US RCM Specialist - Medical Billing USA
Citadel Healthcare Management (PVT) LTD. provides healthcare management services for practices across North America. Our dedicated team supports a wide range of medical administration tasks, working collaboratively across multiple disciplines.
Our mission is to offer employees meaningful opportunities to apply their expertise, grow in their careers, and contribute to the organization’s ongoing success.
We are committed to creating a workplace where employees feel valued, supported, and motivated. By fostering a collaborative and engaging environment, we ensure that every contribution is recognized and appreciated.
At Citadel, diversity and inclusion are at the heart of our culture. We welcome individuals from all backgrounds—regardless of gender, ethnicity, age, religion, lifestyle, or disability—and embrace the unique perspectives and experiences they bring. Through teamwork, innovation, and continuous professional development, we empower our employees to thrive and drive progress within the organization.
Position Summary
As a Patient and Insurance Accounts Receivable – Medical Billing Specialist, you will play a critical role in ensuring accurate billing, timely reimbursements, and effective communication with patients and insurance providers.
Key Responsibilities
- Collect, post, and manage patient account payments.
- Submit claims to insurance providers and follow up on acceptance/denials.
- Prepare and review patient statements; manage delinquent accounts.
- Process payments from insurance companies with accuracy.
- Maintain strict confidentiality of patient information.
- Code patient services using Level 1 & Level 2 HCPCS systems.
- Enter charges and payments into the practice management system.
- Investigate rejected claims and insurance fraud, reporting when necessary.
- Verify demographic and insurance information during charge entry.
- Rectify clearing house rejections promptly.
- File charge, payment, and adjustment batches for quick reference.
- Ensure client satisfaction through effective follow-up on outstanding claims.
- Communicate independently with insurance companies to maintain cash flow.
- Track KPIs and deliver positive results for assigned clients.
- Keep supervisors informed of important client issues.
- Perform additional duties as requested by management.
Qualifications
- Prior experience in U.S. medical billing and insurance AR preferred.
- Strong knowledge of medical billing software and coding systems (HCPCS).
- Excellent communication and organizational skills.
- Ability to work independently with accuracy and timeliness.
- Commitment to patient confidentiality and information security.
Benefits
- Provident Fund
- Leave Encashment
- Gratuity
- Health Insurance
- Inflation Bonus
- Housing Allowance
- Patient Seen Bonus
- Eid Bonus
60,000PKR - 80,000PKR