Physician Billing Specialist

Description:

𝗝𝗼𝗯 𝗧𝗶𝘁𝗹𝗲: Physician Billing Specialist
𝗟𝗼𝗰𝗮𝘁𝗶𝗼𝗻: Main Shahra-e-Faisal, Karachi
𝗘𝗺𝗽𝗹𝗼𝘆𝗺𝗲𝗻𝘁 𝗧𝘆𝗽𝗲: Full-time and On-site
𝗦𝗵𝗶𝗳𝘁 𝗧𝗶𝗺𝗶𝗻𝗴𝘀: 06:00 PM to 03:00 AM PKT
𝗪𝗼𝗿𝗸𝗶𝗻𝗴 𝗗𝗮𝘆𝘀: Monday to Friday
 
𝗔𝗯𝗼𝘂𝘁 𝘁𝗵𝗲 𝗥𝗼𝗹𝗲:
We are looking for a detail-oriented and proactive Physician Billing Specialist to join our team. You will ensure accurate insurance verification, follow up on unpaid or denied claims, and maintain compliance with billing regulations. Your work will directly support our physicians and help streamline revenue processes.
 
𝗝𝗼𝗯 𝗥𝗲𝘀𝗽𝗼𝗻𝘀𝗶𝗯𝗶𝗹𝗶𝘁𝗶𝗲𝘀:
  • 𝗜𝗻𝘀𝘂𝗿𝗮𝗻𝗰𝗲 𝗩𝗲𝗿𝗶𝗳𝗶𝗰𝗮𝘁𝗶𝗼𝗻:
Ensure patient insurance info is accurate and up-to-date.
Validate insurance plan status, ID numbers, patient names, and DOBs.
 • 𝗖𝗹𝗮𝗶𝗺𝘀 𝗙𝗼𝗹𝗹𝗼𝘄-𝗨𝗽 & 𝗥𝗲𝘀𝗼𝗹𝘂𝘁𝗶𝗼𝗻:
Investigate unpaid or denied claims across all insurance carriers.
Challenge “no claim found” responses and provide proof of submission.
Escalate issues to supervisors when necessary to ensure resolution.
 • 𝗗𝗼𝗰𝘂𝗺𝗲𝗻𝘁𝗮𝘁𝗶𝗼𝗻 & 𝗖𝗼𝗺𝗺𝘂𝗻𝗶𝗰𝗮𝘁𝗶𝗼𝗻:
Record all interactions with insurance representatives in Nextech, including call reference IDs and summaries.
Maintain detailed notes to ensure continuity for future follow-ups.
 • 𝗖𝗼𝗺𝗽𝗹𝗶𝗮𝗻𝗰𝗲 & 𝗧𝗶𝗺𝗲𝗹𝗶𝗻𝗲𝘀𝘀:
Ensure claim-related actions meet payer-specific filing and appeal deadlines.
Follow HIPAA and federal/state billing regulations.
Communicate urgent claim issues requiring physician or clinic staff input.
 
𝗝𝗼𝗯 𝗥𝗲𝗾𝘂𝗶𝗿𝗲𝗺𝗲𝗻𝘁𝘀:
 • Previous experience in physician billing, insurance verification, or claims follow-up.
 • Familiarity with Nextech or similar EHR/Billing systems preferred.
 • Strong attention to detail and organizational skills.
 • Excellent communication skills for interacting with insurance representatives.
 • Knowledge of HIPAA regulations and medical billing compliance.
 
𝗣𝗲𝗿𝗸𝘀 & 𝗕𝗲𝗻𝗲𝗳𝗶𝘁𝘀:
 • OPD & IPD health coverage for self, dependents, and parents.
 • Life insurance for self.
 • Fuel card for male employees.
 • Free pick & drop for female employees.
 • In-house gym facility.
 • Paid leaves & US holidays.
 • Referral bonus program.