The Accounts Receivable (AR) Executive will be responsible for managing the accounts receivable process within the medical billing revenue cycle. This role requires analyzing claims, following up with insurance companies and patients, resolving denials, and ensuring timely payment of medical claims. The main objective is to maximize collections while minimizing account aging, thereby enhancing the overall efficiency of the revenue cycle.
Key Responsibilities
- Follow up on outstanding insurance claims through phone calls and web portals.
- Analyze denied, unpaid, or underpaid claims and implement corrective actions.
- Conduct timely follow-ups with insurance carriers and healthcare providers.
- Work on insurance aging reports to reduce Days in Accounts Receivable (AR).
- Handle appeals and re-submissions of claims with appropriate supporting documentation.
- Ensure accurate and timely posting of payments and adjustments.
- Collaborate with the billing team to identify and resolve billing issues.
- Maintain thorough documentation of all interactions and updates within the system.
- Consistently meet or exceed daily, weekly, and monthly productivity and quality targets.
Required Qualifications
- 1 to 3 years of experience in AR follow-up or medical billing within the US healthcare domain.
- Strong understanding of the US healthcare revenue cycle management (RCM) process and insurance guidelines.
- Experience working with commercial and government payers, including Medicare and Medicaid.
- Knowledge of CPT, ICD-10, and HCPCS codes is advantageous.
- Familiarity with Explanation of Benefits (EOBs), Electronic Remittance Advices (ERAs), and denial codes.
- Proficiency in medical billing software such as Kareo, AdvancedMD, Athena, or eClinicalWorks.
- Excellent verbal and written communication skills.
- Strong analytical, organizational, and problem-solving abilities.
- Ability to work independently as well as collaboratively within a team environment.
Preferred Qualifications and Benefits
- Bachelor’s degree or equivalent in any discipline.
- Certification in Medical Billing, Coding, or Revenue Cycle Management is a plus.
- Market-competitive salary with an attractive commission structure.
- Fuel allowance and additional perks.
- Employment confirmation after successful completion of the probation period.
Key Performance Indicators (KPIs)
- Reduction in AR aging over 90 days.
- Claim resolution rate.
- Denial rate and recovery.
- Collection percentage.
- Daily call volume and documentation accuracy.
This full-time position is based in Lahore and requires working hours from 6:00 PM to 3:00 AM, Monday through Friday. The salary range for this role is Rs40,000 to Rs80,000 per month. Join a forward-thinking company that is transforming the future of medical billing services and take the next step in your career within a dynamic healthcare environment.