Medical Billing A/R Specialist

eServMD Pvt Ltd, based in Islamabad, Pakistan, is a service provider catering to US-based companies in sectors including Electronic Medical Records (EMR), Medical Practice Management, Medical Billing, Real Estate, and Accounts & Finance. We are currently looking for experienced and detail-oriented Accounts Receivable (A/R) Specialists to join our team. The ideal candidates will have a strong background in medical billing and coding, with the ability to manage insurance claims and ensure accurate billing processes.

Key Responsibilities:
- Perform CPT/ICD coding to maintain accurate and compliant billing practices.
- Review patient bills thoroughly for accuracy and completeness, obtaining any missing information as needed.
- Apply knowledge of insurance guidelines, particularly Medicare and state Medicaid, to ensure proper billing procedures.
- Follow up on unpaid claims within the standard billing cycle timeframe to maximize collections.
- Verify insurance payments for accuracy and compliance with contract discounts.
- Communicate with insurance companies to resolve any payment discrepancies.
- Identify and bill secondary or tertiary insurance providers when applicable.
- Monitor all accounts for insurance or patient follow-up requirements.
- Handle patient and insurance telephone inquiries related to assigned accounts professionally.
- Collaborate effectively with team members and clients to ensure smooth operations.
- Manage account receivables, denial management, and appeal processes efficiently.
- Maintain detailed documentation and adhere to protocols for all performed tasks.
- Assist management with additional tasks as assigned.
- Demonstrate strong verbal communication skills in English.

Required Qualifications:
- 1 to 3 years of experience in Medical Billing.
- Proficient in Electronic Health Records (EHR) and medical billing software such as CureMD, Kareo, ECW, Practice Fusion, MS Office, Web Fax (Metro Fax), Encoder Pro, and Payer Portals.
- Solid understanding of medical billing and coding practices.
- Experience with denial management and appeals processes.
- Skilled in handling authorization processes including pre-authorization, post-authorization, and retro authorizations.
- Ability to conduct research and generate management reports.
- Strong team player with excellent collaboration skills.
- Excellent verbal and written communication skills in English, along with good typing speed.
- Familiarity with professional conduct and infrastructure protocols.
- Strong problem-solving and troubleshooting abilities.
- Experience in accounts receivable follow-up and managing insurance calling for Explanation of Benefits (EOBs).
- Knowledge of insurance account receivable processes and multi-specialty group denial management.
- Efficient communication with external entities.

Job Location: Islamabad
Working Hours: 5:00 PM to 2:00 AM
Work Arrangement: In-person

Compensation: Starting from Rs1.00 per month

This role offers an opportunity to work in a dynamic environment serving US-based clients, where attention to detail and expertise in medical billing are highly valued. If you meet the qualifications and are looking to advance your career in medical billing and accounts receivable management, we encourage you to apply.