Meds IT Nexus is seeking an experienced Medical Billing and Accounts Receivable (AR) Specialist to join our team as a Senior AR Executive. This role is ideal for a professional ready to take on advanced responsibilities in managing complex claims, handling high-priority denials, leading insurance appeals, and ensuring efficient cash flow for our US-based healthcare clients. The position requires strong analytical skills, attention to detail, and the ability to work collaboratively within a dynamic team environment.
Key Responsibilities
Drive AR Performance: Manage the entire AR cycle by conducting thorough follow-ups on high-value, aged, and complex unpaid claims to optimize revenue collection.
Denial & Dispute Mastery: Identify, investigate, and resolve payment discrepancies, underpayments, and complex claim denials to reduce revenue leakage.
Appeals Management: Prepare, compile, and submit formal Level 1 and Level 2 insurance appeals, supported by comprehensive clinical and billing documentation.
Contract Compliance: Review insurance payments against contractual discount rates for Medicare, Medicaid, and commercial payers to detect and address underpayments.
Team Leadership: Mentor junior billing associates, manage floor escalations, and collaborate closely with Team Leads and Managers to maintain smooth operations.
Required Qualifications
Experience: Minimum of 4 years of hands-on experience in US Medical Billing, AR follow-up, denial management, and insurance appeals.
Software Proficiency: Skilled in major EHR and billing platforms such as AdvancedMD, eClinicalWorks, Kareo/Tebra, Practice Fusion, OfficeAlly, and various payer portals.
Technical Skills: Advanced knowledge of MS Excel, including pivot tables, complex formulas, and data reporting, along with strong web research capabilities.
Core Knowledge: Solid understanding of CPT, ICD-10, and HCPCS coding systems, as well as insurance guidelines for Medicare, Medicaid, and commercial payers.
Preferred Qualifications and Additional Information
This position requires working on-site at our office located on Murree Road, Rawalpindi, with night shift hours. Candidates should be prepared for the commute and night schedule. The role offers an opportunity to grow professionally within a supportive team while handling challenging and rewarding responsibilities in medical billing and AR management.
Applicants will be asked about their experience as a Senior AR Executive, current and expected salary, notice period requirements, and their ability to commute to the office during night shifts.
If you are a detail-oriented professional with a strong background in medical billing and AR management looking to advance your career, this role at Meds IT Nexus offers a compelling opportunity to contribute meaningfully to our clients’ financial success.