AR Executive - Medical Billing

Meds Nexus is looking for a committed Accounts Receivable (AR) Executive to join our team on-site in Rawalpindi. This role focuses on managing complex claim denials, filing insurance appeals, and ensuring timely reimbursements to maintain consistent cash flow for our U.S. medical partners. The position requires working night shifts from 5:30 PM to 2:30 AM, Monday through Friday. The ideal candidate will have experience in U.S. medical billing and denial management, possess strong communication skills, and demonstrate great attention to detail.

Key Responsibilities
Investigate, resolve, and resubmit rejected or denied patient claims in accordance with Medicare, Medicaid, and commercial insurance guidelines. Conduct pre-submission audits of patient claim forms to identify coding errors and verify pre-authorization requirements. Perform underpayment audits by comparing insurance payment vouchers against fee schedule rates to detect and recover missing balances. Communicate directly with U.S. payer representatives and use clearinghouse portals to manage complex coverage disputes and appeals. Maintain detailed documentation of account histories within the billing system and prepare daily and weekly denial tracking reports using MS Excel.

Required Qualifications
A bachelor’s degree in any discipline from a recognized institution is required. Candidates should have 1 to 2 years of direct experience in U.S. medical billing, denial management, and formal appeals processing. A strong understanding of claim filing rules, modifier usage, CPT/ICD-10 coding standards, and Medicare/Medicaid policies is essential. Proficiency with electronic health record (EHR) billing tools, web-fax utilities, and MS Excel for data management is expected. Excellent written English skills are necessary for drafting formal appeals, along with fluent spoken English for effective communication with payers. The ability to type quickly and accurately to support efficient claim processing is also important.

Preferred Qualifications and Benefits
The role offers fixed weekends off (Saturday and Sunday) to promote work-life balance. A competitive salary package is provided, including loyalty rewards, inflation allowances, HR performance bonuses, loan facilities, and advance salary options. Paid annual leave with leave encashment and medical benefits are included. On-site amenities such as a hot dinner served nightly and dual tea/green tea breaks are available to enhance employee comfort. The work location is at Asghar Mall, Murree Road, Rawalpindi, requiring candidates to commute to the office. Candidates must be willing to work the specified night shift hours.

Applicants should carefully consider their ability to commute and their willingness to work night shifts. Additional details such as current and expected salary, notice period, and relevant experience will be requested during the application process. This position offers an excellent opportunity for professionals aiming to advance their careers in U.S. medical billing and denial management within a supportive and well-equipped environment.