Billing Executive

EZ MD Solutions, a healthcare outsourcing company based in Rawalpindi, is looking for a Billing Executive with 1 to 2 years of experience in US medical billing and revenue cycle management (RCM). This full-time, onsite position involves collaborating closely with US healthcare providers to manage the billing cycle efficiently, ensuring accurate and timely payments. The role requires working the US night shift, typically from 6:00 PM to 3:00 AM Pakistan Time. Candidates must demonstrate strong attention to detail and the ability to handle multiple medical practices simultaneously.

Key Responsibilities
- Manage the entire billing cycle for assigned practices, including charge entry, payment posting, and follow-up activities.
- Create, review, and submit clean claims to commercial payers and Medicare.
- Verify claim status and patient eligibility using payer portals such as Availity.
- Analyze denied and rejected claims, identify causes, correct errors, and resubmit claims promptly.
- Prepare and submit appeals when necessary to ensure claim reimbursement.
- Follow up on outstanding accounts receivable (AR) to reduce aging balances and improve cash flow.
- Review CPT, HCPCS, ICD-10, modifier, and POS codes on claims to ensure accuracy and compliance.
- Maintain clear and detailed documentation of all account activities within EHR/EMR and practice management systems.
- Identify billing issues early and escalate them appropriately to maintain workflow efficiency.
- Meet daily and weekly productivity and quality targets consistently.
- Adhere strictly to HIPAA regulations to protect patient information confidentiality.

Required Qualifications
- 1 to 2 years of hands-on experience in US medical billing and revenue cycle management.
- Strong understanding of the complete medical billing cycle and related processes.
- Experience working directly with US healthcare providers or medical practices.
- Basic knowledge of CPT, HCPCS, ICD-10, modifiers, and POS coding standards.
- Practical experience with EHR/EMR and practice management software platforms.
- Proficiency in using payer portals such as Availity and other commercial or Medicare portals.
- Demonstrated ability to manage claim denials and appeals effectively.
- Familiarity with HIPAA compliance and patient privacy standards.
- Excellent written and verbal communication skills in English, with clear and accurate documentation.
- Strong attention to detail and accuracy in all tasks.
- Ability to manage multiple tasks and practices while meeting strict deadlines.

Preferred Qualifications and Benefits
- Experience handling complex or aged accounts receivable is an advantage.
- Ability to independently identify and resolve billing issues without supervision.
- Familiarity with software platforms such as Kareo, AdvancedMD, or eClinicalWorks is preferred.
- A bachelor’s degree in any discipline is desirable.

The role offers a competitive monthly salary ranging from Rs60,000 to Rs80,000. Candidates must be prepared to work onsite in Rawalpindi and reliably commute or relocate before joining. The position requires commitment to the designated night shift hours. Applicants should carefully consider their availability and salary expectations prior to applying.