Experience
1 - 4 yrs
Salary (CTC)
₹2.6L - ₹3.5L
Job Location
Hyderabad, India
Vacancy
1
Designation
Medical Billing Specialist
Job Type
ONSITE
Job Description
We have an urgent hiring requirement for Hospital Billing AR professionals and request your immediate support in sourcing suitable candidates.
Position: AR Associate Facilities / Sr. AR Associate Facilities. Work Mode: Work from Office
Eligibility Criteria
- Experience: 1 4 years in Hospital Billing
- Qualification: Intermediate / Graduate
- Benefits: One-way Cab Facility | Two Weekly Offs
Role Summary
The selected candidates will be responsible for managing Accounts Receivable processes, resolving denials, and ensuring timely reimbursement from insurance payers.
Key Responsibilities
- End-to-end Accounts Receivable (AR) management
- Follow-up on unpaid and underpaid claims
- Denial analysis and appeals processing
- Review of EOBs and discrepancy resolution
- Communication with insurance payers through calls and payer portals
Technical Software Skills
- Experience with billing systems (EPIC preferred)
- Knowledge of payer portals such as Availity, NaviNet, and UHC
- Ability to verify claim status and ERA
Healthcare Knowledge
- Understanding of payer guidelines
- Expertise in UB-04 and Field Locators
- Knowledge of CPT, HCPCS, ICD-10, and Modifiers
A/R Competencies
- Denial Management
- Claims Follow-up and Resolution
- Claim Analysis and Decision Making
Must-Have Knowledge
- DRG Downgrades
- Underpayments
- Authorization Denials
- Readmissions
- Revenue Codes, Value Codes, and TOBs
- Appeals (Types and Levels)
Interview Process
- HR Screening
- Operations Round
- Salary Discussion Documentation
- Joining