Certified Medical Biller

Before applying, please ensure you meet the key qualifications and carefully review the job details. This opportunity is open to candidates based in Lahore or Islamabad who hold CPC and/or AAPC certification. Prior experience in medical billing, especially within Cardiology, Neurology, or Oncology, is highly preferred.

We are seeking a Medical Billing Coordinator to oversee the complete billing process, ensuring timely and accurate reimbursement for healthcare services. The role involves preparing and submitting insurance claims, verifying ICD-10 and CPT coding accuracy, tracking claim status, posting payments, and resolving denials to maintain a healthy accounts receivable pipeline. This position requires close collaboration with healthcare providers, administrative staff, patients, and insurance payers to uphold revenue integrity, maintain accurate financial records, and deliver a positive billing experience for patients.

Key Responsibilities

- Review diagnosis codes (ICD-10) and procedure codes (CPT/HCPCS) for accuracy and completeness, ensuring proper documentation before claim submission.
- Prepare and submit clean electronic claims (837P / CMS-1500) using Electronic Health Record (EHR) systems and clearinghouses.
- Verify patient demographics, insurance eligibility, authorizations, and required billing documentation.
- Monitor claim adjudication through clearinghouses, payer portals, and direct communication to promptly resolve rejections and errors.
- Apply payer-specific guidelines, fee schedules, and timely filing requirements to minimize avoidable claim denials.
- Analyze denial codes, correct documentation or billing errors, prepare revised claims or appeals, and track resolution outcomes.
- Interpret Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs) to accurately post insurance and patient payments, reconcile balances, and manage underpayments.
- Process patient credit card payments, issue billing statements, and handle refund or adjustment requests in accordance with organizational policies.
- Monitor aging reports, perform accounts receivable follow-up, and escalate unresolved claims to prevent revenue loss.
- Assist patients with billing inquiries, balances, and statements using clear, empathetic, and professional communication.
- Maintain strict compliance with HIPAA regulations and safeguard Protected Health Information (PHI) at all times.

Required Qualifications

- Residency in Lahore or Islamabad is mandatory.
- CPC and/or AAPC certification is required.
- Excellent written and spoken English communication skills.
- Availability to work full-time, Monday through Friday, 8:00 AM to 5:00 PM CST.
- Strong knowledge of U.S. health insurance plans including PPO, HMO, Medicare, and Medicaid.
- Proficient understanding of coding systems such as ICD-10, CPT, and HCPCS.
- Experience interpreting EOBs/ERAs and navigating clearinghouses and EHR platforms.
- High attention to detail, strong analytical and problem-solving abilities.

Preferred Qualifications and Benefits

- Prior billing experience in Cardiology, Neurology, or Oncology is highly desirable.
- Opportunity to join a global talent network that connects professionals with leading U.S. healthcare and insurance organizations.
- Work within a mission-driven company focused on creating borderless employment opportunities and fair wages.
- Engage in a structured hiring process including application review, interviews with Edge representatives, client interviews, and onboarding/training phases.
- Become part of an inclusive and diverse work environment committed to equal opportunity employment.

At Edge, we believe geographic boundaries should never limit professional growth. Our global hiring network connects exceptional talent with North American businesses in need of skilled healthcare professionals. Join us to unlock your potential, showcase your expertise, and contribute meaningfully to the healthcare industry.

Edge is an equal opportunity employer. We welcome applications from all qualified candidates regardless of race, gender, religion, sexual orientation, disability, veteran status, or any other protected characteristic.