AR Callers - PB (12th Dec'25 - Hyderabad)

ECLAT Health Solutions; Hyderabad; On-site; INR 279,000 - 390,600; Full time

Job summary

Eclat-Health-Solutions-4 is seeking experienced Physician Billing Associates in Hyderabad. The candidate will manage the preparation and submission of accurate medical claims while ensuring timely reimbursements and compliance with healthcare billing standards.

Key responsibilities include reviewing claims, contacting insurance companies, and collaborating with teams to resolve discrepancies. Ideal candidates should have 1–5 years of experience and strong problem-solving skills.

Qualifications

• 1–5 years of experience in Physician billing with emphasis on CMS-1500 claims.
• Knowledge of Medicare, Medicaid, and commercial insurance guidelines.
• Detail-oriented with strong problem-solving skills.

Responsibilities

• Review and follow up on unpaid or denied insurance claims.
• Analyze Explanation of Benefits (EOBs) and Remittance Advice (RA).
• Contact insurance companies to resolve claims issues.

Skills

Physician billing

Claim processing

EHR familiarity

Problem-solving skills

Education

High School Diploma

Associate's degree

Tools

Epic

Cerner

Meditech

Job description

AR Callers - PB (12th Dec'25 - Hyderabad)

2-4

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.