>Experience:<ul><li>Medcal Billing: 1 year (Preferred)</li></ul>Language:<ul><li>English (Required)</li></ul>Work Location: In person

Medical Billing AR & Denials Specialist

Footprints Mental Health Counseling

Footprints Mental Health counseling Billing SpecialistThe main role of the Medical Biller is to ensure that all services are properly billed and paid for. The medical biller manages daily submissions, denials, rejections, deductibles, and delinquent accounts to ensure the corporation generates all profit for provided services possible. In addition, support of technical tasks as needed.<ul><li>Provide excellent customer service to all Footprints patients.</li><li>Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).</li><li>Maintain fiduciary duty, ensuring privacy and ethical usage of private credit card information and all other sensitive financial data provided by Footprints patients.</li><li>Checking eligibility and benefits verification for all mental health treatments.</li><li>Manually check any payment issues 2 weeks after each initial claim to reduce prolonged treatment for uncovered patients.</li><li>Reviewing patient bills for accuracy and completeness and obtaining any missing information.</li><li>Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.</li><li>Following up on unpaid claims within the standard billing cycle timeframe.</li><li>Checking each insurance payment for accuracy and compliance with contract discount.</li><li>Calling insurance companies regarding any discrepancy in payments if necessary</li><li>Identifying and billing secondary or tertiary insurances and reviewing accounts for insurance of patient follow-up.</li><li>Researching and appealing denied claims.</li><li>Answering all patient or insurance telephone inquiries pertaining to assigned accounts.</li><li>Setting up patient payment plans and work collection accounts.</li><li>Managing billing procedures using proper EINs, NPIs, and complying with state and board guidelines.</li><li>Updating cash spreadsheets to track data and ensure maximum income is generated.</li><li>Liaison with Clinical Administrator, Office Manager, regarding credentialing</li></ul>In addition to these general duties, an individual employer may request that you perform other duties that fit with your training and background experience or provide further training for new duties.Basic requirements typically listed include:<ul><li>A University degree or similar level of accreditation</li><li>Mastery level of English Language</li><li>Excellent customer service skills, organizational skills and willingness to work well with others and collaborate</li><li>Ability to understand different mental health degree types and licensure lvels such as MHC intern, MHC &ndash; LP, LMHC, PhD, PsyD, MSW, LMSW, LCSW, MFT, LMFT etc.</li><li>Ability to learn and understand all relative billing data such as CPT codes, EIN/TAX ID, NPI, ERA, EFT, credentialing, deductible, copayment, coinsurance.</li><li>Ability to understand varying diagnosis and treatment modalities such as bipolar, major depression, anxiety, PTSD, cognitive behavioral therapy, DBT, psychodynamic.</li></ul>Job Type: Full-timePay: &#8377;25,000.00 per month

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Medical Billing Specialist

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Medical Billing Specialist