AR Medical Billing Executive

CyberSystem is seeking a dedicated AR Medical Billing Executive to join their team on a full-time, on-site basis in Lahore. The successful candidate will bring at least one year of experience in accounts receivable medical billing, with a strong grasp of US medical billing procedures. This role requires close interaction with US insurance companies and healthcare providers, demanding professional communication skills and fluency in English. The role focuses on managing the life cycle of medical claims, ensuring timely submission, and resolving denials effectively to optimize billing performance. The candidate will work primarily during evening shifts from 5:00 PM to 2:00 AM to align with operational requirements. This position does not involve team management but requires an individual who works with autonomy and accountability. The AR Medical Billing Executive will play a critical role in reducing outstanding accounts receivable balances by maintaining meticulous records, tracking claim statuses, and driving collections efforts. A strong understanding of denial management, claims follow-up processes, and insurance eligibility verification is essential to succeed in this role.
Responsibilities

Submit medical claims accurately and punctually following established guidelines and deadlines.
Perform regular and thorough follow-ups with insurance companies on pending and unpaid claims to expedite payments.
Investigate and resolve claim denials by identifying reasons for rejection and applying appropriate corrective actions.
Review and monitor claim statuses using payer portals and clearinghouse systems to ensure timely processing.
Maintain detailed and organized records of all billing activities, claim submissions, follow-ups, and resolutions.
Communicate professionally and clearly with US insurance companies and healthcare providers to clarify claim information or resolve disputes.
Utilize knowledge of insurance eligibility verification to confirm patient coverage and reduce claim rejections.
Work to reduce the denial rate by identifying recurring issues and implementing effective solutions.
Assist in improving overall collections by addressing outstanding accounts receivable and taking necessary follow-up actions.
Stay informed about changes in US medical billing regulations and payer requirements to ensure compliance and reduce errors.