AR Callers-PB (29th Aug 26 - Mumbai)

ECLAT Health Solutions; Mumbai; On-site; INR 300,000 - 600,000; Full time

Job summary

ECLAT Health Solutions in Mumbai is seeking an experienced Physician Billing Associate to prepare, review, and submit CMS-1500 claims to insurance payers. You will ensure timely reimbursements and adherence to US billing standards.

Key responsibilities include follow-up on denied claims, AR actions, EOB/RA analysis, and collaboration with coding teams to resolve discrepancies while maintaining HIPAA compliance.

Qualifications

• 1–5 years of experience in physician billing, CMS-1500 processing.
• Knowledge of Medicare, Medicaid, and commercial guidelines.
• Familiarity with EHR and billing systems (Epic, Kareo, eClinicalWorks).
• Detail-oriented with strong problem-solving skills.

Responsibilities

• Review and follow up on unpaid or denied claims (primary and secondary).
• Analyze EOBs and 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).

Skills

CMS-1500 claim processing

Claims follow-up

HIPAA compliance

Analytical problem-solving

Independent work

Education

High School Diploma or equivalent

Associate's degree preferred

Tools

Epic

Kareo

eClinicalWorks

Billing systems

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.