senior medical billing specialist

MaxRemind

Job Title: Medical Billing Specialist &amp; Reporting AnalystJob Summary:We are seeking a Medical Billing Specialist &amp; Reporting Analyst to manage end-to-end billing operations and ensure accuracy in claims submission, payment posting, and reporting. The ideal candidate will have strong analytical skills, proficiency in Excel, and a deep understanding of the US healthcare billing process.Key Responsibilities:<ul><li>Prepare, review, and submit medical claims to insurance companies accurately and timely.</li><li>Monitor claim rejections and denials; identify root causes and ensure prompt resolution.</li><li>Post payments and reconcile accounts to ensure proper posting in the system.</li><li>Generate and maintain daily, weekly, and monthly performance reports related to billing and collections.</li><li>Track KPIs such as claim submission accuracy, denial rates, and payment turnaround times.</li><li>Perform data analysis to identify trends and provide insights for process improvement.</li><li>Maintain confidentiality and compliance with HIPAA and company policies.</li></ul>Requirements:<ul><li>Familiarity with EHR/PM systems and payer portals.</li><li>Strong analytical and communication skills.</li><li>Detail-oriented, organized, and able to meet deadlines.</li><li>Bachelor&rsquo;s degree (preferably in Business, Finance, Healthcare, or related field).</li><li>6 months to 1.5 years of experience in US medical billing and reporting.</li></ul>Job Type: Full-TimeTimings: 8:00 PM &ndash; 5:00 AMLocation: Old Airport Road, Fazal Town phase 2, RawalpindiJob Type: Full-timePay: Rs40,000.00 - Rs50,000.00 per monthWork Location: In person

Medical Billing Specialist and Analyst

MeshSquare

Job description:Position: Senior Credentialing SpecialistCompany: Meds NexusLocation: Office # 1st, 5th Floor, Gold Mark Plaza, Asghar Mall Rd, Asghar Mall Scheme, Rawalpindi, Punjab 46000Job Timing: 05:30 PM To 02:30 AM (EVENING SHIFT)Job Type: Night ShiftExperience Required: 2-3 yearsPosition Available: 2Special Note: This job is not for fresh candidates.About Us:Meds Nexus is a leading medical billing company based in Rawalpindi, dedicated to streamlining healthcare financial processes. We are actively seeking a detail-oriented and motivated individual to join our Credentialing team as a Senior Credentialing Specialist.Key Responsibilities:- Accurately complete credentialing and reappointment applications for Outpatient and ABA providers.- Track progress of applications and report to Client Managers/Team Leaders.- Monitor and update provider portals for accurate information.- Maintain current provider records electronically and in hard copy folders.- Assist in obtaining required documentation from providers.- Prepare professional communication to providers, payers, and facilities.- Understand the impact of credentialing on billing, contracts, and EDI.- Investigate and determine solutions to problems.- Communicate clearly and professionally with team members, payers, and credentialing representatives.- Process ERA &amp; EFT applications.- Have brief knowledge of Government, MCOs, and commercial insurance enrollments.Salary Package:- Basic: up to Rs.100,000 per monthJob Rewards and Benefits:- Paid Leaves- HR Bonus- Loan Policy- Advance Salary- Yearly Loyalty Rewards- Leave Encashment- Inflation Bonus- Promotion- Increments- Medical (TBD)- Employee Equity Funds Program (EEFP)- Saturday and Sunday Off- Complementary Food (Dinner) &amp; Tea/Green Tea (Two times)How to Apply:If you are ready to contribute to a dynamic team and take the next step in your finance career, please submit your resume and a cover letter outlining your relevant experience to hr@medsnexus.com. Please include &quot;Account Assistant Application&quot; in the subject line.Application Deadline: On an urgent basisMeds Nexus is an equal-opportunity employer. We encourage applications from candidates of all backgrounds and experiences.Contact Information:- Email: hr@medsnexus.com- Phone: 051 889-2889 WhatsApp: 03708892889Job Type: Full-timePay: Rs100,000.00 - Rs150,000.00 per monthWork Location: In person

Senior Credentialing Specialist (Medical Billing)

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

Paritas Nexus

Company: NEXT RCM Location: Remote (USA-based clients) Position: Senior DME Medical Biller Experience Required: 6&ndash;7 Years (DME Billing &amp; RCM)About the Role: NEXT RCM is seeking an experienced Senior DME Medical Biller to join our growing team. The ideal candidate must have in-depth knowledge of Durable Medical Equipment (DME) billing, claim submission, denial management, and insurance follow-ups for US-based healthcare clients.Key Responsibilities:<ul><li>Manage complete DME billing cycle (charge entry, claim submission, payment posting, denial handling).</li><li>Work with insurance portals for eligibility, claim status, and appeals.</li><li>Ensure accuracy and compliance with payer guidelines.</li><li>Train and guide junior billing staff when required.</li><li>Communicate effectively with clients and internal teams.</li></ul>Requirements:<ul><li>Minimum 6&ndash;7 years of experience in DME medical billing.</li><li>Strong understanding of HCPCS codes, modifiers, and payer requirements.</li><li>Experience with RCM software and clearinghouses.</li><li>Excellent communication and analytical skills.</li><li>Ability to work independently in a remote environment.</li></ul>What We Offer:<ul><li>Remote working flexibility.</li><li>Competitive compensation package.</li></ul>Job Types: Full-time, Part-timeWork Location: Remote

Senior DME Medical Biller

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

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 1&ndash;2 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: Rs50,000.00 - Rs100,000.00 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 6:00 PM to 3:00 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

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10000 senior medical billing specialist jobs NEAR_ME

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AR Specialist in Medical Billing