AR-Associates/Senior Associates PB (5 -Jan -26)

ECLAT Health Solutions; Hyderabad; On-site; INR 300,000 - 500,000; Full time

Job summary

Eclat-Health-Solutions-4 is seeking an experienced Physician Billing Associate to join our team in Hyderabad. The ideal candidate will be responsible for preparing, reviewing, and submitting accurate medical claims (CMS-1500) and ensuring timely reimbursements while maintaining compliance with U.S. healthcare billing standards.

The role requires experience in billing, knowledge of insurance guidelines, and strong problem-solving skills. If you are detail-oriented and thrive in a dynamic environment, we want to hear from you.

Qualifications

• 1–5 years of experience in Physician billing.
• Familiarity with EHR and insurance guidelines.
• Ability to meet productivity and quality targets.

Responsibilities

• Prepare, review, and submit accurate medical claims.
• Analyze Explanation of Benefits and Remittance Advice.
• Contact insurance companies to resolve claims issues.

Skills

Detail-oriented

Problem-solving skills

Knowledge of Medicare and Medicaid

Experience with CMS-1500 claim processing

Education

High School Diploma or equivalent

Associate's degree preferred

Tools

EPIC

Kareo

eClinicalWorks

Job description

1-5

Full-Time

Job Summary:

We are looking for experienced Physician Billing Associates to join our growing team in Hyderabad. The ideal candidate will be responsible for preparing, reviewing, and submitting accurate medical claims (CMS-1500) to insurance payers, ensuring timely reimbursements, and maintaining compliance with U.S. healthcare billing standards.

Key Responsibilities:

• Review and follow up on unpaid or denied insurance claims (primary and secondary).
• Analyze Explanation of Benefits (EOBs) and Remittance Advice (RA) to determine appropriate action.
• Contact insurance companies to resolve claims issues and secure payments.
• Work denials and rejections in a timely manner and re-submit corrected claims as needed.
• Perform AR follow-up via phone calls, portals, and payer websites.
• Ensure compliance with payer-specific billing requirements and HIPAA regulations.
• Collaborate with coding and billing teams to resolve discrepancies or missing documentation.
• Update claim status and notes in the billing system (e.g., EPIC, Kareo, eClinicalWorks).
• Meet productivity and quality targets (e.g., number of claims worked per day, resolution rate).

Requirements:

• High School Diploma or equivalent (Associate's degree preferred).
• 1–5 years of experience in Physician billing, with emphasis on CMS-1500 claim processing.
• Knowledge of Medicare, Medicaid, and commercial insurance guidelines.
• Familiarity with EHR and billing systems (e.g., Epic, Cerner, Meditech).
• Detail-oriented with strong problem-solving skills.
• Ability to work independently and meet deadlines.