Medical AR

4 days ago


Lahore, Punjab, Pakistan Macrise Tech Solutions Full time 960,000 per year

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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