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:
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Review and follow up on unpaid or denied insurance claims (primary and secondary).
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Analyze Explanation of Benefits (EOBs) and Remittance Advice (RA) to determine appropriate action.
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Contact insurance companies to resolve claims issues and secure payments.
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Work denials and rejections in a timely manner and re-submit corrected claims as needed.
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Perform AR follow-up via phone calls, portals, and payer websites.
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Ensure compliance with payer-specific billing requirements and HIPAA regulations.
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Collaborate with coding and billing teams to resolve discrepancies or missing documentation.
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Update claim status and notes in the billing system (e.g., EPIC, Kareo, eClinicalWorks).
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Meet productivity and quality targets (e.g., number of claims worked per day, resolution rate).
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High School Diploma or equivalent (Associate's degree preferred).
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1–5 years of experience in Physician billing, with emphasis on CMS-1500 claim processing.
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Knowledge of Medicare, Medicaid, and commercial insurance guidelines.
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Familiarity with EHR and billing systems (e.g., Epic, Cerner, Meditech).
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Detail-oriented with strong problem-solving skills.
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Ability to work independently and meet deadlines.
