Accounts Receivable / Hospital Billing or Physician Billing

• 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