A/R Specialist ( Medical Billing)

Meds Nexus is a healthcare and technology company specializing in Medical Billing (Revenue Cycle Management) and Software Development services. Since 2020, we have been delivering technology-driven solutions that enhance revenue cycle efficiency for healthcare providers and support businesses through digital transformation. Our commitment to innovation, quality, and continuous improvement is matched by our focus on building a skilled and growth-oriented workforce.

Key Responsibilities:
- Review patient claims for accuracy and completeness, obtaining any missing information as needed.
- Apply knowledge of insurance guidelines, particularly Medicare and state Medicaid programs.
- Follow up on unpaid claims within the standard billing cycle timeframe to ensure timely payment.
- Verify insurance payments for accuracy and compliance with contract discounts.
- Contact insurance companies to resolve discrepancies in payments when necessary.
- Identify and bill secondary or tertiary insurance accounts, managing follow-ups for insurance or patient-related issues.
- Respond to patient and insurance inquiries regarding assigned accounts professionally and promptly.
- Communicate effectively with team leads and management to ensure smooth workflow.
- Manage accounts receivables, denial management, and appeal processes diligently.
- Maintain accurate documentation and adhere to established protocols for all tasks performed.
- Perform any additional duties assigned by management.
- Strong verbal communication skills in English are considered an advantage.

Required Qualifications:
- Proven experience working with US-based medical billing companies, with expertise in billing, accounts receivable, denial management, and appeals.
- Excellent working knowledge of Electronic Health Records (EHR) and Medical Billing Software such as OfficeAlly, AdvancedMD, eClinicalWorks, Kareo, Practice Fusion, MS Office, Web Fax (Metro Fax), Encoder Pro, and various payer portals.
- Solid understanding of medical billing and coding principles.
- Experience in denial management, appeals, authorizations, and research and management reporting.
- Strong verbal and written communication skills in English, along with good typing speed.

Preferred Qualifications and Benefits:
Meds Nexus offers a rewarding career path with competitive compensation aligned with experience. We prefer candidates seeking full-time employment. Our benefits package includes paid leaves, HR bonuses, loan policies, advance salary options, yearly loyalty rewards, leave encashment, inflation bonuses, promotions, and salary increments. Additional perks include a potential medical plan, participation in the Employee Equity Funds Program (EEFP), weekends off (Saturday and Sunday), and complimentary meals and beverages during shifts.

The position requires working onsite with office hours from 5:30 PM to 2:30 AM. The work location is in Rawalpindi, at a central office on Asghar Mall Road.

Candidates should be prepared to answer questions regarding their current and expected salary, notice period (if applicable), feasibility of commuting to the night shift location, and their experience as an A/R Specialist.

This role is ideal for motivated professionals looking to advance their career in medical billing within a dynamic and supportive environment.