VOB Specilaist - Medical Billing

Meds Nexus Pvt. Ltd. is seeking an experienced Verification of Benefits (VOB) Specialist to join their team in Rawalpindi. This on-site role operates during the night shift from 5:30 PM to 2:30 AM, Monday through Friday. The ideal candidate will play a critical role in managing complex eligibility verification workflows, resolving high-priority insurance issues, and supporting junior associates to ensure smooth revenue cycle management for U.S. healthcare partners. This position requires a detail-oriented professional with strong communication skills and a deep understanding of medical billing processes.

Key Responsibilities
- Complex Coverage Verifications: Manage high-priority verification queues by contacting U.S. payers to confirm specialty coverage, pre-existing conditions, and benefit details.
- Pipeline & Queue Leadership: Ensure all scheduled U.S. patient appointments are verified within 24 to 48 hours, meeting daily verification targets.
- Floor Escalation Support: Provide guidance and assistance to junior VOB associates on challenging insurance inquiries, portal issues, and complex policy interpretations.
- Error-Free EHR Logging: Accurately document insurance notes, benefit percentages, and authorization rules in electronic health record (EHR) systems without errors.
- Client & Internal Reporting: Prepare daily and weekly verification tracking logs and performance summaries using MS Excel for team leads and management.
- Policy Compliance: Adhere strictly to HIPAA regulations, client-specific business rules, and internal operational procedures to maintain compliance and data security.

Required Qualifications
- Education: Bachelor’s degree in any discipline (BS/BA/Graduation).
- Experience: 2 to 3 years of direct experience as a VOB Specialist within a U.S. medical billing or revenue cycle management (RCM) environment, including demonstrated ability to support and mentor junior staff.
- Domain Expertise: Strong knowledge of eligibility verification, Coordination of Benefits (COB), Medicare and Medicaid guidelines, and prior authorization processes.
- Communication & Technical Skills: Excellent written and spoken English, fast and accurate typing skills, proficiency in MS Excel, and experience with EHR software systems.

Preferred Qualifications and Benefits
- Work Schedule: Fixed weekends off (Saturday and Sunday), providing a consistent work-life balance despite night shift hours.
- Financial Benefits: Competitive senior-level salary package with regular performance-based increments, inflation bonuses, loan facilities, advance salary options, and annual loyalty rewards.
- Office Perks: Complimentary hot dinner served nightly on-site, along with two tea/green tea breaks to support employee well-being during the shift.
- Location: This is an in-person role based at the company’s office in Rawalpindi, requiring reliable commuting arrangements.

Candidates should be prepared to work the designated night shift hours and have the ability to commute to the Rawalpindi office. Applicants will be asked about their current salary, experience, notice period, and salary expectations during the application process. This opportunity is ideal for professionals looking to advance their career in medical billing with a reputable organization focused on U.S. healthcare revenue cycle operations.