Certified Medical Biller

Edge; Pakistan; Vor Ort; PKR 600.000 - 900.000; Vollzeit

Zusammenfassung

Edge is seeking a Medical Billing Coordinator based in Lahore or Islamabad to manage end-to-end billing and ensure timely reimbursement for healthcare services. You will prepare and submit claims, verify ICD-10/CPT codes, post payments, and resolve denials to maintain AR metrics.

You must be CPC and/or AAPC certified with strong English communication, and prior billing experience in US payer environments is highly preferred.

Qualifikationen

• Must be located in Lahore or Islamabad.
• CPC and/or AAPC certification required.
• Experience with US payer billing (ICD-10, CPT, HCPCS) preferred.
• Strong written and spoken English.

Aufgaben

• Review ICD-10 and CPT/HCPCS codes for accuracy and documentation support before claims.
• Prepare and submit clean electronic claims (837P / CMS-1500) via EHR and clearinghouses.
• Verify patient demographics, insurance eligibility, authorization, and billing documentation.
• Monitor claim status and resolve rejections promptly with payer outreach.
• Apply payer guidelines, fee schedules, and filing limits to reduce rejections.
• Analyze denials, correct issues, and track outcomes of revised claims or appeals.
• Interpret EOBs/ERAs to post payments, reconcile balances, and manage underpayments.
• Process patient payments and manage refunds per policy.
• Monitor aging and conduct AR follow-up; escalate unresolved claims.
• Assist patients with billing inquiries with empathy and clarity.
• Safeguard PHI and ensure HIPAA compliance.

Kenntnisse

CPC/AAPC certified

English proficiency

ICD-10/CPT coding knowledge

EHR systems

Clearinghouses

Billing and AR management

Tools

EHR platforms

Clearinghouses

Billing software

Jobbeschreibung

**** Before you apply, please read the job description and carefully answer the qualifying questions..****

**** Candidates must be based in Lahore or Islamabad. ****

**** Candidates must be CPC and/or AAPC certified.****

**** Prior billing experience in Cardiology and Neurology and Oncology highly preferred.****

Medical Billing Coordinator

Who We Are

EDGE is building a bridge between Top Global Talent and the US Healthcare & Insurance Industry. We are on a mission to create a borderless network of exceptional talent with people at the center of everything we do. Learn more about us at onedge.co.

About the Role

We are looking for a Medical Billing Coordinator to manage the end-to-end billing workflow and ensure timely, accurate reimbursement for healthcare services. This role prepares and submits insurance claims, verifies ICD-10/CPT coding and documentation, tracks claim progress, posts payments, and resolves denials to maintain a healthy accounts receivable pipeline.

This role works closely with providers, administrative teams, patients, and insurance payers to uphold revenue integrity, maintain precise financial records, and ensure a positive financial experience for patients.

Key Responsibilities

• Review diagnosis (ICD-10) and procedure codes (CPT/HCPCS) for accuracy, completeness, and documentation support prior to claim creation.
• Prepare and submit clean electronic claims (837P / CMS-1500) via Electronic Health Record (EHR) systems and clearinghouses.
• Verify patient demographics, insurance eligibility, authorization, and required billing documentation.
• Monitor claim adjudication status through clearinghouses, payer portals, and phone outreach to resolve rejections and errors promptly.
• Apply payer-specific guidelines, fee schedules, and timely filing limits to reduce avoidable rejections.
• Analyze denial codes, correct documentation or billing issues, prepare revised claims or appeals, and track outcomes.
• Interpret EOBs and ERAs to accurately post insurance and patient payments, reconcile balances, and manage underpayments.
• Process patient credit card payments, issue statement balances, and manage refund or adjustment requests per organizational policy.
• Monitor aging reports, perform accounts receivable follow‑up, and escalate unresolved claims to prevent revenue loss.
• Assist patients with billing, balance, and statement inquiries using empathetic, clear, and professional communication.
• Safeguard Protected Health Information (PHI) and maintain strict adherence to HIPAA guidelines and payer compliance standards.

Requirements

• Must be located in Lahore or Islamabad.
• Candidates must be CPC and/or AAPC certified.
• Candidates must have great written and spoken English proficiency.
• Able to work full‑time: Monday–Friday, 8:00 AM to 5:00 PM CST
• Strong working knowledge of U.S. health insurance plans (PPO, HMO, Medicare, Medicaid) and coding systems (ICD-10, CPT, HCPCS).
• Proven experience reading EOB/ERA remittances and navigating clearinghouses and EHR platforms.
• High attention to detail, strong problem‑solving skills, and excellent English communication (written and verbal).

Our Hiring Process

Application Review: Submit your application and resume. Our team carefully evaluates all candidates to ensure a good fit.

Edge Interview: You’ll be invited to connect with a representative from Edge to present a detailed and tailored fit to your profile.

Client Interviews: Successful candidates finish an onboarding & training phase and are placed in client interviews to showcase their skills and align with specific client needs.

Final Selection: Once a good match is made, you’ll join the Edge Global Talent Community, ready to make an impact in the world of healthcare.

Talent Boilerplate

At Edge, we’re on a mission to create a world where geographic borders are no longer a barrier for people to obtain full‑time employment and fair wages. That’s why we’ve created a global hiring network that seamlessly connects exceptional talent from all over the world with businesses in North America that most need to fill positions. The Edge Talent Network is a community of like‑minded professionals through which you can unlock your potential, showcase your skills, and earn what you’re worth.

Equal Opportunity Employer Statement

Edge is proud to be an equal‑opportunity employer. We are committed to fostering a diverse and inclusive work environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, physical or mental disability, age, veteran status, or any other legally protected basis.