Job Vacancy Defence Housing Society, Sindh Position Certified Biller at Mac Care

Welcome to our job portal. Mac Care is offering exciting opportunities for the position of Certified Biller in Defence Housing Society. We are currently seeking Full-time candidates.

We are looking for individuals with excellent skills and relevant beginners/seniors experience. Additionally, we highly value traits such as honesty, discipline, and accountability in our prospective employees.

Operating in the (according to the company) sector, we provide a wide range of professional opportunities. If you're interested in pursuing a rewarding career with Mac Care, we encourage you to submit your application directly through our website.

Join our growing team and embark on a fulfilling career journey with Mac Care. Don't miss the chance to be part of our dynamic work environment. Apply now and take the first step towards a bright future.

Job Information

Company:	Mac Care
Position:	Certified Biller
City:	Defence Housing Society, Sindh
Province:	Sindh
Education:	Confidential
Salary:	PKR 35.000 - PKR 140.000 per Month
Job Type:	Full-time

Job Description

Job Summary

We are seeking a Certified Professional Biller (CPB) to join our Revenue Cycle Management team. The ideal candidate will be responsible for accurate and timely medical billing, claim submission, and follow-ups to ensure maximum reimbursement from commercial payers, Medicare, and Medicaid. This role plays a critical part in minimizing denials, improving cash flow, and maintaining compliance with U.S. healthcare billing regulations.

Key Responsibilities

Medical Billing & Claims Management

• Prepare, review, and submit clean medical claims in compliance with payer and regulatory requirements.
• Ensure accurate charge entry based on provider documentation and coding guidelines.
• Submit claims to commercial insurance carriers, Medicare, Medicaid, and other third-party payers.
• Monitor claim status and perform timely follow-ups on unpaid or underpaid claims.

Denials & Rejections Handling

• Analyze claim denials and rejections to identify root causes.
• Correct errors and resubmit claims or initiate appeals as required.
• Collaborate with Coding and AR teams to prevent recurring denials.

Payment Posting & Reconciliation

• Post insurance payments, adjustments, and denials accurately in the billing system.
• Reconcile EOBs/ERAs with billed charges to ensure correct reimbursement.
• Identify and escalate underpayments or contractual discrepancies.

Compliance & Documentation

• Ensure compliance with HIPAA, CMS regulations, and payer-specific billing guidelines.
• Maintain accurate documentation of billing activities and payer communications.
• Stay updated with changes in billing regulations, payer policies, and reimbursement rules.

Collaboration & Reporting

• Work closely with Coding, Eligibility, AR, and Provider teams to support end-to-end RCM workflows.
• Assist in billing audits and provide data for internal quality and performance reviews.
• Meet productivity, accuracy, and turnaround time KPIs.

Qualifications & RequirementsEducation & Certification

• Certified Professional Biller (CPB) certification required (AAPC or equivalent).
• Bachelor’s degree preferred but not mandatory.

Experience

• Minimum 2–4 years of hands-on experience in U.S. healthcare medical billing.
• Experience with outpatient billing, preferably in family medicine, internal medicine, or primary care.
• Strong exposure to commercial payers, Medicare, Medicaid, and managed care plans.

Technical Skills

• Proficiency in EMRs, practice management systems, and clearinghouses.
• Strong understanding of CPT, ICD-10, HCPCS, modifiers, and payer billing rules.
• Comfortable working with EOBs, ERAs, and payer portals.

Core Competencies

• High attention to detail and accuracy.
• Strong analytical and problem-solving skills.
• Excellent written and verbal communication skills.
• Ability to work independently in a fast-paced, KPI-driven environment.
• Team-oriented mindset with a strong sense of ownership.

Job Type: Full-time

Work Location: In person

Benefit

• Access to the latest technology
• Recognition and performance awards
• Professional training
• Collaborative work environment
• Professional networking opportunities
• Skill development
• Work-life balance
• Valuable work experience
• Opportunities for promotion
• Opportunities to contribute to business growth

Requirements

• Experience in the Related Field (Preferred)
• Physically and Mentally Healthy
• Able to Work Under Pressure
• Good Communication Skills
• Minimum Education of High School Diploma
• No Criminal Record
• Minimum Age of 18 Years
• Able to Work in a Team
• Willing to Be Placed in the Designated Work Location

Company Address

Province	Sindh
City	Defence Housing Society
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