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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). Requirements: - High School Diploma or equivalent (Associate's degree preferred). - 15 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 robust problem-solving skills. - Ability to work independently and meet deadlines. .
Fund System Support AssociateIQ-EQ · IQEQ Hyderabad, Tower 2, 7th floor, Phoenix Equinox Towers, Diamond Hills, RSM, Gachibowli, Hyderaba, Telengana, India