AR & Claims Resolution Associate-Medical Billng

2 weeks ago

Wapda Town, Pakistan Macrise Tech Solutions Full time 960,000 per year

Accounts Receivable & Denials Management

  • Monitor and manage outstanding insurance claims to minimize accounts receivable (AR) balances.
  • Review and resolve claim denials daily, ensuring timely and accurate follow-up.
  • Analyze Electronic Remittance Advice (ERA) data to identify recurring denial trends and recommend corrective actions.
  • Prepare, submit, and track appeals for denied or underpaid claims with proper documentation.
  • Investigate payment discrepancies and escalate complex cases to the Billing Manager as needed.
  • Maintain and update AR aging reports; provide weekly and monthly performance updates.
  • Process claims for specialized services, including TMS, Spravato, and psychological testing.
  • Collaborate with the Billing Manager to meet AR resolution and collection targets.

Patient & Provider Support

  • Address billing-related inquiries from patients, providers, and internal teams.
  • Review patient accounts for accuracy, update balances, and initiate collections when necessary.
  • Work with providers to correct claim errors, including coding and documentation.
  • Coordinate with insurance companies on prior authorizations, coverage verification, and network participation.
  • Handle patient concerns with professionalism, including processing refunds when applicable.

System Support & Process Improvement

  • Submit and monitor system support tickets in eClinicalWorks (eCW) for billing issues.
  • Provide training and support to team members on AR and denial resolution procedures.
  • Collaborate with U.S.-based teams to ensure timely, accurate claim submissions.
  • Participate in regular meetings to review AR performance, identify trends, and implement process improvements.
  • Stay up to date on payer policies, compliance regulations, 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

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