Sr. PA CMS1500

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

Job summary

ECLAT Health Solutions in Lucknow invites applications for Physician Billing Associates/Sr. Associates. The role focuses on reviewing and following up on unpaid/denied insurance claims, analyzing EOBs/RA, and ensuring timely payments.

You will handle AR follow-up, maintain HIPAA compliance, and collaborate with billing teams to resolve discrepancies. The candidate should have 2–4 years of physician billing experience, knowledge of Medicare/Medicaid, and proficiency with EHR systems like

Qualifications

• Graduation in any field.
• 2–4 years of experience in Physician billing, CMS-1500 processing.
• Knowledge of Medicare, Medicaid, and commercial insurance guidelines.
• Familiarity with EHR and billing systems: Epic, Cerner, Meditech.
• 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 (primary and secondary).
• Analyze EOBs and RA to determine action.
• Contact insurers to resolve claims issues and secure payments.
• Work denials and rejections promptly and resubmit corrected claims.
• Perform AR follow-up via calls, portals, and payer websites.
• Ensure compliance with payer-specific billing requirements and HIPAA.
• Collaborate with coding and billing teams to resolve discrepancies.
• Update claim status and notes in the billing system (EPIC, Kareo, eClinicalWorks).
• Meet productivity and quality targets.

Skills

Detail-oriented

Problem-solving

Independent working

Education

Graduation in any field

Tools

Epic

Cerner

Meditech

Job description

We are looking for experienced Physician Billing Associates/Sr. Associates to join our growing team at Lucknow.

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:

• Graduation in any field
• 2–4 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.