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Accounts Receivable

2 weeks ago

Wapda Town, Pakistan Macrise Tech Solutions Full time 400,000 - 800,000 per year

We are seeking a highly organized and results-driven Accounts Receivable & Denials Resolution Specialist to join our medical billing team. In this critical role, you will oversee outstanding claims, resolve insurance denials, and ensure timely reimbursement from payers. The ideal candidate will be analytical, proactive, and skilled at maintaining professional communication with patients, providers, and insurance representatives while driving AR reduction and denial resolution.

Key ResponsibilitiesAccounts Receivable & Denials Management

  • Monitor and manage outstanding insurance claims to reduce accounts receivable (AR) balances.
  • Review and resolve claim denials daily, ensuring accurate and timely follow-up.
  • Analyze ERA (Electronic Remittance Advice) data to identify recurring denial patterns and recommend solutions.
  • Prepare, submit, and track appeals for denied or underpaid claims with appropriate documentation.
  • Investigate and resolve payment discrepancies, escalating complex issues to the Billing Manager.
  • Maintain accurate AR aging reports and provide weekly/monthly updates.
  • Process claims for specialized services, including TMS, Spravato, and psychological testing.
  • Collaborate with the Billing Manager to achieve AR resolution and collection targets.

Patient & Provider Support

  • Respond to billing-related inquiries from patients, providers, and internal teams.
  • Review patient accounts, update balances, and initiate collection actions when necessary.
  • Work with providers to correct claim errors, including coding and documentation.
  • Coordinate with insurance payers regarding prior authorizations, coverage details, and network participation.
  • Resolve patient concerns with professionalism, including issuing refunds when applicable.

System Support & Process Improvement

  • Submit and monitor system support tickets in eClinicalWorks (eCW) for billing-related issues.
  • Provide training and support to team members on AR and denial management processes.
  • Partner with U.S.-based teams to ensure timely and accurate claim submissions.
  • Participate in meetings to review AR performance, identify trends, and recommend process improvements.
  • Stay current on payer policies, compliance requirements, and industry best practices.

Job Type: Full-time

Pay: Rs40, Rs80,000.00 per month

Ability to commute/relocate:

  • Wapda Town: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

  • Willing to work the night shift?

Experience:

  • Medical Billing: 1 year (Preferred)

Language:

  • English (Required)

Work Location: In person