AR Executive Karachi

Job Summary
We are seeking a detail-oriented and experienced Medical Billing Specialist to join our team. The ideal candidate will have a strong background in CPT/ICD coding, insurance billing, and claims management. This role requires thorough knowledge of insurance guidelines, including Medicare and state Medicaid programs, and the ability to manage accounts receivable, denial management, and appeals efficiently. The successful candidate will communicate effectively with patients, insurance companies, and internal teams to ensure accurate billing and timely payment.

Key Responsibilities
- Perform accurate CPT and ICD coding for patient services.
- Review patient bills meticulously for accuracy and completeness, obtaining any missing information as needed.
- Maintain up-to-date knowledge of insurance guidelines, with a focus on Medicare and state Medicaid policies.
- Follow up on unpaid claims within the standard billing cycle to ensure timely reimbursement.
- Verify insurance payments for accuracy and compliance with contractual agreements.
- Communicate with insurance companies to resolve payment discrepancies and clarify billing issues.
- Identify and bill secondary or tertiary insurance carriers when applicable.
- Conduct thorough reviews of all accounts to determine the need for insurance or patient follow-up.
- Respond promptly and professionally to patient and insurance inquiries related to assigned accounts via telephone.
- Collaborate effectively with team members and clients to support billing operations and resolve issues.
- Manage accounts receivable processes, including denial management and appeal submissions.
- Maintain detailed documentation and follow established protocols for all billing tasks performed.
- Handle authorizations, including pre-authorization, post-authorization, and retroactive authorization processes.
- Conduct research and prepare management reports to support operational improvements and decision-making.

Required Qualifications
- Proficient in CPT and ICD coding with a solid understanding of medical billing procedures.
- Strong knowledge of insurance guidelines, especially Medicare and state Medicaid programs.
- Experience in denial management and appeals processing.
- Familiarity with electronic health records (EHR) and medical billing software such as CureMD, Kareo, Practice Fusion, Encoder Pro, and Payer Portals.
- Skilled in using MS Office applications and Web Fax tools like Metro Fax.
- Excellent verbal and written communication skills in English, with a good typing speed.
- Ability to handle multiple tasks efficiently while maintaining accuracy and attention to detail.
- Strong interpersonal skills and the ability to work collaboratively within a team environment.

Preferred Qualifications and Benefits
- Previous experience working with multiple insurance carriers and handling complex billing scenarios.
- Demonstrated ability to manage authorizations and coordinate with insurance providers effectively.
- A proactive approach to problem-solving and continuous process improvement.
- Opportunity to work in a supportive team environment with ongoing professional development.

This position offers the chance to contribute to a dynamic healthcare billing team, ensuring accurate and timely reimbursement while maintaining high standards of compliance and customer service. If you are a motivated professional with a passion for medical billing and coding, we encourage you to apply.