Medical Biller

Pacsquare Technologies; Islamabad; On-site; PKR 1,800,000 - 2,400,000; Full time

Job summary

Pacsquare Technologies is seeking a Medical Biller – Mid-Level to join our Revenue Cycle Management team in Islamabad, Pakistan. The ideal candidate will have hands-on experience with US medical billing, insurance claims, AR follow-up, denial management, and payer follow-up.

You will ensure accurate and timely billing and support the complete revenue cycle for healthcare providers. Key responsibilities include claims processing, charge entry, submission to payers, handling denials, AR aging

Qualifications

• 2–4 years of experience in US medical billing/RCM.
• Good understanding of the US healthcare revenue cycle.
• Hands-on experience with claims submission, AR follow-up, denial management, and payment posting.
• Familiarity with EOBs, ERAs, CPT, HCPCS, ICD-10, and modifiers.
• Knowledge of major US insurance payers and their billing requirements.
• Experience working with medical billing/RCM software and clearinghouses.
• Good written and verbal communication skills.

Responsibilities

• Review and process medical claims accurately and in a timely manner.
• Perform charge entry and ensure correct patient, provider, insurance, and service information.
• Submit electronic and paper claims to insurance companies as required.
• Review claims for billing errors, missing information, incorrect coding, and payer-specific requirements before submission.
• Follow up with insurance companies on outstanding and unpaid claims.
• Handle denials, rejections, and claim corrections, including identifying the reason for denial and taking appropriate corrective action.
• Work on Accounts Receivable (AR) and follow up on aging claims to ensure timely reimbursement.
• Post insurance and patient payments accurately and reconcile payment records.
• Review EOBs/ERAs and take appropriate action on underpayments, denials, and adjustments.
• Verify patient insurance eligibility and benefits when required.
• Coordinate with coding, clinical, and internal billing teams to resolve claim-related issues.
• Maintain accurate records of claims, follow-ups, denials, payments, and outstanding balances.
• Communicate with insurance representatives regarding claim status, eligibility, benefits, and reimbursement issues.
• Identify recurring billing issues and report them to the relevant team for resolution.

Skills

US medical billing

RCM basics

Claims submission

AR follow-up

Denial management

Payment posting

HIPAA compliance

MS Excel

Communication

Education

CPC/CPB or similar certification

Tools

Medical billing software

Clearinghouses

Job description

Department: Revenue Cycle Management (RCM)

Experience: 2–4 years

Employment Type: Full-Time

About the Role

Position: Medical Biller – Mid-Level

Department: Revenue Cycle Management (RCM)

Experience: 2–4 years

Location: Islamabad, Pakistan

Employment Type: Full-Time

About the Role

We are looking for an experienced Medical Biller to join our Revenue Cycle Management team. The ideal candidate should have hands‑on experience with US medical billing, insurance claims, accounts receivable, denial management, and payer follow‑up.

The candidate will be responsible for ensuring accurate and timely billing and supporting the complete revenue cycle process for healthcare providers.

Key Responsibilities

• Review and process medical claims accurately and in a timely manner.
• Perform charge entry and ensure correct patient, provider, insurance, and service information.
• Submit electronic and paper claims to insurance companies as required.
• Review claims for billing errors, missing information, incorrect coding, and payer‑specific requirements before submission.
• Follow up with insurance companies on outstanding and unpaid claims.
• Handle denials, rejections, and claim corrections, including identifying the reason for denial and taking appropriate corrective action.
• Work on Accounts Receivable (AR) and follow up on aging claims to ensure timely reimbursement.
• Post insurance and patient payments accurately and reconcile payment records.
• Review EOBs/ERAs and take appropriate action on underpayments, denials, and adjustments.
• Verify patient insurance eligibility and benefits when required.
• Coordinate with coding, clinical, and internal billing teams to resolve claim-related issues.
• Maintain accurate records of claims, follow‑ups, denials, payments, and outstanding balances.
• Communicate with insurance representatives regarding claim status, eligibility, benefits, and reimbursement issues.
• Identify recurring billing issues and report them to the relevant team for resolution.
• Maintain confidentiality of patient information in accordance with HIPAA and applicable healthcare regulations.
• Meet assigned productivity, quality, collection, and turnaround‑time targets.

Required Skills & Qualifications

• 2–4 years of experience in US medical billing/RCM.
• Good understanding of the US healthcare revenue cycle.
• Hands‑on experience with claims submission, AR follow‑up, denial management, and payment posting.
• Familiarity with EOBs, ERAs, CPT, HCPCS, ICD-10, and modifiers.
• Knowledge of major US insurance payers and their billing requirements.
• Experience working with medical billing/RCM software and clearinghouses.
• Good written and verbal communication skills.
• Strong attention to detail and ability to identify billing discrepancies.
• Good analytical and problem‑solving skills.
• Ability to manage multiple accounts and meet deadlines.
• Proficiency in MS Office, particularly Excel, is preferred.

Preferred Qualifications

• Experience with US physician billing / professional billing.
• Experience working with Medicare, Medicaid, and commercial insurance payers.
• Experience in denial and rejection resolution.
• Knowledge of HIPAA compliance.
• Experience with healthcare RCM platforms, EHRs, PM systems, and clearinghouses.
• Relevant medical billing certification such as CPC, CPB, or similar is a plus.

Key Performance Indicators (KPIs)

• Claim submission accuracy
• Clean claim rate
• AR aging and follow‑up performance
• Denial and rejection resolution rate
• Collection/recovery performance
• Payment posting accuracy
• Productivity and turnaround time
• Compliance and quality scores