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Three on-site roles · Rawalpindi
We’re Hiring.
We are hiring for three roles at our Rawalpindi office. Strong written and spoken English is mandatory. On-site only, US shift.
Credentialing Expert
Handles provider enrollment with Medicare, Medicaid, and commercial insurance payers. Manages CAQH, PECOS, re-credentialing, and payer contract renewals.
AR Specialist
Works denied claims and aging accounts. Writes appeal letters, follows up with insurance payers, and recovers unpaid revenue.
Billing Executive
Submits insurance claims, posts payments, and runs the daily billing cycle for US healthcare practices. Multi-specialty exposure.
Market salary
monthly performance bonus
Paid training
US CPT, ICD-10, payers
Growth opportunity
promotion on performance
Walk-in interviews
Mon to Fri, 9 PM to 11 PM
Primax Plaza, Main Murree Road, near 6th Road, Rawalpindi
How to apply
WhatsApp your CV or walk in with a printed copy.

Three on-site roles · Rawalpindi
We’re Hiring.
We are hiring for three roles at our Rawalpindi office. Strong written and spoken English is mandatory. On-site only, US shift.
Credentialing Expert
Handles provider enrollment with Medicare, Medicaid, and commercial insurance payers. Manages CAQH, PECOS, re-credentialing, and payer contract renewals.
AR Specialist
Works denied claims and aging accounts. Writes appeal letters, follows up with insurance payers, and recovers unpaid revenue.
Billing Executive
Submits insurance claims, posts payments, and runs the daily billing cycle for US healthcare practices. Multi-specialty exposure.
Market salary + monthly performance bonus
Reviewed every 6 months
Paid training in US CPT, ICD-10, and payers
Hands-on with real US claims
Growth opportunity
Promotion on performance
Walk-in interviews, Monday to Friday
9 PM to 11 PM, bring your CV
Primax Plaza, Main Murree Road, near 6th Road, Rawalpindi
How to apply
WhatsApp your CV or walk in with a printed copy.

CMS Is Auditing
Modifier 25 Claims.
The OIG reviewed 3.3 million claims.
42% failed.
$124 million in E/M services billed with modifier 25 did not meet Medicare requirements.
If your practice bills an E/M visit on the same day as a procedure, this affects you. Not just ophthalmology. Every specialty.
What to do right now:
Source: HHS Office of Inspector General, Report A-09-23-03014
Not sure if your claims are compliant?
Free modifier 25 audit. Before CMS audits you.

Industry data on what happens to your denied claims:
of denied claims are never resubmitted.
That is permanent revenue loss sitting in your aging buckets right now. The average mid-size practice writes off five figures a quarter that was recoverable.
Source: Change Healthcare Revenue Cycle Denials Index
Free 90-day AR recovery audit.
We work the denials your team does not have time for.

What most billers believe about CO-97 is wrong.
CO-97 bundling denials cannot be appealed. They are write-offs.
CO-97 with NCCI modifier indicator 1 is recoverable. Most billers do not even check the indicator.
The fix: append modifier 25, 59, or the more specific X-modifiers (XE, XS, XP, XU) on a corrected claim with documentation supporting the distinct service.
We recover what most billers write off.
Free 90-day AR audit. AAPC-certified coders.

Cardiology practice. 4 physicians. 90 days.
They were writing off 40 to 50 CO-97 denials per month on 93306 echos bundled into 93000 EKGs. We worked the indicator-1 edits with X-modifiers.
written off in CO-97 denials per quarter
recovered in the first 90 days
Annualized recovery
on revenue they had considered un-recoverable
What is sitting in your CO-97 write-off bucket?
Free 90-day AR audit. We surface what your team misses.

The 30-second CO-97 triage every biller should run.
Pull the modifier indicator
From the NCCI quarterly file or our free bundling checker. Indicator 0 means no appeal possible. Indicator 1 means modifier may bypass.
Read the chart, not the EOB
Distinct anatomic site? Separate session? Different practitioner? Unusual non-overlapping service? One of those needs to be true.
Use the X-modifier, not 59
XE / XS / XP / XU are more specific and audited less aggressively than modifier 59. Pick the one that matches the chart.
Submit a corrected claim, not an appeal
Faster than a written appeal. Frequency code 7 in the 837. Reference the original claim number.
Save this for your next CO-97. Or skip the work.
Free bundling checker at gomedicalbilling.com/tools

Unpopular opinion
Most billing companies count on you missing your appeal deadline.
Medicare gives you 120 days. Aetna gives you 60. UHC gives you 180. Cigna varies. Each one expires silently. The day after, your right to appeal is gone forever.
Set your appeal deadlines in your calendar today. Or let us track them for you.
48-hour appeal turnaround.
Every payer. Every CARC. Every deadline tracked.

For Practice Owners
5 silent revenue leaks costing practices
a year. Each.
Swipe for the 5. The fix is on the last slide.

CO-97 bundling appeals never filed
of indicator-1 CO-97 denials are recoverable when worked
Most billers write CO-97 off without checking the modifier indicator. When the indicator is 1, the right X-modifier on a corrected claim wins the recovery in the majority of cases. Practices working CO-97 systematically recover four to six figures a quarter from this single category.

Modifier 25 misuse triggers automated takebacks
major payers run automated modifier 25 review at adjudication (UHC, Anthem, Cigna)
Documentation that does not visibly separate the E/M from the same-day procedure gets downcoded or denied. The takebacks compound across hundreds of claims a month. Pre-submission audit prevents the loss; post-payment recovery is much harder.

CCM and RPM revenue not captured
annual under-capture for the typical primary care practice
Chronic Care Management (99490 plus add-ons) and Remote Patient Monitoring (99457, 99458) are recurring monthly revenue lines for any practice with chronic disease patients. Most practices capture neither. The eligible patient panel is already in your EHR; the gap is workflow, not eligibility.

Stale fee schedules cause silent underpayment
of net revenue lost annually to fee schedule drift
Payers renegotiate mid-cycle and update rates without notification. Your billing system's stored allowable falls out of sync with the contracted rate. CO-45 contractual adjustments stop matching the contract. Quarterly variance audits catch this; most practices do not run them.

CO-50 medical necessity appeals dropped
of denied claims are never resubmitted (Change Healthcare)
CO-50 carries one of the higher overturn rates among CARC codes when the appeal walks the LCD criteria checklist with chart citations. Most practices do not have time to build the LCD-criteria appeal. The denials sit in aging buckets until they age into write-off territory.

The Fix
We work all 5 of these. Free 90-day audit.
AAPC-certified coders review every denial against the chart
Modifier indicator and X-modifier strategy on every CO-97
CCM and RPM workflow design for primary care practices
Quarterly fee schedule variance audit by payer
LCD-criteria appeals on every CO-50 worth working
2.49% of collections. No setup fees. No long-term contracts.