AR Callers | CMS1500

ECLAT Health Solutions Inc is Hiring for #ProcessAssociates AR CMS1500
Experience Required: 2-4 years
Location: Lucknow
Shift: US Shifts
Immediate Joiner Preferred

#KeyRequirements:
Graduation in any field 24 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.

#KeyResponsibilities:
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).

share your resume @[email removed] | 9140294477with the subject line PA/Sr.PA AR | LKO