Account Receiveable (AR) Specialist

We are seeking a detail-oriented Accounts Receivable (A/R) Specialist to oversee the accounts receivable processes within our U.S. medical billing operations. The ideal candidate will excel at identifying financial discrepancies, resolving claim denials, and enhancing cash flow. This role demands accuracy in claim review, effective communication with insurance carriers and patients, and the ability to manage complex billing situations efficiently. The position is based in Rawalpindi and requires working night shifts from 5:30 PM to 2:30 AM, Monday through Friday.

Key Responsibilities
- Thoroughly review outgoing claims to ensure accuracy and completeness before submission.
- Follow up systematically on aged and delayed insurance claims using web portals, insurance guidelines, and direct communication with carriers.
- Verify insurance reimbursements align with negotiated rates and promptly address any underpayments.
- Manage complex claim denials by preparing formal appeals and handling secondary and tertiary billing tiers.
- Respond to inbound telephone inquiries from patients and insurance representatives regarding account statuses.
- Maintain accurate tracking of tasks and generate detailed A/R summary reports using MS Excel.
- Collaborate with department supervisors to review portfolio performance and identify opportunities for process improvements.

Required Qualifications
- 1 to 2 years of experience in U.S. medical billing accounts receivable workflows, including denial resolution and appeals.
- Familiarity with major EHR and billing software such as eClinicalWorks, AdvancedMD, Kareo, Practice Fusion, and OfficeAlly.
- High proficiency in MS Excel for data tracking, web-fax tools, and efficient data entry.
- Strong understanding of medical coding standards, Medicare/Medicaid regulations, and benefit authorization processes.
- Excellent written and verbal communication skills in English.
- Bachelor’s degree in any discipline.

Preferred Qualifications and Benefits
- Weekend schedule includes Saturdays and Sundays off.
- Competitive compensation package featuring annual loyalty awards, inflation allowances, performance bonuses, periodic salary increments, loan options, and advance salary facilities.
- Additional benefits include paid time off, leave encashment, and medical provisions (details to be confirmed).
- Office amenities include free nightly dinner and dual tea/green tea breaks.
- This is an in-person role requiring candidates to commute to the Rawalpindi office and be comfortable working night shifts.

Applicants will be asked about their current salary, experience level, notice period, expected salary, and their ability to work night shifts and commute to the office. This position offers a rewarding career path for candidates dedicated to accuracy and teamwork within the medical billing field.