Account Receiveable (AR) Specialist

We are looking for a detail-oriented Account Receivable (A/R) Specialist to manage the accounts receivable pipeline for our U.S. medical billing operations. The ideal candidate will have a strong ability to track financial discrepancies, resolve claim denials, and optimize cash flow efficiently. This role requires precision in reviewing claims, persistence in following up on delayed payments, and effective communication with patients and insurance representatives.

Key Responsibilities

- Review outgoing claims carefully to ensure accuracy and address any missing information before submission.
- Systematically pursue aged and delayed insurance claims using web portals, insurance guidelines, and direct carrier follow-ups.
- Verify that insurance reimbursements match negotiated rates and promptly resolve any underpayment issues.
- Manage complex claim denials by preparing formal appeals and handling secondary and tertiary billing processes.
- Respond to inbound telephone inquiries from patients and insurance representatives regarding account statuses.
- Maintain diligent tracking of tasks and prepare accurate A/R summary reports using MS Excel.
- Collaborate with department supervisors to review portfolio performance and identify areas for improvement.

Required Qualifications

- Strong, demonstrated experience of 1 to 2 years in U.S. medical billing A/R workflows, including denial resolution and appeals.
- Familiarity with major EHR and billing systems such as eClinicalWorks, AdvancedMD, Kareo, Practice Fusion, and OfficeAlly.
- High proficiency in MS Excel for data tracking, along with experience using web-fax tools and efficient data entry techniques.
- Solid understanding of medical coding standards, Medicare/Medicaid frameworks, and benefit authorization processes.
- Excellent written and verbal communication skills in English.
- Bachelor’s degree in any discipline.

Preferred Qualifications and Benefits

- Work schedule includes weekends off (Saturday and Sunday).
- Competitive salary package with additional financial incentives such as annual loyalty awards, inflation allowances, performance bonuses, periodic increments, loan options, advance salary facilities, and Employee Education Funding Program (EEFP).
- Additional benefits include paid time off, leave encashment, and medical provisions (to be determined).
- Office amenities include complimentary nightly dinner and dual tea/green tea breaks.
- This is an in-person role with office hours from 5:30 PM to 2:30 AM, Monday through Friday, requiring willingness to work night shifts.
- The office is located in Rawalpindi, and candidates should be able to commute to this location easily.

Candidates will be asked about their current salary, total experience, notice period obligations, expected salary, and their ability to work the specified night shift and commute to the office.

This position offers an excellent opportunity for professionals looking to advance their career in medical billing and accounts receivable management within a supportive and well-structured environment.