Manager Medical Billing

3 days ago

Karachi, Sindh, Pakistan Hirestaff Full time

Hirestaff.ai is a leading global talent acquisition and staffing solutions provider, specializing in connecting businesses with top-tier professionals across various industries. We pride ourselves on our deep industry expertise, cutting-edge technology, and personalized approach to recruitment. At Hirestaff.ai, we're committed to building long-lasting relationships with both clients and candidates, ensuring the perfect match for every role. We foster a collaborative and supportive work environment where our team members are empowered to excel and make a real impact in the world of talent acquisition.

About the Role:

This is a full-time, onsite position requiring the selected candidate to work night shifts aligned with U.S. Central Time (7 PM – 4 AM PKT). The role involves managing end-to-end billing operations for psychiatry and behavioral health services under the U.S. healthcare system.

You will be responsible for handling the complete revenue cycle – from claim preparation and submission to denial management, AR follow-up, and payment posting. Strong understanding of psychiatric CPT/ICD codes, insurance guidelines, and medical billing software is essential.

Key Responsibilities:

  • Prepare, review, and submit accurate claims for psychiatry services (individual therapy, medication management, psychiatric evaluations, etc.).
  • Ensure accurate use of CPT, ICD-10, and HCPCS codes, including psychiatry-specific codes such as 90791, 90833, 90834, 90837, 99213, 99214.
  • Submit electronic and paper claims to commercial insurance, Medicare, and Medicaid.
  • Conduct follow-ups on pending claims and aged AR to secure timely reimbursements.
  • Investigate and resolve denials and rejections, identifying root causes and resubmitting corrected claims.
  • Post payments (ERA/EOB), reconcile billing records, and apply appropriate adjustments or write-offs.
  • Collaborate with internal teams and providers to resolve billing discrepancies and obtain missing documentation.
  • Maintain compliance with HIPAA regulations and payer-specific psychiatry billing guidelines.
  • Prepare billing status reports and assist the team lead with performance tracking.

Requirements:

  • Intermediate/A-levels and/or Bachelor's degree in Healthcare Administration, Finance, or a related field (preferred).
  • Minimum 3–5 years of hands-on experience US Medical Billing.
  • Available to work night shifts aligned with U.S. Central Time (7 PM – 4 AM PKT)
  • Sound understanding of the end-to-end RCM process specific to mental health services.
  • Proficient in EMRs and billing platforms (e.g., CMD).
  • Solid knowledge of psychiatry-specific billing codes, modifiers, and insurance protocols.
  • Experience with insurance verification, AR analysis, denial resolution, and payment posting.
  • Strong communication and documentation skills in English.
  • Proficiency in MS Excel, Google Sheets, and reporting tools.
Seniority level
  • Seniority levelMid-Senior level
Employment type
  • Employment typeFull-time
Job function
  • Job functionAdministrative, Health Care Provider, and General Business
  • IndustriesHospitals and Health Care and Medical Practices

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