- Perform timely follow-up on outstanding insurance claims for US Physician billing accounts.
- Contact insurance companies to check claim status, resolve claim issues, and secure appropriate reimbursements.
- Analyze and resolve denials, rejections, underpayments, and unpaid claims.
- Identify root causes of claim denials and take corrective action.
- Work on aging reports and prioritize high-value accounts.
- Document all call outcomes and follow-up activities accurately in the EPIC PMS.
- Ensure compliance with client guidelines and HIPAA regulations.
- Meet daily productivity and quality targets.

Mandatory Requirements

- Minimum 1 year of experience in US Physician Billing AR Calling.
- Hands-on experience working on EPIC PMS (Mandatory).
- Experience in Inpatient and/or Outpatient physician Billing.

- Robust understanding of

- Denial Management

- Appeals and Reconsiderations

- Insurance Verification
- Claim Status Follow-up

- Payment Posting Concepts
- Knowledge of US insurance payers such as Medicare, Medicaid, BCBS, Aetna, Cigna, UHC, Humana, etc.
- Excellent communication skills with a neutral accent.
- Willingness to work in the US Night Shift.

📌 Exp AR Physician Billing-Cms1500 (Hyderabad)
🏢 Ascent Business Solutions
📍 Hyderabad