Senior Billing Executive (Out-of-Network)

PMTAC Private Limited; Rawalpindi Cantonment; On-site; PKR 2,000,000 - 2,750,000; Full time

Job summary

An established industry player is looking for experienced Billing Executives to manage Out-of-Network claims. This role focuses on claim follow-up and denial management, ensuring efficient resolution of claims while staying informed about new payers and policies. Join a professional and supportive environment that offers career growth, competitive salary, and comprehensive training. If you have exceptional communication skills and a passion for making a difference, this opportunity is perfect for you.

Benefits

Out-of-Network Bonus

Medical Insurance for Self, Spouse, and Children

Career Growth Opportunities

Comprehensive Training

Bi-annual Increments

Travel Allowance (For Female Employees)

Qualifications

• Experience in OON claim resolution with a focus on post-submission issues.
• Strong knowledge of insurance processes and OON billing guidelines.

Responsibilities

• Resolve OON claims post-submission, including denials and underpayments.
• Communicate with insurances, providers, and patients to address OON issues.

Skills

Claim Follow-Up

Denial Management

Insurance Processes

Problem-Solving

Communication Skills

Organizational Skills

Tools

Excel

Job description

We are seeking experienced Billing Executives to manage and resolve Out-of-Network claims after initial submission. The ideal candidate will have a strong focus on claim follow-up, denial management, and efficient resolution of OON claims, while staying informed on new payers and policies.

Key Responsibilities:

• Resolve OON claims post-submission, including denials and underpayments.
• Communicate with insurances, providers, and patients to address OON issues.
• Ensure accurate processing of claims, including eligibility verification and benefit coordination.
• Track and report OON claim status to ensure timely resolution.
• Stay updated on new payers, policies, and industry changes affecting OON claims.

Qualifications:

• Experience in OON claim resolution, with a focus on post-submission issues.
• Strong knowledge of insurance processes, OON billing guidelines, and new payer policies.
• Excellent communication, problem-solving, and organizational skills.
• Proficiency in Excel.

Why Join Us:

• Out-of-Network bonus
• Work in a professional and supportive environment.
• Opportunity for career growth and development.
• Competitive salary and monthly bonuses.
• Comprehensive training to ensure your success in the role.
• Medical Insurance for self, spouse and children.
• Increments on successful completion of probation period.
• Bi-annual increments
• Travel allowance (For Female Employees)

Job Location: Rawalpindi, Pakistan

If you are passionate about making a difference, possess exceptional communication skills, and are ready to take on new challenges, we encourage you to apply.

We also accept Walk-In Interviews: Monday to Friday | 6:00 pm – 9:00 pm PKT

Office Address: Office# 7, 1st floor, Software Technology Park, Meridian Mall, NADRA Service Centre Rehmanabad Murree Road Rawalpindi.

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