Exp AR Physician Billing - Epic Software

Ascent Business Solutions; Hyderabad; On-site; INR 420,000 - 560,000; Full time

Job summary

Ascent Business Solutions in Hyderabad is seeking an experienced US Physician Billing AR Caller to join our night shift team. You will follow up on outstanding claims, verify status with payers, and work to maximize reimbursements for inpatient and outpatient services.

The role requires EPIC PMS experience, denial management skills, and strong communication with US payers such as Medicare and BCBS. You will analyze denials, prepare appeals, and document outcomes in our system while meeting daily

Qualifications

• Minimum 1 year of experience in US Physician Billing AR Calling.
• Hands-on experience working on EPIC PMS (Mandatory).
• Experience in Inpatient and/or Outpatient Hospital Billing.
• Strong understanding of: Denial Management, Appeals and Reconsiderations, Insurance Verification, Claim Status Follow-up, Payment Posting Concepts.
• Knowledge of US insurance payers such as Medicare, Medicaid, BCBS, Aetna, Cigna, UHC, Humana, etc.
• Excellent communication skills with a neutral accent.
• Willingness to work in the US Night Shift.

Responsibilities

• Perform timely follow-up on outstanding insurance claims for US Physician billing accounts.
• Contact insurance companies to check claim status, resolve claim issues, and secure appropriate reimbursements.
• Analyze and resolve denials, rejections, underpayments, and unpaid claims.
• Identify root causes of claim denials and take corrective action.
• Work on aging reports and prioritize high-value accounts.
• Document all call outcomes and follow-up activities accurately in the EPIC PMS.
• Ensure compliance with client guidelines and HIPAA regulations.
• Meet daily productivity and quality targets.

Skills

US Physician Billing AR

Denial Management

Appeals & Reconsiderations

Insurance Verification

Claim Status Follow-up

Payment Posting

Payer Knowledge

Night Shift Readiness

Tools

EPIC PMS

Job description

• Perform timely follow-up on outstanding insurance claims for US Physician billing accounts.
• Contact insurance companies to check claim status, resolve claim issues, and secure appropriate reimbursements.
• Analyze and resolve denials, rejections, underpayments, and unpaid claims.
• Identify root causes of claim denials and take corrective action.
• Work on aging reports and prioritize high-value accounts.
• Document all call outcomes and follow-up activities accurately in the EPIC PMS.
• Ensure compliance with client guidelines and HIPAA regulations.
• Meet daily productivity and quality targets.

Mandatory Requirements

• Minimum 1 year of experience in US Physician Billing AR Calling.
• Hands-on experience working on EPIC PMS (Mandatory).
• Experience in Inpatient and/or Outpatient Hospital Billing.
• Strong understanding of:
• Denial Management
• Appeals and Reconsiderations
• Insurance Verification
• Claim Status Follow-up
• Payment Posting Concepts
• Knowledge of US insurance payers such as Medicare, Medicaid, BCBS, Aetna, Cigna, UHC, Humana, etc.
• Excellent communication skills with a neutral accent.
• Willingness to work in the US Night Shift.

Preferred Skills

• Ability to handle high volumes of AR accounts.
• Strong analytical and problem-solving skills.
• Good understanding of hospital billing workflows and revenue cycle management.
• Experience working with productivity and quality KPIs.