We are seeking an experienced Accounts Receivable (AR) Specialist to join our US-based medical billing operations team. This role is focused on managing insurance follow-ups, denials, and collections for U.S. healthcare providers, with a particular emphasis on CPT codes, payer guidelines, and AR workflows.

The ideal candidate must have hands-on experience in RCM (Revenue Cycle Management), especially in claim follow-ups, denial resolution, and accurate documentation in billing software.

Key Responsibilities:

  • Manage aged AR inventory by following up on unpaid or denied insurance claims.

  • Investigate and resolve denials related to coding, authorization, eligibility, and timely filing.

  • Work claim queues using practice management systems and payer portals (e.g., Availity, Optum, Navinet).

  • Collaborate with internal teams (coding, charge entry, client support) to ensure clean claim resubmission.

  • Track trends in denials and escalate complex issues as needed.

  • Maintain detailed notes and ensure proper documentation as per compliance standards.

Requirements:

  • Minimum 1 year of experience in U.S. medical billing (AR/Denials/Collections)

  • Familiarity with CPT, ICD, and HCPCS codes and modifier usage

  • Understanding of payer guidelines and denial types (PR, CO, OA, etc.)

  • Experience with any billing software (eClinicalWorks, AdvancedMD, Kareo, etc.)

  • Strong written and verbal communication skills

  • Comfortable working night shifts (US timings)

Nice to Have:

  • Experience in Orthopedic or Radiology billing

  • Knowledge of clearinghouse tools and ERA/EOB interpretation

Shift Timings:

Night Shift (7:00 PM – 4:00 AM PKT)

Location:

Lahore (Onsite Only)

工作详细内容

全部职位:
15 发布
工作时间:
晚班
工作类型:
工作地址:
Gulberg 3, 拉合尔, 巴基斯坦
性别:
没有偏好
最低学历:
中级/A级
职位等级:
资深专业人员
经验:
2年 - 5年 (Must have hands-on experience in US. Medical billing - Specifically in AR follow-Ups , claims status, denial resolution and familiarity with CPT codes and payer guidelines. Experience in surgery related specialties will be highly preferred.)
在之前申请:
Jun 16, 2025
发布日期:
May 15, 2025

Rev Circle

· 11-50 员工 - 拉合尔

About Revcircle At Revcircle, we’re not just another offshore medical billing company — we’re a team of professionals specializing in complex and high-value RCM work for U.S.-based orthopedic and radiology practices, as well as multi-specialty facilities that require precision, skill, and consistency. What truly defines us is our people-first culture. We believe that the success of our clients begins with the growth of our team. That’s why we invest in our people — offering exposure to advanced billing workflows, payer intricacies, and real-world denial resolution that builds expertise, not just routine. If you're looking for a place to meaningfully grow your skills, handle real-world billing challenges, and be part of a culture that values learning and ownership, Revcircle is where you belong. We operate during U.S. hours from our Lahore office, serving a growing portfolio of healthcare providers across the United States with a sharp focus on quality, compliance, and results.

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