AR PB Quality Analyst - Hyderabad

ECLAT Health Solutions; Hyderabad; On-site; INR 400,000 - 600,000; Full time

Job summary

Eclat-Health-Solutions-4 is seeking a Physician Billing Quality Assurance Analyst in Hyderabad, India. The ideal candidate will ensure accuracy and compliance in the revenue cycle by auditing medical claims and payments. Responsibilities include auditing AR follow-ups, denial management analysis, and training staff to maximize reimbursement efficiency. Candidates should have over two years of experience in medical billing, strong coding knowledge, and proficiency in medical billing software like Epic and Athena.

Qualifications

• Proven experience in medical billing or revenue cycle management, requiring 2+ years.
• Strong understanding of coding systems like ICD-10 and CPT.
• Ability to analyze complex documentation and identify patterns.

Responsibilities

• Perform regular audits of AR follow-ups and claim submissions.
• Identify root causes of denials and develop corrective actions.
• Ensure all billing processes adhere to regulations.
• Maintain QA scores and report error trends.
• Provide feedback to improve performance and quality.

Skills

Medical billing

Revenue cycle management

ICD-10

CPT coding

Analytical skills

Communication skills

Tools

Epic

Athena

MS Excel

Job description

A Physician Billing Quality Assurance (QA) Analyst ensures accuracy, compliance, and efficiency in the revenue cycle by auditing medical claims, payments, and denials . They identify trends in errors, verify adherence to coding (ICD-10/CPT) and payer regulations, and provide coaching to billing teams to maximize reimbursement and reduce denials.

Key Responsibilities

• Audit AR & Billing: Perform regular audits of AR follow-ups, claim submissions, and payment postings for accuracy.
• Denial Management Analysis: Identify root causes of denials, underpayments, and incorrect write-offs to develop corrective actions.
• Compliance Review: Ensure all billing processes adhere to HIPAA, CMS regulations, and payer-specific contracts.
• Performance Tracking: Maintain QA scores and report error trends to management.
• Training & Feedback: Provide feedback to AR staff to improve performance and quality.

Required Skills and Qualifications

• Experience: Proven experience in medical billing, revenue cycle management, or coding, often requiring 2+ years of experience.
• Coding Knowledge: Strong understanding of ICD-10, CPT, HCPCS, and modifiers.
• Software Skills: Proficiency with medical billing software (e.g., Epic, Athena) and MS Excel.
• Analytical Ability: Strong analytical skills to review complex documentation and identify patterns.
• Communication: Excellent verbal and written skills for providing coaching.