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Accounts Receivable / Hospital Billing or Physician Billing

1-4 Years
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Job Description

Follow up on hospital billing claims (IP/OP/ER) with insurance payers

Work on aging AR (30/60/90/120+ days) and high-value hospital accounts

Analyze and resolve denials and rejections related to coding errors, DRG/APC issues, authorization & medical necessity, bundling & duplicate claims, timely filing & eligibility

Contact insurance companies through calls and payer portals for claim status and resolution

Correct errors and resubmit UB-04 claims with appropriate documentation

Prepare and submit appeals with medical records and supporting documents when required

Ensure compliance with payer guidelines and hospital billing regulations

Coordinate with coding, clinical, and billing teams to resolve claim issues

Maintain accurate documentation and updates in billing systems

Meet productivity, quality, and turnaround time (TAT) targets

Identify denial trends and suggest process improvement measures

Available for F2F interview and cap facility provided

More Info

Job Type:
Function:
Employment Type:
Open to candidates from:
Indian

Job ID: 144928029