Senior Billing Executive (Out-of-Network)

PMTAC Private Limited


Date: 2 weeks ago
City: Rawalpindi
Contract type: Full time
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

  • Minimum graduation
  • 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 Time: 6:00 pm – 3:00 am (On-site)

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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