senior medical billing specialist

Meds IT Nexus

<p>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.</p><p>Candidates should meet the following criteria to qualify for the job:</p><p>Review patients&rsquo; Claims for accuracy and completeness and obtain any missing information</p><p>Knowledge of insurance guidelines, especially Medicare and state Medicaid</p><p>Follow-up on unpaid claims within the standard billing cycle timeframe</p><p>Check each insurance payment is for accuracy and in compliance with the contract discount</p><p>Call insurance companies regarding any discrepancy in payments if necessary</p><p>Identify and bill secondary or tertiary insurance counts that are to be reviewed for insurance or patient follow-up</p><p>Answer patient or insurance telephone inquiries about assigned accounts.</p><p>To Communicate Effectively with Team Lead and Manager.</p><p>To perform the Account Receivables, Denial Management, and Appeal Management.</p><p>To maintain the protocols and documentation of each performed task.</p><p>Any other task as assigned by the management.</p><p>Strong verbal communication skills (English) will be a plus.</p><p><b>Job Specification:</b></p><p>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.</p><p>Good knowledge of Medical Billing and Coding</p><p>Denial management and Appeal</p><p>Authorizations</p><p>Research and Management Reporting</p><p>Strong verbal (English) and written communication (Good Typing speed).</p><p>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.</p><p><b>Job Rewards and Benefits:</b></p><p>- Paid Leaves</p><p>- HR Bonus</p><p>- Loan Policy</p><p>- Advance Salary</p><p>- Yearly Loyalty Rewards</p><p>- Leave Encashment</p><p>- Inflation Bonus</p><p>- Promotion</p><p>- Increments</p><p>- Medical (TBD)</p><p>- Employee Equity Funds Program (EEFP)</p><p>- Saturday and Sunday Off</p><p>- Complementary Food (Dinner) &amp; Tea/Green Tea (Two times)</p><p>Send your resume to: careers@medsnexus.com</p><p>Contact Information:</p><p>- Phone: 051 889-2889</p><p>Job Type: Full-time</p><p>Job Type: Full-time</p><p>Work Location: In person</p>

Senior AR Specialist - Medical Billing

Progressive Resource

<p><b>Job Title:</b> Senior Business Development Specialist&ndash; Medical Billing<br/><b>Location:</b> Gulberg, Jail Road, Lahore<br/><b>Job Type: </b>Full-Time<br/><b>Shift:</b> Monday to Friday, 6:00 PM &ndash; 3:00 AM<br/><b>Salary:</b> Competitive</p><p><b>Job Description: </b></p><p>We are looking for a highly motivated and experienced Senior Business Development Executive to join our growing sales team. The ideal candidate will have a strong background in business development within the medical billing sector, with the ability to drive sales, manage client relationships, and lead a team to achieve ambitious targets.</p><p><b>Key Responsibilities:</b></p><ul><li>Drive new client acquisition and expand business within the medical billing industry.</li><li>Develop and implement effective sales strategies to meet or exceed revenue targets.</li><li>Manage, mentor, and guide a small team to maximize performance and efficiency.</li><li>Track sales metrics, prepare reports, and provide actionable insights to management.</li><li>Collaborate with internal teams to ensure smooth onboarding and post-sales support.</li></ul><p><b>Requirements: </b></p><ul><li>3&ndash;5 years of experience in business development within medical billing.</li><li>Proven ability to handle sales independently while managing a team.</li><li>Strong communication, negotiation, and relationship-building skills.</li><li>Self-motivated, target-driven, and able to work in a fast-paced environment.</li><li>Comfortable with night shift timings (6:00 PM &ndash; 3:00 AM).</li></ul><p><b>Benefits: </b></p><ul><li>Free company meal</li><li>Medical insurance</li><li>Fuel card</li><li>Paid leaves + encashment</li><li>US holidays + your weekend is actually a weekend</li><li>No rotational shifts &mdash; just stability</li><li>Uncapped earnings on commission</li></ul><p>Job Type: Full-time</p><p>Experience:</p><ul><li>Business Development in Medical Billing: 3 years (Required)</li><li>U.S. Sales: 3 years (Required)</li></ul><p>Work Location: In person</p>

Senior Business Development Specialist- Medical Billing

CrecenTech

<p><b>Overview:</b><br/>CrecenTech Systems Private Limited is seeking a results-driven <b>Senior Business Development Specialist &ndash; Medical Billing</b> to accelerate business growth within the international healthcare and Revenue Cycle Management (RCM) services market. This role is ideal for a professional who excels at developing new business opportunities and building long-term partnerships with healthcare organizations.</p><p><b>Key Responsibilities:</b></p><ul><li>Identify and pursue new business opportunities for Medical Billing and RCM services</li><li>Conduct outbound prospecting through calls, emails, and professional networking platforms</li><li>Engage with healthcare providers to understand their billing and revenue cycle needs</li><li>Present and promote service offerings, including Medical Billing, Coding, Accounts Receivable, and Denial Management</li><li>Assist in proposal development, pricing negotiations, and contract closures</li><li>Maintain accurate sales pipelines, forecasts, and activity records using CRM tools</li><li>Collaborate with internal teams to ensure smooth client onboarding and seamless service delivery</li><li>Achieve assigned monthly and quarterly business development targets</li><li>Stay informed about healthcare industry trends, billing practices, and compliance standards</li></ul><p><b>Required Qualifications:</b></p><ul><li>Bachelor&rsquo;s degree in Business, Marketing, Healthcare Management, or a related field</li><li>Minimum of 3 years of experience in business development or sales (experience in medical billing services is a plus)</li><li>Solid understanding of medical billing and revenue cycle workflows</li><li>Excellent communication, negotiation, and relationship-building skills</li><li>Hands-on experience with CRM or sales management tools</li><li>Ability to work with international clients and flexible working hours</li></ul><p><b>Preferred Qualifications:</b></p><ul><li>Experience selling Medical Billing, Coding, or RCM-related services</li><li>Familiarity with professional networking and lead generation platforms</li><li>Prior exposure to healthcare or medical service environments</li></ul><p><b>Benefits:</b></p><ul><li>At least two bonuses per year (Eid Bonus)</li><li>Commission Offered</li><li>Performance-Based Bonuses</li><li>Maternity/Paternity Allowance</li><li>Maternity Leaves</li><li>Wedding Allowance</li><li>Annual Leaves Encashment</li><li>Double salary on Gazetted Holidays</li><li>Special Allowance for Emergency</li><li>12 Casual Leaves</li><li>10 Medical Leaves</li><li>10 Annual Leaves</li><li>Dedicated Training</li><li>Birthday celebrations</li><li>Gaming Facility</li><li>Growing &amp; Dynamic Team</li><li>Office Gatherings, Celebrations, and Trips</li><li>5 days a week (work-life balance)</li></ul><p><b>Job Location: Link Road Model Town, Lahore</b><br/><b>Job Timings: 6 PM to 3 AM (5 days a week)</b></p><p>Job Type: Full-time</p><p>Application Question(s):</p><ul><li>How many years of experience do you have in business development or sales?</li><li>Are you comfortable conducting outbound prospecting through calls, emails, and professional networking platforms?</li><li>Are you comfortable working in night Shift?</li><li>What are your expected salary?</li></ul><p>Experience:</p><ul><li>Medical Billing: 3 years (Required)</li></ul><p>Language:</p><ul><li>English (Required)</li></ul><p>Location:</p><ul><li>Lahore Model Town (Required)</li></ul><p>Work Location: In person</p>

Business Development Specialist – Medical Billing

PMTAC Pvt Ltd

<p><b>Job Title: SNF Medicare Billing Specialist &ndash; PDPM (Skilled Nursing Facility)</b></p><p><b>Location:</b> Rawalpindi, Pakistan (Onsite)<br/><b>Company:</b> PMTAC Pvt. Ltd.<br/><b>Shift:</b> Night Shift (US Healthcare)</p><p><b>Position Overview</b></p><p>PMTAC is seeking an experienced <b>SNF Medicare Billing Specialist</b> with strong knowledge of the <b>Patient-Driven Payment Model (PDPM)</b> 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.</p><p>This role requires a strong understanding of Centers for Medicare &amp; Medicaid Services (CMS) billing guidelines and compliance regulations.</p><p><b>Key Responsibilities</b></p><p><b>1. Medicare Eligibility Verification</b></p><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><p><b>2. MDS &amp; PDPM Coordination</b></p><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><p><b>3. UB-04 (CMS-1450) Claim Preparation</b></p><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><p><b>4. Claim Submission &amp; Follow-Up</b></p><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><p><b>5. Payment Reconciliation &amp; Post-Processing</b></p><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><p><b>6. Compliance &amp; Audit Readiness</b></p><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><p><b>Required Qualifications</b></p><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><p><b>Preferred Qualifications</b></p><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><p><b>Core Competencies</b></p><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><p>Interested candidates with <b>SNF Medicare Billing Specialist</b> are encouraged to apply by sharing their CV at:<br/><b>careers@pmtac.com</b></p><p><b>a.arslan@pmtac.com </b><br/><b>Subject:</b> <b>SNF Medicare Billing Specialist</b></p><p>Job Type: Full-time</p><p>Pay: Rs80,000.00 - Rs150,000.00 per month</p><p>Experience:</p><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><p>License/Certification:</p><ul><li>RHIT, RHIA, CPC, or CPB certification (Required)</li></ul><p>Location:</p><ul><li>Rawalpindi (Required)</li></ul><p>Work Location: In person</p>

SNF Medicare Billing Specialist – PDPM (Skilled Nursing Facility)

Shispare

<p>The Senior Medical Billing Services Sales Representative is responsible for generating new revenue by selling outsourced medical billing and related services to hospitals, physician groups, clinics, and other healthcare providers. The role focuses on promoting a comprehensive solution that includes full-service billing and coding, insurance verification, credentialing, and next-day payment on submitted claims, driving measurable improvements in provider cash flow and administrative efficiency.</p><p><b>Essential duties and responsibilities:</b></p><ul><li>Identify, qualify, and close new client accounts for medical billing, coding, and revenue cycle management services within an assigned territory.</li><li>Conduct structured discovery to understand a prospect&rsquo;s current billing processes, payer mix, denial rates, and cash-flow challenges, and design tailored service proposals.</li><li>Articulate the value of next-day payments on claims and related services (insurance verification, credentialing, and coding accuracy) to financial and clinical stakeholders.</li><li>Prepare and deliver professional sales presentations, proposals, and RFP responses to practice administrators, CFOs, CEOs, and physician owners.</li><li>Negotiate pricing, terms, and contract language within defined company parameters and obtain timely execution of service agreements.</li><li>Maintain an active, accurately forecasted pipeline in the CRM, documenting all prospect interactions, next steps, and probability to close.</li><li>Collaborate with operations, implementation, and client success teams to ensure smooth onboarding, accurate setup, and a positive handoff experience.</li><li>Provide regular feedback from the field regarding competitor offerings, pricing trends, and customer requirements.</li><li>Achieve or exceed defined KPIs, including number of new opportunities created, proposals delivered, and closed-won revenue.</li><li>Represent the company at industry events, conferences, and webinars as needed</li></ul><p><b>Must Have:</b></p><ul><li>Bachelor&rsquo;s degree in Business, Healthcare Administration, or related field.</li><li>3&ndash;5 years of quota-carrying sales experience in medical billing, revenue cycle management, healthcare technology, or healthcare services.</li><li>Demonstrated track record of meeting or exceeding annual revenue targets in a B2B healthcare sales role.</li><li>Working knowledge of medical billing fundamentals, including patient registration, charge capture, coding (CPT/ICD), claim submission, denials management, and reimbursement cycles.</li><li>Familiarity with insurance verification processes, provider credentialing, and payer enrollment.</li><li>Strong proficiency using CRM software to manage pipeline and forecast accurately.</li><li>Excellent verbal and written communication skills, including presentation and negotiation.</li><li>Ability to travel to client sites, conferences, and internal meetings as required.</li><li>Existing relationships with physician practices, specialty clinics, and/or hospital decision-makers.</li><li>Experience selling to C-level and administrative leaders in healthcare (CFO, CEO, practice administrator, revenue cycle director).</li></ul><p><b>Work Location &amp; Field Travel:</b></p><ul><li>100% remote, open to candidates across the US; occasional travel to customer sites may be required for larger deals.</li><li>Ability to travel by car and/or air to customer locations and events.</li></ul><p><b>How to apply:</b></p><ul><li>Please submit your resume and a short cover letter describing your experience selling medical billing, RCM, or related healthcare services, including your most recent yearly quota and actual performance.</li></ul><p>Job Type: Full-time</p><p>Application Question(s):</p><ul><li>Current and expected salary</li></ul><p>Experience:</p><ul><li>sales experience in medical billing and healthcare software: 3 years (Required)</li></ul><p>Work Location: Remote</p>

Senior Medical Billing Services Sales Representative

Bbm solutions

<p><b>Responsibilities</b>:</p><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><p><b>Requirements</b>:</p><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><p>Job Type: Full-time</p><p>Pay: Rs70,000.00 - Rs100,000.00 per month</p><p>Work Location: In person</p>

Senior Medical Billing Executive/ AR Specialist

Ascribe Healthcare Solutions

<div></div><div><div><div><div><div>The Senior Executive for Medical Coding will be responsible for reviewing, interpreting and abstracting clinical information from medical records and translate into international code sets by applying coding guidelines for reimbursement, research, and compliance, adhering to established coding principles and protocols.</div>
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</div></div><div><div><div><div><div><h4 class="jobSectionHeader"><b>Roles and Responsibilities</b></h4><ul><div><p>
Ensures appropriate selection of principal diagnosis, qualifying secondary diagnosis, Impacting procedures and other services which are relevant for submission and reimbursement</p></div><div><p>
Effective physician query process before code assignment to obtain the greatest possible diagnostic specificity and clinical documentation to accurately reflect the patient's condition</p></div><div><p>
Consistently maintain quality and productivity standards and achieve the productivity target and quality targets</p></div><div><p>
Ensures to reduce rejections and get the claim paid at the initial submission of claims</p></div><div><p>
Assign codes for preauthorization process and effective response to payer queries coordinating with the clinical team</p></div><div><p>
Applying advanced knowledge of medical terminology, anatomy, and physiology, treatment modalities, diagnostic test, medications.</p></div><div><p>
Ensure a high level of patient data confidentiality</p></div><div><p>
Identify documentation deficiencies and query physician for clarification and additional documentation before code assignment</p></div><div><p>
Perform other related duties incidental to the work described herein</p></div><div><p>
Ensures that targets are met for department Turnaround time, Quality and Productivity</p></div><div><p>
Adhere to the DHA Claims and Adjudication rules and coding guidelines</p></div></ul>
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</div></div></div><div><div><div><div><h4 class="jobSectionHeader"><b>Education, Experience, and skills needed</b></h4><ul><div><p>
Education: Degree in any related field with medical/life science background</p></div><div><p>
CCS (AHIMA) or CPC (AAPC) certification is mandatory</p></div><div><p>
Minimum of two to three (2-3) years coding experience in any setting i.e., hospital, daycare center, or other related healthcare organizations in UAE is required</p></div><div><p>
Knowledge of the billing process will be desirable. Both inpatient (IR-DRG) and outpatient coding experience are mandatory.</p></div><div><p>
Expertise in medical record review to abstract information required to support accurate coding</p></div><div><p>
Excellent communication skills</p></div><div><p>
Good understanding of the preauthorization process and payer adjudication guidelines related to DHA</p></div><div><p>
Expertise in assigning accurate ICD-10-CM, CPT, DRG, HCPCS and other service codes for diagnosis and procedures performed in the IP/OP/ER setting.</p></div><div><p>
Excellent interpersonal skills while interacting with physicians, nurses and other staffs</p></div><div><p>
Multispecialty coding experience in surgery, IVR, labs, radiology and HCPCS coding for supplies &amp; consumables</p></div><div><p>
Aware of current trends related to medical necessity, DRG, and DHA Claims and Adjudication rules and coding guidelines</p></div></ul></div></div></div></div></div></div><p></p>

Medical Coding Senior Executive - Dubai

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