Medical Billing AR Executive

Prima Systems

جون ۱۲, ۲۰۲۵ شائع ہوئی 110 نے دیکھا Report Job

PKR. 80,000 - 80,000/Month

Job Summary
We are looking for a meticulous and knowledgeable professional with a solid understanding of U.S. health insurance regulations, especially Medicare and state Medicaid programs. The successful candidate will be responsible for managing accounts receivable, handling denial management, and overseeing the appeals process with efficiency and accuracy. This role demands proactive follow-up on unpaid claims within the standard billing cycle, ensuring all activities comply with contract terms and billing guidelines. Additionally, the candidate will review patient billing statements, resolve discrepancies with insurance providers, and identify any secondary or tertiary insurance coverage to maximize reimbursements. Strong communication skills are essential for effective collaboration with both internal teams and external clients. Maintaining comprehensive documentation of all processes and tasks is critical. The candidate should also be prepared to undertake additional duties as assigned by management.

Key Responsibilities
- Manage accounts receivable processes, including denial management and appeals, to ensure timely and accurate collections.
- Conduct diligent follow-up on unpaid claims within the standard billing cycle to minimize delays in payment.
- Verify insurance payments for accuracy, ensuring adherence to contract terms and discount agreements.
- Review patient bills thoroughly for completeness and obtain any missing or required information.
- Communicate directly with insurance companies to resolve payment discrepancies and clarify billing issues.
- Identify and bill secondary or tertiary insurance carriers when applicable to maximize revenue.
- Perform regular account reviews to identify outstanding insurance or patient balances requiring follow-up.
- Maintain organized and detailed documentation of all billing activities, communications, and resolutions.
- Collaborate effectively with team members and clients to facilitate smooth billing operations and resolve issues promptly.
- Execute any additional responsibilities assigned by management to support department goals.

Required Qualifications
- Bachelor’s degree is mandatory.
- At least 2 years of experience in medical billing and accounts receivable management.
- Proficiency in English with strong verbal communication skills to interact clearly with clients and insurance representatives.
- In-depth knowledge of commercial insurance policies, medical billing procedures, and medical information systems.
- Ability and willingness to work the designated shift from 6 PM to 3 AM, Monday through Friday.

Preferred Qualifications and Benefits
- Prior experience specifically with Medicare and state Medicaid guidelines is highly desirable.
- This is a full-time position offering a competitive monthly salary ranging from Rs 80,000 to Rs 90,000.

This role offers an excellent opportunity to join a dynamic team where attention to detail and compliance with healthcare billing standards are paramount. Candidates who meet the qualifications and are comfortable working the specified hours are encouraged to apply.