AR Specialist

Meds IT Nexus is seeking a detail-oriented and communication-driven Accounts Receivable (AR) Specialist to join our growing team. This role focuses on managing insurance negotiations, resolving complex carrier escalations, and handling secondary claims for our US-based medical billing clients. The ideal candidate will have a strong background in medical billing and AR follow-up, with excellent communication skills to effectively interact with payers and internal teams.

Key Responsibilities

Claim Review & Submission Check: Carefully inspect patient claims to ensure accuracy, completeness, and data integrity before initial submission.

Active AR Follow-ups: Conduct thorough end-to-end accounts receivable follow-ups via phone and payer portals on unpaid or aged claims.

Discrepancy & Dispute Resolution: Investigate and resolve payment discrepancies, underpayments, and claim denials by communicating directly with insurance payers.

Formal Appeals Processing: Prepare and submit well-documented formal appeals along with supporting records to insurance carriers.

Payer Contract Audit: Verify reimbursement amounts against contract discounts for Medicare, Medicaid, and commercial payers, while managing secondary and tertiary claims.

Documentation & Metrics: Maintain detailed task notes and provide regular daily and weekly AR research reports and team performance updates using MS Excel.

Required Qualifications

Experience: Proven experience in US medical billing, accounts receivable follow-up, and payer collections is essential.

Software Skills: Proficiency in EHR and billing platforms such as AdvancedMD, eClinicalWorks, Kareo/Tebra, Practice Fusion, OfficeAlly, EncoderPro, and various payer portals.

Technical Proficiency: Strong command of MS Excel, familiarity with web faxing tools, and a fast typing speed.

Knowledge: Solid understanding of CPT and ICD-10 coding standards, Medicare and Medicaid guidelines, and prior authorization processes.

Communication: Exceptional written and verbal English communication skills to effectively negotiate with payers and resolve issues.

Preferred Qualifications and Benefits

Financial & Growth Opportunities: Competitive salary package with yearly loyalty rewards, leave encashment, inflation bonuses, regular increments, and participation in the Employee Equity Funds Program (EEFP).

Work-Life Balance: Fixed weekends off (Saturday and Sunday) to support personal time and rest.

Office Amenities: Complimentary dinner and daily tea or green tea breaks to enhance workplace comfort.

Employee Support: Paid leaves, HR performance bonuses, company loan policy, and options for advance salary to support employee well-being.

Additional Information

This position requires in-person attendance at our office located in Rawalpindi. The role operates on a night shift schedule, so candidates should consider commute feasibility. Applicants are encouraged to provide details about their prior experience as an Accounts Receivable Executive in medical billing, current and expected salary, and notice period status during the application process.

Meds IT Nexus offers a dynamic environment for professionals eager to grow their careers in medical billing and accounts receivable management. If you are detail-oriented, proactive, and ready to take on challenging payer negotiations, we invite you to apply.