Senior AR Executive - Medical Billing

Meds Nexus is seeking an experienced Senior A/R Executive to join their team on a full-time, on-site basis at their Rawalpindi office located on Asghar Mall Road. This role involves working evening to night shifts from 5:30 PM to 2:30 AM, Monday through Friday. The ideal candidate will have a strong background in US medical billing, accounts receivable follow-up, denial management, and insurance appeals. This position offers the opportunity to manage complex claims, lead insurance appeals, and ensure optimal cash flow for US-based clients while working closely with a dynamic and growing team.

Key Responsibilities
- Oversee end-to-end accounts receivable management, focusing on advanced follow-ups for high-value, aged, or complex unpaid claims.
- Review patient claims for accuracy, coding compliance, and completeness before submission to reduce billing rejections.
- Identify, investigate, and resolve payment discrepancies, underpayments, and complex claim denials.
- Prepare and submit formal Level 1 and Level 2 appeals to insurance carriers, supported by clinical and billing documentation.
- Verify insurance payments against contractual discount rates for Medicare, Medicaid, and commercial payers to detect underpaid accounts.
- Manage secondary and tertiary insurance billing processes and handle escalated inquiries from patients and insurance representatives.
- Generate detailed daily and weekly A/R trend analyses, research summaries, and management performance 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 Appeals.
- Advanced hands-on experience with major EHR and billing platforms such as AdvancedMD, eClinicalWorks, Kareo/Tebra, Practice Fusion, OfficeAlly, EncoderPro, and various payer portals.
- Strong technical proficiency in MS Excel, including pivot tables, data sorting, and reporting formulas, along with familiarity with web faxing tools and fast typing skills.
- In-depth knowledge of CPT, ICD-10, and HCPCS coding systems, insurance guidelines for Medicare, Medicaid, and commercial payers, and prior authorization workflows.
- Excellent written and verbal English communication skills, coupled 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) to support financial growth.
- Fixed weekends off (Saturday and Sunday) to promote 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 for employee support.

Candidates should be able to commute easily to the Asghar Mall, Murree Road location and be comfortable working the specified night shift hours. Applicants are encouraged to consider their current and expected salary, total experience, and notice period status when applying. This role requires in-person attendance at the office.