AR Specialist

SysMD(sister company of Maxobiz) is a leading provider of medical billing services, specializing in serving clients in the USA. With a commitment to accuracy, efficiency, and client satisfaction, we streamline the medical billing process to ensure our clients receive timely reimbursements and optimal revenue.

Responsibilities:

• Monitor and Manage Accounts Receivable:Regularly review and oversee AR balances for timely collections, address discrepancies, and reconcile the AR ledger for accurate financial records.
• Claim Submission:Review and submit claims after verifying LCD (Local Coverage Determination) and CCI (Correct Coding Initiative) conflicts. Ensure compliance with SOPs provided by the client.
• Payment Processing and Application:Record and process client payments accurately, apply them to respective invoices, and manage AR aging reports, following up on overdue accounts.
• Customer Communication and Dispute Resolution:Engage with customers regarding account status, overdue payments, and billing issues. Resolve disputes promptly and professionally, providing excellent customer service.
• Billing Cycle Management:Supervise the entire billing cycle, ensuring accuracy, efficiency, and policy compliance. Maintain precise billing information in financial systems.
• Insurance Verification (Eligibility):Verify patient insurance details thoroughly to confirm service eligibility, liaising with insurance companies for coverage details and pre-authorization requirements.
• Pre-Authorization Management:Handle pre-authorization requests, follow up with insurance providers for approvals, and maintain records in compliance with regulations and policies.
• Reporting and Documentation:Generate and provide regular billing reports to management, maintaining comprehensive records of billing, AR, and insurance verification activities.
• Process Improvement:Continuously seek opportunities to enhance billing and AR processes, suggesting and implementing improvements for increased efficiency and accuracy.
• Team Collaboration:Collaborate with Customer Service, Sales, and Clinical teams to ensure smooth billing and AR processes.
• General Duties:Perform other assigned tasks to support the organization's financial health and operational efficiency.
• Holiday Work Policy:In the event that a client schedules work on a federal holiday, it is understood that our team will be required to work on that day.

Requirements:

• Minimum 1.5 to 3 years of hands-on experience in Accounts Receivable within the U.S. healthcare revenue cycle industry.
• Solid understanding of AR processes including billing, collections, claim submission, and payment posting.
• Strong knowledge of insurance verification, pre-authorization procedures, and eligibility determination.
• Familiarity with LCD (Local Coverage Determination) and CCI (Correct Coding Initiative) compliance guidelines.
• Proficient in using billing software, EHR/EMR systems, and Microsoft Excel (e.g., pivot tables, VLOOKUP).
• Ability to analyze AR aging reports and reconcile AR ledgers with high attention to detail.
• Skilled in communicating with insurance companies and clients to resolve payment discrepancies and disputes.
• Strong written and verbal communication skills with a customer-centric approach.
• Proven ability to manage time effectively, meet deadlines, and adapt to shifting priorities.
• Capable of working both independently and as part of a cross-functional team.
• Willingness to work on U.S. federal holidays if scheduled by the client.
• Experience in generating and presenting financial and AR reports to management is a plus.
• Demonstrated problem-solving mindset with a focus on continuous process improvement.

Working Conditions:

• Work location:Gulberg 3, Lahore.
• Office hours:5:00 PM to 2:00 AM
• Office Days:Monday to Friday
• Salary:PKR 50,000 to 60,000. based on experience and expertise