3 Claims Processing jobs in Pakistan
Claims Processing Executive
Posted today
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Job Description
Waada is looking for a Claims Executive to join our dynamic team If you have a keen eye for detail and a passion for claims processing & risk management, this is your chance to grow with us.
Key Responsibilities:
- Evaluating and managing medical and general claims efficiently.
- Using Excel, Google Sheets & CRM tools for insights and decision-making.
- Identifying and minimizing fraudulent claims.
- Enhancing claims workflow for better efficiency.
- Ensuring adherence to industry policies and standards.
- Managing disputes professionally.
- Effective coordination with stakeholders.
- Quick and effective resolution of issues.
- Handling multiple claims efficiently.
Qualifications:
MBBS/BDS or Bachelor's in a relevant field.
Experience : 6 Months or more
Job Type: Full-time
Application Question(s):
- Current Salary
- Expected Salary
Experience:
- Claims Processing: 1 year (Preferred)
Location:
- Karachi (Preferred)
Work Location: In person
Insurance Claims
Posted today
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Job Description
Key ResponsibilitiesAccounts Receivable & Denials Management
- Monitor and manage outstanding insurance claims to reduce overall Accounts Receivable (AR) balances.
- Review and resolve claim denials on a daily basis, ensuring prompt and accurate follow-up.
- Analyze Electronic Remittance Advice (ERA) data to identify recurring denial patterns and recommend corrective measures.
- Prepare, submit, and track appeals for denied or underpaid claims with appropriate documentation.
- Investigate and resolve payment discrepancies, escalating complex cases to the Billing Manager as needed.
- Maintain and update AR aging reports, providing regular weekly and monthly performance updates.
- Process claims for specialized services, including TMS, Spravato, and psychological testing.
- Collaborate closely with the Billing Manager to meet AR resolution and collection goals.
Patient & Provider Support
- Respond to billing-related inquiries from patients, providers, and internal teams in a timely manner.
- Review and update patient accounts to ensure accuracy prior to initiating collection actions.
- Work with providers to correct claim errors, including coding and supporting documentation.
- Coordinate with insurance payers regarding prior authorizations, coverage verification, and network participation.
- Address patient billing concerns professionally and process refunds where appropriate.
System Support & Process Improvement
- Submit and monitor support tickets in eClinicalWorks (eCW) to resolve billing-related issues efficiently.
- Provide training and support to team members on AR and denial management workflows.
- Partner with U.S.-based teams to ensure timely and accurate claim submissions.
- Participate in team meetings to review AR performance, identify trends, and recommend process improvements.
- Stay current with payer policies, compliance regulations, and medical billing best practices.
Job Type: Full-time
Pay: Rs40, Rs70,000.00 per month
Ability to commute/relocate:
- Lahore: Reliably commute or planning to relocate before starting work (Required)
Application Question(s):
- Willing to work the night shift?
Experience:
- Medical Billing: 1 year (Preferred)
Language:
- English (Required)
Work Location: In person
Insurance Claims Support Adminstrator
Posted today
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Job Description
Location: Johar Town,Lahore
Job type: Full time - onsite permanent job
Key Responsibilities:
We are looking for a credit hire specialist to work with the company in recovering payment packs to deal with invoicing questions.
Key Responsibilities:
Working as an claims handler working alongside and supporting a UK based claims team. Your key roles and responsibilities will be:
- Making out bound calls to insurance companies to confirm they have received our payment pack/ invoices.
- Knowledge of credit hire claims
- Handling incoming customer enquiries and assisting them via the telephone
- I need claims to be email chased every few days and calls made on claims every other few days, this is subject to hold times.
- The ability to work autonomously and with a team
- The ability to assess complex insurance emails and provide the required documentation.
What we offer:
- Market Competitive Salary
- Provident Fund
- Health insurance
- Gym Support
- Weekends Off
Salary Range: starting 80,000
Working Hours Mon-Fri 2:00pm- 10:00pm
Qualification:
- Candidates MUST be fluent in spoken and written English.
- Previous experience in a similar environment or administration experience is essential.
Ability to commute/relocate:
Lahore: Reliably commute or planning to relocate before starting work (Required)
Working Hours Mon-Fri 2:00pm- 10:00pm
Note: Only Shortlisted candidates will be call for interview
Job Type: Full-time
Pay: From Rs80,000.00 per month
Ability to commute/relocate:
- Lahore: Reliably commute or planning to relocate before starting work (Preferred)
Experience:
- the claims sector with UK companies: 3 years (Required)
Language:
- English (Required)
Work Location: In person
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