Accounts Receivable Assistant

4 weeks ago


Lahore, Punjab, Pakistan Advanced IT & Healthcare Solutions Full time

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We are seeking an experienced Out-of-Network Negotiator & Corresponding Resource to join our team. The ideal candidate will have a strong background in healthcare reimbursement, contract negotiations, and resolving out-of-network billing disputes. Experience working in Texas is essential, as you will be handling claims and negotiations specific to the region.

Key Responsibilities:
  • Negotiate out-of-network reimbursement rates with providers, payers, and facilities.
  • Review and resolve billing disputes, underpayments, and denied claims.
  • Familiarity with Texas Medicaid, Medicare, and commercial insurance policies.
  • Communicate effectively with insurance companies, medical providers, and patients.
  • Ensure compliance with Texas state regulations and payer policies.
  • Analyze fee schedules, contracts, and reimbursement trends.
  • Maintain accurate documentation and provide detailed reports.
Qualifications:
  • Minimum 2 years of experience in out-of-network negotiations or medical claims resolution.
  • Texas-specific experience (knowledge of local payers, regulations, and billing practices).
  • Strong understanding of medical billing, coding (CPT, ICD-10), and reimbursement methodologies.
  • Excellent negotiation, communication, and problem-solving skills.
  • Proficiency in Microsoft Office and claims management software.
  • Ability to work independently and manage multiple cases efficiently.
Seniority level
  • Entry level
Employment type
  • Full-time
Job function
  • Accounting/Auditing and Finance
Industries
  • Software Development
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