Accounts Receivable Specialist

This role involves managing the end-to-end medical billing process to ensure accurate and timely reimbursement from insurance companies and healthcare providers. The successful candidate will utilize billing software and electronic medical records (EMR) systems to review claims, identify errors, and follow up on unpaid or denied claims. Collaboration with insurance representatives and internal teams is essential to resolve issues and maintain compliance with payer-specific guidelines. Attention to detail and strong organizational skills are critical in maintaining accurate documentation and meeting reporting deadlines.

Key Responsibilities

- Access and navigate billing software systems to review, manage, and submit claims efficiently.
- Communicate directly with insurance companies and healthcare providers to secure prompt payments.
- Review and interpret Explanation of Benefits (EOBs) to identify payment discrepancies or denials.
- Conduct weekly follow-ups on unpaid claims until resolution is achieved.
- Document detailed notes on all claim follow-up activities to maintain accurate records.
- Identify errors in claims and initiate rebilling processes as necessary to correct discrepancies.
- Monitor clearing houses for claim denials and make timely corrections.
- Research and apply payer-specific billing guidelines to optimize claim submission and approval rates.
- Handle appeals and reconsiderations for denied claims, working closely with insurance representatives.
- Collaborate with insurance representatives and internal teams, including Admissions and Accounts Receivable, to ensure smooth claim processing.
- Meet all assigned reporting deadlines and maintain compliance with organizational standards.
- Audit clinical charting for accuracy to support billing integrity.
- Prepare and submit claims through EMR and clearing houses, ensuring accuracy and completeness.
- Review and promptly correct rejected claims to minimize delays in payment.
- Maintain accurate and up-to-date data entry in master databases to support financial reporting.

Required Qualifications

- Bachelor’s or Master’s degree from a reputable institution.
- Minimum of 3 years’ experience in medical billing and accounts receivable.
- Familiarity with clearing-house platforms such as GE Centricity and EMR systems.
- Strong verbal and written communication skills, with the ability to interact effectively with diverse stakeholders.
- Proficiency in Microsoft Office Suite, including Outlook, Word, and Excel.
- Excellent problem-solving skills and the ability to multitask in a fast-paced environment.
- High attention to detail and commitment to accuracy.

Preferred Qualifications and Benefits

- Work schedule is Monday through Friday, from 6:00 PM to 3:00 AM PKT (night shift).
- Competitive gross salary ranging from $450 to $500 USD.
- Benefits include an annual bonus, Eid bonuses, provident fund, health insurance covering inpatient and outpatient services, fuel card or company-provided transportation, EOBI, and complimentary meals.

This position offers an excellent opportunity for professionals seeking to advance their career in medical billing within a dynamic healthcare environment.