Job Summary

We are looking for an experienced AR Caller with 2–3 years of experience in US

Healthcare Medical Billing, preferably with strong hands-on experience in

eClinicalWorks (eCW). The candidate will be responsible for following up on

outstanding insurance claims, identifying and resolving denials, contacting insurance

companies, working on aging AR, and ensuring timely claim resolution and payment.

The ideal candidate should have solid knowledge of US insurance processes, claim

status, denials, appeals, eligibility, EOB/ERA interpretation, CPT/ICD-10 basics,

modifiers, and payer portals.

Key Responsibilities

1. AR Follow-Up

2. Denial Management

 Analyze insurance denials and identify the root cause.

 Work on denials related to:

o Eligibility and coverage

o Authorization/referral

o Medical necessity

o Coding

o Modifier issues

o Bundling

o Duplicate claims

o Timely filing

o Provider enrollment

o Incorrect provider information

o Non-covered services

o Claim submission errors

o Coordination of Benefits (COB)

o Patient responsibility





 Correct claim-related issues and coordinate with the appropriate team for coding

or documentation corrections.

 Submit corrected claims and/or appeals as appropriate.

 Track appeals and follow up until final resolution.

3. eClinicalWorks (eCW) – Mandatory

 Must have hands-on experience working in eClinicalWorks (eCW).

 Review patient accounts and claim history.

 Review claim status, billing details, insurance information, and payment history.

 Document AR follow-up activities in eCW.

 Review EOB/ERA information and identify outstanding balances.

 Work claim corrections and follow-up activities within the available eCW

workflow.

 Understand claim status and billing workflow in eCW.

4. Denial & Claim Resolution

5. AR Aging Management

6. Payment & EOB Analysis

 Review EOBs/ERAs to determine:

o Allowed amount

o Paid amount

o Patient responsibility

o Deductible

o Coinsurance

📌 Accounts Receivable Specialist – Medical Billing (Hyderabad)
🏢 Gulf Coast RCM and Billing Solutions
📍 Hyderabad