AR Specialist - Medical Billing

Meds Nexus is looking for a detail-oriented and experienced Accounts Receivable (A/R) Specialist to join our team on-site in Rawalpindi. This role involves managing accounts related to U.S.-based medical billing operations, with a primary focus on claim audits, tracking unpaid accounts, resolving claim rejections, and optimizing revenue recovery. The position requires working night shifts from 5:30 PM to 2:30 AM, Monday through Friday, and is ideal for candidates comfortable with this schedule and able to commute to the office.

Key Responsibilities
- Audit patient claim forms to verify accuracy and gather any missing information prior to final claim submission.
- Monitor and follow up on outstanding, aged, or unpaid claims through phone calls, web portals, and insurance systems, emphasizing Medicare and Medicaid accounts.
- Reconcile insurance payments against contracted fee schedules to identify and resolve underpayments or discrepancies.
- Manage Denial Management processes by filing formal appeals and handling secondary or tertiary claim cycles.
- Respond to telephone inquiries from insurance carriers and patients regarding the status of assigned accounts.
- Maintain detailed and clear tracking notes while preparing comprehensive daily and weekly A/R reports using MS Excel.
- Collaborate regularly with Team Leads and Managers to communicate portfolio performance and provide timely account updates.

Required Qualifications
- Proven experience in U.S. Medical Billing, Accounts Receivable follow-up, Denial Management, and Appeals.
- Proficiency with Electronic Health Record (EHR) and billing platforms such as AdvancedMD, eClinicalWorks, Kareo, Practice Fusion, OfficeAlly, EncoderPro, and various payer portals.
- Strong technical skills, including advanced MS Excel capabilities, familiarity with web fax utilities, and fast, accurate typing.
- In-depth knowledge of medical coding and billing standards, Medicare and Medicaid regulations, and prior authorization processes.
- Excellent verbal and written communication skills in English.
- Bachelor’s degree from a recognized institution in any discipline.

Preferred Qualifications and Benefits
- Fixed weekends off (Saturday and Sunday) to support a consistent work-life balance.
- Competitive salary package with additional financial incentives such as yearly loyalty rewards, inflation bonuses, HR performance bonuses, regular salary increments, a loan policy, advance salary options, and participation in the Employee Equity Funds Program (EEFP).
- Additional benefits include paid leaves, leave encashment, and medical provisions.
- Office amenities include complimentary dinner and two daily tea/green tea breaks.
- The role requires on-site presence at the office located at Asghar Mall, Murree Road, Rawalpindi. Candidates must be able to commute easily and be willing to work the designated night shift.

Applicants should be prepared to discuss their commuting ability, willingness to work night shifts, relevant experience, current and expected salary, and notice period status. This position offers an excellent opportunity for professionals seeking to advance their careers in medical billing within a supportive and rewarding environment.