Senior AR Specialist - Medical Billing

Meds Nexus is looking for a detail-oriented Senior A/R Specialist to join their team on a full-time, on-site basis. This position requires working evening and night shifts from 5:30 PM to 2:30 AM, Monday through Friday, at their Rawalpindi office located on Asghar Mall Road. The ideal candidate will have strong experience in claims compliance, payment audits, and insurance appeals. They will take ownership of high-priority denials and lead formal appeal processes. Additionally, the role involves auditing contract rates and mentoring junior associates to ensure optimal reimbursement for U.S. healthcare provider practices.

Key Responsibilities
- Denial & Appeal Ownership: Investigate complex insurance denials by identifying root causes, drafting detailed technical appeal letters, and resubmitting rejected claims to U.S. payers to recover revenue.
- Claims Compliance Review: Review patient claims for accuracy, coding compliance, and completeness prior to submission to minimize front-end rejections.
- Contract Rate Auditing: Verify insurance payments against contractual discount rates for Medicare, Medicaid, and commercial payers to identify underpayments.
- High-Value A/R Follow-up: Conduct advanced follow-ups on high-value, aged, or complex unpaid claims to accelerate revenue collection cycles.
- Floor Assistance & Support: Assist junior floor associates by resolving difficult claim inquiries, removing payment bottlenecks, and escalating unresolved issues to team leads.

Required Qualifications
- Bachelor’s degree in any discipline.
- 4 to 5 years of proven experience in U.S. Medical Billing, Accounts Receivable (A/R) Follow-up, Denial Management, and Appeals.
- Strong knowledge of CPT, ICD-10, and HCPCS coding systems, along with a solid understanding of insurance guidelines including Medicare, Medicaid, and Commercial payers.
- Familiarity with claim adjudication workflows and compliance standards.
- Proficiency in MS Excel and web faxing tools, with a fast typing speed.
- Excellent written and verbal communication skills in English.

Preferred Qualifications and Benefits
- Competitive senior-level salary with regular performance-based increments and inflation bonuses.
- Leave encashment, yearly loyalty rewards, and access to the Employee Education Funding Program (EEFP).
- Fixed weekends off (Saturday and Sunday) to support work-life balance.
- On-site amenities including free hot dinner served nightly and daily tea/green tea breaks.
- Employee support programs such as paid leaves, HR performance bonuses, company loan policies, and advance salary options.

Candidates must be able to commute easily to the office on Asghar Mall, Murree Road, Rawalpindi, and be willing to work the specified night shift. This is an in-person role requiring full-time commitment during evening and night hours. During the application process, candidates will be asked about their current and expected salary, notice period, and relevant experience.