Key Responsibilities :
Follow up on outstanding physician/professional insurance claims to ensure timely reimbursement.
Review, analyze, and resolve denied, rejected, or underpaid claims by identifying the root cause and taking appropriate corrective action.
Communicate with commercial insurance companies, Medicare, Medicaid, and other payers regarding claim status, payment discrepancies, and reimbursement issues.
Submit corrected claims, appeals, and supporting documentation in accordance with payer guidelines.
Review Explanation of Perks (EOBs) and Electronic Remittance Advice (ERAs) to identify payment variances and denial reasons.
Perform insurance Eligibility and Benefits Verification (EV/BV) when required.
Obtain and track Prior Authorizations (PA) for physician services and procedures.
Coordinate with providers, coding, billing, and front-office teams to resolve claim and documentation issues.
Monitor aging reports and work assigned AR queues to achieve productivity and collection targets.
Maintain accurate account notes and documentation in the practice management and billing systems.




Ensure compliance with HIPAA regulations and payer-specific policies.

Preferred Skills
Experience in physician/qualified medical billing and Accounts Receivable (AR) follow-up.
Strong knowledge of commercial insurance, Medicare, Medicaid, Managed Care, and other government payers.
Experience with Prior Authorization (PA) and Eligibility &

Benefits Verification (EV/BV) processes.
Understanding of CPT, ICD-10-CM, and HCPCS coding concepts related to physician billing.
Experience reviewing EOBs, ERAs, claim denials, appeals, and payment posting issues.
Familiarity with practice management and EMR/EHR systems such as eClinicalWorks
Excellent analytical, problem-solving, communication, and payer negotiation skills.
Proficiency in Microsoft Excel and other Microsoft Office applications.

Experience
1–3 years of experience in Accounts Receivable (AR)and denial management in Revenue Cycle Management (RCM).

Pay: ₹10,000.00 - ₹25,000.00 per month

Perks
Provident Fund

Work Location: In person

📌 Physician Accounts Receivable Specialist Us Health Care Ameerpet
🏢 Doctus Data Services
📍 Ameerpet