AR Specialist

Meds IT Nexus is looking for a detail-oriented and communication-focused Medical Billing & Accounts Receivable Specialist to join our expanding team. This role primarily involves managing insurance negotiations, handling complex carrier escalations, and processing secondary claims for US-based clients. The ideal candidate will possess a strong background in US medical billing and accounts receivable follow-up, combined with excellent communication skills and technical proficiency to ensure accurate and timely reimbursement.

Key Responsibilities
- Conduct thorough claim reviews to verify accuracy, completeness, and data integrity prior to initial submission.
- Perform active accounts receivable follow-ups using phone calls and portal systems to address unpaid or aged claims.
- Investigate and resolve payment discrepancies, underpayments, and claim denials through direct communication with payers.
- Prepare and submit formal appeals with supporting documentation to insurance carriers in a strategic manner.
- Audit payer contracts by verifying reimbursement amounts against contract discounts for Medicare, Medicaid, and commercial payers, including processing secondary and tertiary claims.
- Maintain detailed documentation of all tasks and provide regular daily and weekly accounts receivable research updates and team performance reports using MS Excel.

Required Qualifications
- Proven experience in US medical billing, accounts receivable follow-up, and payer collections.
- Proficiency with EHR and billing software platforms such as AdvancedMD, eClinicalWorks, Kareo/Tebra, Practice Fusion, OfficeAlly, EncoderPro, and various payer portals.
- Strong technical skills, including advanced MS Excel capabilities, familiarity with web faxing tools, and fast typing speed.
- Solid knowledge of CPT and ICD-10 coding standards, Medicare and Medicaid guidelines, and prior authorization processes.
- Exceptional written and verbal English communication skills, essential for effective direct negotiations with payers.

Preferred Qualifications and Benefits
- Competitive salary package including yearly loyalty rewards, leave encashment, inflation bonuses, and regular increments.
- Participation in the Employee Equity Funds Program (EEFP) to support long-term financial growth.
- Fixed weekends off (Saturday and Sunday) to promote a healthy work-life balance.
- Office amenities such as complimentary dinner and daily tea/green tea breaks.
- Additional employee support through paid leaves, HR performance bonuses, company loan policies, and advance salary options.

This position is based in Rawalpindi at our office on Murree Road, Asghar Mall, and operates on a night shift schedule. Candidates should be prepared for in-person work and consider commute feasibility. Applicants will be asked about their experience as an Accounts Receivable Executive in medical billing, current and expected salary, notice period status, and ability to commute to the office location.