
Medical AR
9 hours ago
Key ResponsibilitiesAccounts Receivable & Denials Management
- Monitor and manage outstanding insurance claims to reduce overall accounts receivable (AR) balances.
- Review and resolve claim denials on a daily basis, ensuring timely and accurate follow-up.
- Analyze Electronic Remittance Advice (ERA) data to identify recurring denial trends and implement corrective actions.
- Prepare, submit, and track appeals for denied or underpaid claims with appropriate documentation.
- Investigate payment discrepancies, escalating complex issues to the Billing Manager as needed.
- Maintain and update AR aging reports; provide regular weekly and monthly performance updates.
- Process claims for specialized services, including TMS, Spravato, and psychological testing.
- Partner 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 and update patient accounts, ensuring accuracy before initiating collection actions.
- Collaborate with providers to correct claim errors, including coding and documentation.
- Coordinate with insurance companies regarding prior authorizations, coverage verification, and network status.
- Address patient concerns with professionalism, including issuing refunds when appropriate.
System Support & Process Improvement
- Submit and monitor support tickets in eClinicalWorks (eCW) to resolve billing-related issues.
- Provide training and support to team members on AR and denial management processes.
- Collaborate with U.S.-based teams to ensure timely and accurate claim submissions.
- Participate in team meetings to review AR performance, analyze trends, and recommend process improvements.
- Stay current with payer policies, compliance regulations, and industry best practices.
Job Type: Full-time
Pay: Rs40, Rs80,000.00 per month
Ability to commute/relocate:
- Lahore: 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 (Preferred)
Work Location: In person
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