Exp AR Physician Billing-Cms1500

• 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.

• Strong 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.