Description:
Rinova AI is seeking an experienced Medical Biller to join our growing team in Islamabad. This is a hybrid position ideal for someone who thrives at the intersection of healthcare and technology. The ideal candidate will have deep expertise across the full revenue cycle and a passion for problem-solving in a fast-paced, innovative environment.
Key Responsibilities
- Handle insurance verification, claim submission, prior authorizations, and rejection/denial management
- Perform payment posting, reconciliation, and accounts receivable (A/R) management
- Communicate effectively with US-based insurance companies via phone and portals
- Analyze and resolve claim denials, rejections, and payment discrepancies
- Maintain detailed documentation and follow-up processes to ensure clean claim submission and maximum reimbursement
Requirements
- 3+ years of experience in US medical billing
- Proficient with multiple EHRs (at least 4 or more, such as eClinicalWorks, Athenahealth, Kareo, AdvancedMD, DrChrono, etc.)
- Strong understanding of:
- Copay, deductible, coinsurance, and patient responsibility
- In-network vs out-of-network benefits
- Claim life cycle and payer requirements
- Excellent verbal and written communication skills
- Hands-on experience with Microsoft Excel and other data tools
- Tech-savvy and comfortable navigating new platforms and systems
- Proactive problem-solver with strong analytical and organizational abilities
- Prior experience making US healthcare insurance calls is a must