Job Summary

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

Healthcare Medical Billing, preferably with solid 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 strong 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

o Copay

o Contractual adjustment

o Denial/remark codes

 Identify underpayments and incorrect contractual adjustments.

 Coordinate with payment posting and management teams when discrepancies

are identified.

Required Knowledge

 US Healthcare Medical Billing

 Insurance AR Follow-Up

 Denial Management

 Claims Follow-Up

 eClinicalWorks (eCW) – Mandatory

 EOB/ERA interpretation

 CPT and ICD-10 basics

 HCPCS basics

 Modifiers

 Medical necessity

 Authorization/referral requirements

 Timely filing

 Corrected claims

 Appeals

 Provider enrollment issues

 Coordination of Benefits

 Medicare and commercial insurance processes

 Payer portals

 Clearinghouse/claim submission concepts

Qualifications

 2–3 years of experience in US Healthcare AR/Medical Billing.

 Mandatory hands-on experience with eClinicalWorks (eCW).

 Positive understanding of US insurance processes.

 Strong denial management experience.

 Excellent verbal communication skills for insurance calls.

 Good written communication and documentation skills.

 Ability to interpret EOBs/ERAs.

 Ability to work independently on claims and denials.

 Strong analytical and problem-solving skills.

 Good knowledge of MS Excel and basic reporting.

Ideal Candidate

The ideal candidate should not only be able to call insurance companies and obtain

claim status, but should be capable of understanding why a claim denied, identifying

the root cause, taking corrective action, submitting the appropriate

correction/appeal, documenting the action in eCW, and following the claim

through final resolution.

Pay: ₹35,000.00 - ₹45,000.00 per month

Benefits:

- Health insurance

Work Location: In person

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