Job Description

Job Summary:

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).
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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.