Senior AR Executive - Medical Billing

Meds Nexus is looking for a dedicated Senior A/R Executive to join their team full-time at their office located on Asghar Mall Road, Rawalpindi. This role focuses on managing complex medical billing and accounts receivable processes for US-based clients. The successful candidate will handle high-value claims, manage denials, and lead insurance appeals while working an evening/night shift from 5:30 PM to 2:30 AM, Monday through Friday. The position requires strong expertise in US medical billing, excellent technical skills, and the ability to mentor junior staff to ensure accurate claim processing and optimal cash flow.

Key Responsibilities
- Oversee end-to-end accounts receivable processes, including advanced follow-ups on aged, high-value, or complex unpaid claims.
- Review patient claims for accuracy, coding compliance, and completeness to minimize billing rejections prior to submission.
- Identify, investigate, and resolve payment discrepancies, underpayments, and complex claim denials.
- Prepare and submit formal Level 1 and Level 2 insurance appeals with supporting clinical and billing documentation.
- Verify insurance payments against contractual discount rates for Medicare, Medicaid, and commercial payers to detect underpayments.
- Manage secondary and tertiary insurance billing and respond to escalated inquiries from patients and insurance representatives.
- Generate detailed daily and weekly A/R trend analyses, research summaries, and management reports using MS Excel.
- Mentor junior billing associates, assist with floor escalations, and maintain clear communication with team leads and managers.

Required Qualifications
- 3 to 4+ years of proven experience in US medical billing, accounts receivable 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 fast typing speed.
- In-depth knowledge of CPT, ICD-10, and HCPCS coding, insurance guidelines for Medicare, Medicaid, and commercial payers, and prior authorization workflows.
- Excellent written and verbal communication skills in English, with strong analytical thinking and problem-solving abilities.

Preferred Qualifications and Benefits
- Competitive senior-level salary with yearly loyalty rewards, leave encashment, inflation bonuses, and regular performance increments.
- Participation in the Employee Equity Funds Program (EEFP) for long-term financial growth.
- Fixed weekends off (Saturday and Sunday) to support work-life balance.
- Complimentary dinner and daily tea/green tea breaks provided at the office.
- Paid leaves, HR performance bonuses, company loan policy, and advance salary options to support employee well-being.

Candidates must be able to commute to the office on Asghar Mall, Murree Road, Rawalpindi, and be willing to work the specified night shift. This is a full-time, in-person role. During the application process, candidates will be asked to provide details about their current and expected salary, experience level, and notice period.