Senior A/R Executive - ( Medical Billing Industry )

Meds Nexus is seeking a seasoned Senior A/R Executive with expertise in US Medical Billing to join their team on a full-time, on-site basis. This role involves managing complex accounts receivable processes, handling high-priority denials, leading insurance appeals, and ensuring efficient cash flow for US healthcare clients. The position operates during evening/night shifts from 5:30 PM to 2:30 AM, Monday through Friday, based at Asghar Mall Road, Rawalpindi. This is an excellent opportunity for a professional looking to take on advanced responsibilities and contribute to a dynamic and growing organization.

Key Responsibilities
- Manage end-to-end accounts receivable operations, focusing on advanced follow-ups for high-value, aged, or complex unpaid claims.
- Review patient claims thoroughly for accuracy, coding compliance, and completeness prior to submission to reduce billing rejections.
- Investigate and resolve payment discrepancies, underpayments, and complex claim denials efficiently.
- Prepare and submit Level 1 and Level 2 insurance appeals, supported by appropriate clinical and billing documentation.
- Verify insurance payments against contractual discount rates for Medicare, Medicaid, and commercial payers to detect underpayments.
- Handle secondary and tertiary insurance billing processes and respond to escalated inquiries from patients and insurance representatives.
- Generate detailed daily and weekly AR trend analyses, research summaries, and performance reports using MS Excel.
- Mentor junior billing associates, assist with floor escalations, and maintain effective communication with team leads and management.

Required Qualifications
- Minimum of 3 years’ experience as a Senior A/R Executive specializing in US Medical Billing, AR follow-up, denial management, and insurance appeals.
- Advanced proficiency with major EHR and billing platforms such as AdvancedMD, eClinicalWorks, Kareo/Tebra, Practice Fusion, OfficeAlly, EncoderPro, and payer portals.
- Strong technical skills in MS Excel, including pivot tables, data sorting, and reporting formulas, along with familiarity with web faxing tools and a fast typing speed.
- Comprehensive knowledge of CPT, ICD-10, HCPCS coding systems, insurance guidelines (Medicare, Medicaid, Commercial), and prior authorization workflows.
- Excellent written and verbal communication skills in English, coupled with strong analytical thinking and problem-solving abilities.

Preferred Qualifications and Benefits
- Competitive senior-level salary package with yearly loyalty rewards, leave encashment, inflation bonuses, regular performance increments, and participation in the Employee Equity Funds Program (EEFP).
- Fixed weekends off (Saturday and Sunday) to support work-life balance.
- Complimentary dinner and daily tea/green tea breaks provided at the office.
- Additional employee benefits include paid leaves, HR performance bonuses, company loan policies, and advance salary options.

This role requires candidates who are comfortable commuting to the Rawalpindi office during night shifts. Applicants should be prepared to discuss their relevant experience, current and expected salary, notice period, and availability for the specified work schedule.

Work Location: On-site at Asghar Mall, Murree Road, Rawalpindi. Evening/Night shift (5:30 PM – 2:30 AM, Monday to Friday).