Medical Biller – Customer Service Experience (CX)

Edge; Pakistan; Remote; PKR 1,200,000 - 2,000,000; Full time

Job summary

Edge is seeking a Medical Billing Coordinator in Pakistan to support a US-based psychiatry practice. You will submit claims, follow up on denials, and handle patient billing inquiries with strong client communication.

The role requires 3+ years of US medical billing and customer-facing experience, and fluency in English. This is a full-time remote opportunity with EST hours, serving Karachi, Lahore, Islamabad, or Rawalpindi candidates.

Qualifications

• 3+ years of US medical billing experience.
• Experience in CSR or front desk role.
• Strong English communication skills.

Responsibilities

• Prepare and submit clean medical claims, including secondary claims.
• Review and resolve claim denials and handle appeals with insurers.
• Monitor aging reports and follow up on balances and payments.
• Read EOBs/ERAs and post payments.
• Verify patient insurance benefits (VOBs).
• Answer patient billing inquiries by phone and explain concerns clearly.

Skills

US medical billing

Customer-facing

English communication

Job description

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

**** Candidates must be based in Karachi, Lahore, Islamabad, or Rawalpindi. ****

**** 3+ years of US medical billing experience and prior customer-facing experience (CSR or front desk) are required. ****

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 with strong customer service skills to support the billing operations of Inlight Psychiatry & Therapy, a US-based psychiatry and therapy practice. You will join the practice's billing team, working alongside another biller and the billing manager.

This role involves submitting and following up on insurance claims, resolving denials and appeals, monitoring outstanding balances, verifying patient benefits, and handling patient billing inquiries. You will communicate regularly with patients and insurance companies, so strong English communication skills and a customer-focused approach are essential.

The ideal candidate has at least 3 years of US medical billing experience, along with previous customer-facing experience in a CSR or front desk role. They should be comfortable handling phone conversations with patients and insurance representatives, managing billing issues, and following up proactively to ensure timely resolution.

Employment Type: Full-Time

Employment Mode: Remote

Work Schedule: Monday to Friday, 8:00 AM – 5:00 PM EST (6:00 PM – 3:00 AM PKT).

Key Responsibilities

• Prepare and submit clean medical claims, including secondary claims.
• Review and resolve claim denials and handle appeals with insurance payers, including Cigna, Aetna, UnitedHealthcare, and Blue Cross.
• Monitor aging reports and follow up on outstanding patient and insurance balances.
• Reconcile patient and insurance payments accurately.
• Read and interpret Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs), and post payments.
• Verify patient insurance benefits (VOBs).
• Answer patient billing inquiries over the phone and explain billing-related concerns clearly and professionally.
• Contact insurance companies to follow up on claims, denials, and appeals.
• Maintain accurate billing records and ensure timely follow-up on outstanding issues.
• Communicate effectively with patients, insurance representatives, and the billing team to support smooth billing operations.
• Maintain patient confidentiality and adhere to HIPAA guidelines.

Requirements

• Must be located in Karachi, Lahore, Islamabad, or Rawalpindi, Pakistan.
• Must have at least 3 years of professional US medical billing experience.
• Must have previous customer-facing experience in a CSR or front desk role, including speaking with customers or patients over the phone.
• Must have strong written and spoken English communication skills.
• Must be available to work full-time, Monday–Friday, 8:00 AM–5:00 PM EST (6:0PM–3:00 AM PKT).
• Hands-on experience with secondary claims, denials, and appeals is required.
• Experience working with aging reports, EOBs, ERAs, and insurance benefits verification is required.
• Very strong attention to detail, with an analytical mindset and the ability to follow up proactively on outstanding issues.
• Strong interpersonal and communication skills, with the ability to handle patient billing inquiries professionally and empathetically.
• Must be a proactive, resourceful team player who can work collaboratively with the billing team.

Nice-to-Haves

• Previous experience with mental health billing.
• Experience working with Headway.
• Knowledge of CMS-1500 and 837P claim formats.

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.

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.