14 Rcm Specialist jobs in Karachi

Key Responsibilities

• Submit, track, and follow up on medical claims with insurance providers
• Verify patient insurance eligibility, coverage, and benefits
• Review, investigate, and resolve denied or rejected claims
• Process payment postings and reconcile billing records accurately
• Perform Accounts Receivable (AR) follow-up to ensure timely collections
• Communicate with insurance companies regarding claim status and reimbursement issues
• Maintain accurate patient billing records and documentation
• Ensure compliance with HIPAA guidelines and healthcare billing regulations
• Collaborate with internal teams to resolve billing discrepancies and claim-related issues
• Prepare billing reports and provide regular updates on claim status and collections

Requirements

• Minimum 1–3 years of experience in US Medical Billing
• Strong understanding of the Revenue Cycle Management (RCM) process
• Hands-on experience with insurance verification, charge entry, claim submission, payment posting, denial management, and AR follow-up
• Working knowledge of CPT, ICD-10, and HCPCS coding is preferred
• Excellent verbal and written English communication skills
• Strong analytical, problem-solving, and organizational skills
• Proficiency in Microsoft Office and medical billing software
• Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.

Work Location: In person