Medical Billing Specialist – Hearing & Audiology

We are seeking a detail-oriented Medical Billing Specialist to join our Revenue Cycle Management team, focusing on hearing and audiology services. The role involves managing medical billing operations, ensuring accurate claim submissions, timely reimbursements, and effective resolution of denials while maintaining compliance with US healthcare billing regulations. The position requires working night shifts aligned with US business hours and collaborating closely with providers, insurance companies, and internal teams to resolve billing issues efficiently.

Key Responsibilities
- Verify insurance eligibility, benefits, coverage, and authorization requirements.
- Perform charge entry and submit claims using appropriate CPT, ICD-10-CM, and HCPCS codes.
- Process billing for audiology evaluations, hearing tests, hearing aid services, and related procedures.
- Manage claim rejections, denials, appeals, and resubmissions to maximize reimbursement.
- Conduct accounts receivable (AR) follow-ups to resolve outstanding claims and payment delays.
- Post insurance payments, review Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs), and identify underpayments or discrepancies.
- Review medical documentation to ensure compliance with payer policies and HIPAA requirements.
- Coordinate with providers, insurance companies, and internal teams to resolve billing issues promptly.
- Maintain accurate billing records and consistently meet assigned productivity and quality targets.

Required Qualifications
- Bachelor’s degree preferred in a relevant field.
- 1–2 years of experience in US medical billing, preferably within audiology, ENT, or hearing healthcare sectors.
- Strong knowledge of US medical billing and revenue cycle management processes.
- Familiarity with audiology and hearing healthcare billing procedures.
- Working knowledge of CPT, ICD-10-CM, and HCPCS coding systems.
- Experience in insurance verification, claim submission, denial management, and AR follow-up.
- Proficiency in medical billing software, Electronic Health Record (EHR)/Practice Management (PM) systems, and Microsoft Excel.
- Excellent analytical, communication, organizational, and problem-solving skills.

Preferred Qualifications and Benefits
- Practical experience with claims processing, denial resolution, and insurance follow-ups is highly desirable.
- Ability to work night shifts aligned with US business hours to support timely billing operations.
- Competitive monthly salary ranging from Rs60,000 to Rs90,000.
- On-site work location at Fazal Software Technology Park, I-9/3, Islamabad, conveniently near Khyaban E Johar Metro Station.

This role reports directly to the Team Lead or Manager of Operations and offers an opportunity to contribute to a specialized healthcare billing environment. Candidates who are motivated to maintain high standards of accuracy, compliance, and productivity in a fast-paced setting are encouraged to apply.