AR Callers-PB (16th Mar 26 - Mumbai)

ECLAT Health Solutions; Mumbai; On-site; INR 420,000 - 540,000; Full time

Job summary

ECLAT Health Solutions in Mumbai seeks experienced Physician Billing Associates to prepare, review, and submit CMS-1500 claims to insurance payers, ensuring timely reimbursements and HIPAA compliance.

Ideal candidates have 1–5 years of physician billing experience, knowledge of Medicare/Medicaid guidelines, and familiarity with EHR/billing systems like Epic, Kareo, or eClinicalWorks.

Qualifications

• Experience in physician billing with CMS-1500 claim processing.
• Knowledge of Medicare, Medicaid, and commercial insurance guidelines.
• Familiarity with EHR and billing systems such as Epic, Kareo, eClinicalWorks.

Responsibilities

• Review and follow up on unpaid or denied insurance claims (primary and secondary).
• Analyze EOBs and RA to determine action.
• Contact insurance companies to resolve claims and secure payments.
• Work denials and rejections and re-submit corrected claims.
• Perform AR follow-up via phone, portals and payer sites.
• Ensure compliance with payer-specific billing requirements and HIPAA.

Skills

Physician billing

CMS-1500 processing

HIPAA compliance

AR follow-up

Education

High School Diploma

Associate's degree (preferred)

Tools

Epic

Kareo

eClinicalWorks

Cerner

Meditech

Job description

We are looking for experienced Physician Billing Associates to join our growing team in Mumbai. 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.