Medical Billing AR Executive

2 weeks ago

Lahore, Punjab, Pakistan Cyber System Full time

Job Advert: Senior AR Specialist – Workers' Comp, PIP, & No-Fault Claims

Are You a Claims-Juggling Expert? Master the Revenue of the Most Complex Medical Billing Systems

Cyber System is a rapidly growing leader in [Your Industry/Specialty, e.g., Orthopedics, Physical Therapy, Revenue Cycle Management]. We are seeking a highly skilled and analytical 
AR Specialist
 to join our team, focusing exclusively on the challenging and lucrative Accounts Receivable (AR) for 
Workers' Compensation (WC), Personal Injury Protection (PIP), and No-Fault
 claims.

If you thrive on uncovering denied revenue, navigating state-specific fee schedules, and closing out high-dollar, multi-party claims, this role is for you.

What You'll Do: The Core Mission

You will be the final authority and lead executor for our most complex and high-value AR accounts. Your primary mission is to ensure maximum, timely reimbursement for services rendered under WC, PIP, and No-Fault guidelines.

  • Aggressive Claims Follow-Up:
     Manage a specialized aging report, prioritizing accounts based on value and timely filing limits for WC, PIP, and No-Fault claims.
  • Denial Management & Appeals:
     Investigate and resolve all claim denials, including those related to compensability, medical necessity, pre-authorization, and state fee schedule discrepancies. Draft and submit formal 
    first- and second-level appeals
    .
  • Fee Schedule Mastery:
     Expertly read, interpret, and apply state-specific 
    Workers' Compensation Fee Schedules
     and No-Fault state regulations to ensure accurate payment.
  • Payer Communication:
     Maintain professional, results-driven communication with WC Adjusters, PIP Carriers, and legal firms to push claims to final payment or settlement.
  • Coordination of Benefits (COB):
     Navigate complex scenarios where WC and PIP are secondary to each other or another insurance, ensuring proper balance-billing rules are followed.
  • What You'll Bring: Essential Qualifications
    3+ years of dedicated, hands-on experience
     managing Accounts Receivable for 
    Workers' Compensation and/or Personal Injury Protection (PIP)/No-Fault
     medical claims.
  • In-depth knowledge of at least one major No-Fault state (e.g., NY, FL, MI, NJ)
     regulations and their corresponding medical fee schedules.
  • Proven ability to 
    successfully overturn denied claims
     and reduce days in AR for complex payer groups.
  • Strong understanding of 
    medical terminology
    , CPT/ICD-10 codes, and their impact on claims adjudication.
  • Exceptional organizational skills and the ability to manage a high-volume pipeline of complex cases with detailed documentation.

Location: [Mozang Lahore] Onsite

Apply:

Or whats app

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