Medical Billing Specialist

Job Title: Medical Billing Specialist – Multi-Specialty Practices
Location: Karachi, Pakistan
Department: Revenue Cycle Management (RCM)
Experience: 1–3 Years

We are looking for a detail-oriented Medical Billing Executive to manage billing and revenue cycle operations for multiple healthcare practices across various medical specialties within the US healthcare system. The role involves handling insurance claim submissions, managing accounts receivable, resolving denials, posting payments, and conducting payer follow-ups to ensure timely reimbursements while maintaining compliance with payer policies.

Key Responsibilities
- Review patient demographics, insurance eligibility, and billing information for multiple specialties and providers.
- Submit clean claims to insurance companies and clearinghouses promptly.
- Perform accounts receivable (AR) follow-up on unpaid or underpaid claims.
- Manage denial resolution and appeals to recover unpaid claims.
- Verify insurance payments for accuracy according to payer contracts and fee schedules.
- Process primary, secondary, and tertiary insurance claims.
- Communicate with insurance companies regarding claim status, discrepancies, and payment issues.
- Accurately post insurance and patient payments in the billing system.
- Respond professionally to patient and insurance billing inquiries.
- Maintain accurate documentation and billing records for each practice.
- Ensure compliance with US healthcare billing regulations and HIPAA standards.
- Collaborate effectively with providers, clients, and internal teams across multiple practices.

The Medical Billing Executive will support billing operations for a range of specialties, including Ophthalmology, Internal Medicine, Primary Care/Family Medicine, Cardiology, Dermatology, Orthopedics, General Surgery, Gastroenterology, ENT (Ear, Nose, and Throat), and Pain Management.

Required Qualifications
- Bachelor’s degree is required.
- 1–3 years of experience in US Medical Billing or Dental Billing preferred.
- Knowledge of CPT, ICD-10, and HCPCS coding systems.
- Experience with accounts receivable, denial management, and appeals processes.
- Familiarity with major US insurance payers such as Medicare, Medicaid, BCBS, Aetna, Cigna, and UnitedHealthcare.
- Strong communication and problem-solving skills.
- Ability to manage billing for multiple providers and specialties simultaneously.

Preferred Qualifications and Benefits
- Experience with EHR/Practice Management systems such as Kareo, Athena, eClinicalWorks, or AdvancedMD.
- Knowledge of specialty-specific billing guidelines.
- Strong attention to detail and analytical skills.
- Ability to thrive in a fast-paced revenue cycle management environment.

Compensation
The salary range for this position is Rs80,000 to Rs150,000 per month.

Work Location: This is an in-person role based in Karachi.