Ar Associates

2 weeks ago

Hyderabad Telangana, India Eclat Health Solutions Full time

**Key Responsibilities**:

- Review and follow up on unpaid or denied insurance claims (primary and secondary).
- Analyze Explanation of Benefits (EOBs) and Remittance Advice (RA) to determine appropriate action.
- Contact insurance companies to resolve claims issues and secure payments.
- Work denials and rejections in a timely manner and re-submit corrected claims as needed.
- Perform AR follow-up via phone calls, portals, and payer websites.
- Ensure compliance with payer-specific billing requirements and HIPAA regulations.
- Collaborate with coding and billing teams to resolve discrepancies or missing documentation.
- Update claim status and notes in the billing system (e.g., EPIC, Kareo, eClinicalWorks).
- Meet productivity and quality targets (e.g., number of claims worked per day, resolution rate).

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