AR Specialist Medical Billing

Job Advert: Senior AR Specialist – Workers' Comp, PIP, & No-Fault ClaimsAre You a Claims-Juggling Expert? Master the Revenue of the Most Complex Medical Billing Systems!Cyber System is a rapidly growing leader in [Your Industry/Specialty, e.g., Orthopedics, Physical Therapy, Revenue Cycle Management]. We are seeking a highly skilled and analytical AR Specialist to join our team, focusing exclusively on the challenging and lucrative Accounts Receivable (AR) for Workers' Compensation (WC), Personal Injury Protection (PIP), and No-Fault claims.If you thrive on uncovering denied revenue, navigating state-specific fee schedules, and closing out high-dollar, multi-party claims, this role is for you.What You'll Do: The Core MissionYou will be the final authority and lead executor for our most complex and high-value AR accounts. Your primary mission is to ensure maximum, timely reimbursement for services rendered under WC, PIP, and No-Fault guidelines.Aggressive Claims Follow-Up: Manage a specialized aging report, prioritizing accounts based on value and timely filing limits for WC, PIP, and No-Fault claims.Denial Management & Appeals: Investigate and resolve all claim denials, including those related to compensability, medical necessity, pre-authorization, and state fee schedule discrepancies. Draft and submit formal first- and second-level appeals.Fee Schedule Mastery: Expertly read, interpret, and apply state-specific Workers' Compensation Fee Schedules and No-Fault state regulations to ensure accurate payment.Payer Communication: Maintain professional, results-driven communication with WC Adjusters, PIP Carriers, and legal firms to push claims to final payment or settlement.Coordination of Benefits (COB): Navigate complex scenarios where WC and PIP are secondary to each other or another insurance, ensuring proper balance-billing rules are followed.What You'll Bring: Essential Qualifications3+ years of dedicated, hands-on experience managing Accounts Receivable for Workers' Compensation and/or Personal Injury Protection (PIP)/No-Fault medical claims.In-depth knowledge of at least one major No-Fault state (e.g., NY, FL, MI, NJ) regulations and their corresponding medical fee schedules.Proven ability to successfully overturn denied claims and reduce days in AR for complex payer groups.Strong understanding of medical terminology, CPT/ICD-10 codes, and their impact on claims adjudication.Exceptional organizational skills and the ability to manage a high-volume pipeline of complex cases with detailed documentation.📍 Location: [Mozang Lahore] OnsiteApply: aqib.rasheed@xybersystem.comOr whats app 0305-9994000