AR PB Associates - Hyderabad

ECLAT Health Solutions; Hyderabad; On-site; INR 334,800 - 558,000; Full time

Job summary

Eclat-Health-Solutions-4 is seeking experienced Physician Billing Associates to join our growing team in Hyderabad. This role focuses on preparing and submitting accurate medical claims while ensuring compliance with U.S. healthcare standards.

The ideal candidate should have 1–5 years of experience in physician billing, particularly with CMS-1500 claim processing. Knowledge of Medicare, Medicaid, and experience with EHR systems like EPIC is essential.

Qualifications

• 1–5 years of experience in Physician billing, particularly with CMS-1500 claims.
• Detail-oriented with strong problem-solving skills.
• Ability to work independently and meet deadlines.

Responsibilities

• Review and follow up on unpaid or denied insurance claims.
• Analyze EOBs and RAs to determine appropriate actions.
• Collaborate with coding and billing teams to resolve discrepancies.

Skills

Physician billing

CMS-1500 claim processing

Knowledge of Medicare and Medicaid

EHR systems familiarity

Problem-solving skills

Education

High School Diploma or equivalent

Associate's degree preferred

Tools

EPIC

Kareo

eClinicalWorks

Job description

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.