Eclat Health Solutions

Role : AR Caller - Voice Support "We are looking for professionals with hands-on experience in Physician Billing and Hospital Billing." Experience : 1y - 5y CTC : Max 5.9 LPA Location : Hyderabad Work From Office For More INFO: Contact: 7075458593 / 9390631126 Mail ID: abhilashreddy.narravula@eclathealth.com Role & responsibilities Follow-up with Insurance Companies to resolve unpaid or denied claims. Review and Analyze EOBs/ERAs to determine appropriate action. Initiate Appeals and Re-submissions for denied or underpaid claims. Maintain Knowledge of Payer Guidelines and reimbursement policies. Update Accurate Call Details and claim status in the billing system. Meet Daily/Weekly Productivity Targets and quality benchmarks. Coordinate with Billing and Coding Teams for resolution of complex issues. Ensure Timely Follow-up on pending claims and aging AR buckets. Document Call Interactions and escalate unresolved claims appropriately. Adhere to HIPAA Regulations and maintain patient confidentiality at all times. Perks and benefits Hike on Last CTC TWO Transport / Travel Allowance Dinner Facility Performance based Incentives

Hello Connections, Greetings from Eclat Health !!! Hiring for Assistant Manager, RCM Hospital Billing AR (Accounts Receivable) Key Responsibilities: * Supervise a team of AR specialists (60+ Agents), billing coordinators, and staff to ensure the timely and accurate processing of hospital bills. * Establish clear goals and performance targets for the AR team, and ensure those targets are met or exceeded. * Monitor daily, weekly, and monthly work outputs to ensure KPIs (Key Performance Indicators) are achieved. * Analyze claim denials and rejections to identify root causes and take corrective actions. * Work closely with insurance companies to dispute denials and expedite claim reprocessing. * Ensure all billing practices adhere to federal, state, and payer-specific regulations. * Implement strategies to reduce claim denial rates and improve overall reimbursement rates. * Assist in generating AR and financial reports for management and stakeholders. * Monitor the status of insurance collections and assist in preparing reports for monthly revenue cycle reviews * Identify inefficiencies in the AR process and suggest improvements to streamline billing operations and enhance cash flow. * Support the integration of new billing technologies or software systems to improve operational efficiency. Experience Required : * Minimum of 3-5 years of current experience in hospital billing AR, with at least 1-2 years in a supervisory or leadership role (Assistant Manager). Work Location : Banjara Hills, Hyderabad Mode of Work : Work from Office Shits : Night Shifts Eligible profiles can reach out to vinaykumar.chenoji@eclathealth.com WhatsApp : Vinay HR - 7893217519 Regards Vinay HR Eclat Health Solutions India Pvt Ltd

We're Hiring! Sales Support Senior Managers/Directors in US Healthcare and RCM Industry Are you a seasoned professional with a strong background in sales support within the healthcare and Revenue Cycle Management (RCM) industry? Do you excel in CRM tools and have a proven track record with RFPs and RFIs? If so, we want to hear from you! Position: Sales Support Senior Manager/Director Location: United States Industry: Healthcare and RCM Key Qualifications: Extensive experience in sales support roles within the healthcare and RCM industry. Proficiency in CRM tools. Expertise in managing and responding to RFPs and RFIs. Strong leadership and communication skills. Ability to work collaboratively in a fast-paced environment. Why Join Us? Be part of a dynamic team dedicated to transforming healthcare. Opportunity to lead and innovate in a critical industry. Competitive salary and benefits. If you're ready to take your career to the next level, apply now or share this post with your network! Mail to: [aishwarya.lingampally@eclathealth.com]

Preferred candidate profile Surgery Coders : Should carry 2+ yrs experience in surgery coding Should be AAPC certified Work from office for initial 4 months Immediate joiners or 15 days notice period is preferred Surgery QAs : Should carry 6+ yrs experience in surgery coding Should carry minimum 1 year experience on paper as QA Acting QAs can also apply for the requirement Should be AAPC certified Work from office for initial 4 months Immediate joiners or 15 days notice period is preferred Note: Eligible for 25k Joining Bonus if joined on or before 15th June'25 Suitable candidates can send updated CV'S on WhatsApp : 8121002992 Regards Human Resources Eclat Health Solutions India Pvt Ltd

Profee Surgery Coder - Skillset Requirement 2 years and above experience in Profee Surgery Coding Holding a Coding certification (CPC is preferable) Should have work experience in coding all major and minor procedures along with profee side of surgery guidelines Should have work experience in coding multi specialties such as Orthopedics, Cardiology, Neurosurgery, Vascular Surgery, GI, OBGYN etc. Candidate must be open to Work from office for 6 months period Profee Surgery QA - Skillset Requirement 4 years and above experience in Profee Surgery Coding, would be an added advantage if the candidate is already working as a Quality Analyst Holding a Coding certification (CPC is preferable) Should have work experience in coding all major and minor procedures along with profee side of surgery guidelines Should have work experience in coding multi specialties such as Orthopedics, Cardiology, Neurosurgery, Vascular Surgery, GI, OBGYN etc. Candidate must be open to Work from office for 6 months period Note: Immediate joiners are preferred Suitable candidates can whatsapp CV : 8121002992 OR Mail @ careers@eclathealth.com

Job Title: AR Manager / Sr. Manager Revenue Cycle Management Job Summary: We are looking for a strategic and performance-focused AR Manager / Senior Manager to take ownership of the full revenue cycle processfrom patient intake and billing to collections and denial management. The ideal candidate will bring strong expertise in healthcare revenue operations , including billing, coding, payer relations, and compliance , and will play a key role in driving operational efficiency, timely reimbursements, and reduced AR days . Key Responsibilities: Lead and manage the end-to-end revenue cycle including patient registration, billing, collections, denial management, and accounts receivable. Monitor key performance indicators (KPIs) like DSO, clean claim rate, denial rate, collection rate, etc., and implement strategies for continuous improvement. Supervise and mentor RCM team members including billing specialists, AR analysts, and coders. Collaborate with internal stakeholders (e.g., clinical teams, compliance, IT) to improve workflows and reduce claim denials. Ensure compliance with federal and state regulations, including HIPAA, and payer-specific guidelines. Drive automation and system optimization initiatives using tools like EHR, billing software, and analytics platforms. Prepare monthly financial and operational reports for senior leadership, highlighting trends, risks, and opportunities. Maintain and update payer contracts and fee schedules in coordination with the contracting team. Support audits, credentialing, and other regulatory requirements as needed. Qualifications: Bachelor's degree in any discipline 10+ years of experience in revenue cycle management, with at least 2–3 years in a leadership role. Strong knowledge of billing processes (UB-04, CMS-1500), ICD-10, CPT, and HCPCS codes. Experience with healthcare systems (e.g., Epic, Cerner, Athenahealth, NextGen, eClinicalWorks) and RCM tools. Proven track record in improving RCM performance metrics. Excellent analytical, leadership, and communication skills. Contact :8885719802 (Ravali) Share profiles to ravali.gouni@eclathealth.com

Hello Greetings from Eclat Health !!! Immediate Hiring for Assistant Manager, RCM Hospital Billing AR (Accounts Receivable) Key Responsibilities: * Supervise a team of AR specialists (60+ Agents), billing coordinators, and staff to ensure the timely and accurate processing of hospital bills. * Establish clear goals and performance targets for the AR team, and ensure those targets are met or exceeded. * Monitor daily, weekly, and monthly work outputs to ensure KPIs (Key Performance Indicators) are achieved. * Analyze claim denials and rejections to identify root causes and take corrective actions. * Work closely with insurance companies to dispute denials and expedite claim reprocessing. * Ensure all billing practices adhere to federal, state, and payer-specific regulations. * Implement strategies to reduce claim denial rates and improve overall reimbursement rates. * Assist in generating AR and financial reports for management and stakeholders. * Monitor the status of insurance collections and assist in preparing reports for monthly revenue cycle reviews * Identify inefficiencies in the AR process and suggest improvements to streamline billing operations and enhance cash flow. * Support the integration of new billing technologies or software systems to improve operational efficiency. Experience Required : * Minimum of 3-5 years of current experience in hospital billing AR, with at least 1-2 years in a supervisory or leadership role (Assistant Manager). Work Location : Banjara Hills, Hyderabad Mode of Work : Work from Office Shits : Night Shifts Eligible profiles can reach out to vinaykumar.chenoji@eclathealth.com WhatsApp : Vinay HR - 7893217519 Regards Vinay HR Eclat Health Solutions India Pvt Ltd

Role & responsibilities Should have 7+ years experience in HCC Coding Should carry at-least 1 year experience as Team lead Familiarity with ICD-10 codes and procedure Work From Office. Notice period : Up to 45 days& responsibilities Hiring Locations: Hyderabad

We are looking for Hospital Billing Associates to join our team at Hyderabad Job Summary: The Hospital Billing Associate is responsible for preparing, reviewing, and submitting accurate hospital claims using the UB-04 form. This role ensures timely reimbursement from government and commercial payers while maintaining compliance with healthcare regulations. Key Responsibilities: Review patient accounts for accuracy and completeness before claim submission. Prepare and submit claims using the UB-04 format. Work with insurance companies to resolve denied or unpaid claims. Verify correct coding (ICD-10, CPT/HCPCS) and billing modifiers. Collaborate with coding, admissions, and medical records departments as needed. Monitor and follow up on accounts receivable. Assist in identifying and correcting billing errors. Maintain knowledge of payer guidelines and regulatory requirements. Qualifications: High School Diploma or equivalent (Associate's degree preferred). 1–5 years of experience in hospital billing, with emphasis on UB-04 claim processing. Knowledge of Medicare, Medicaid, and commercial insurance guidelines. Familiarity with EHR and billing systems (e.g., Epic, Cerner, Meditech). Detail-oriented with strong problem-solving skills. Ability to work independently and meet deadlines.

We are looking for Hospital Billing Associates to join our team at Hyderabad Job Summary: The Hospital Billing Associate is responsible for preparing, reviewing, and submitting accurate hospital claims using the UB-04 form. This role ensures timely reimbursement from government and commercial payers while maintaining compliance with healthcare regulations. Key Responsibilities: Review patient accounts for accuracy and completeness before claim submission. Prepare and submit claims using the UB-04 format. Work with insurance companies to resolve denied or unpaid claims. Verify correct coding (ICD-10, CPT/HCPCS) and billing modifiers. Collaborate with coding, admissions, and medical records departments as needed. Monitor and follow up on accounts receivable. Assist in identifying and correcting billing errors. Maintain knowledge of payer guidelines and regulatory requirements. Qualifications: High School Diploma or equivalent (Associate's degree preferred). 1–5 years of experience in hospital billing, with emphasis on UB-04 claim processing. Knowledge of Medicare, Medicaid, and commercial insurance guidelines. Familiarity with EHR and billing systems (e.g., Epic, Cerner, Meditech). Detail-oriented with strong problem-solving skills. Ability to work independently and meet deadlines.

Job Description: Job Role : AR Caller (Hospital Billing/UB04) Organization : ECLAT Health Solutions Location : Hyderabad Shift : Night shift (5:30 to 2:30) AR calling, also known as Accounts Receivable calling, is an essential component of medical billing that involves contacting insurance companies, patients, or responsible parties to resolve unpaid or denied medical claims. keep track of the unpaid insurance claims and the receivables that the insurance companies owe the organization. Active openings : 1.Associates (HB) 2.QA's (HB) 3.TL's (HB) 4.AM's (HB) Required Skills: 1 to 15 years of experience (Hospital Billing (UBO4)) Communication skills Willing to work in flexible shift including night. Perks and benefits: 2 way cab facility or 5k travel allowance Dinner provided Contact Details: 8885719802 (Ravali) ravali.gouni@eclathealth.com.

We are looking for Hospital Billing Quality Analysts to join our team at Hyderabad Job Summary: The Hospital Billing Quality Analyst is responsible for ensuring accuracy, compliance, and efficiency in hospital billing processes. This role involves auditing and reviewing claims, identifying errors, analyzing trends, and supporting process improvements to reduce denials and enhance reimbursement. Key Responsibilities: Perform quality audits on hospital billing claims to ensure accuracy and compliance with payer guidelines and internal policies. Review coding, modifiers, documentation, and charge capture accuracy. Identify billing errors such as incorrect charges, duplicate billing, or missed revenue opportunities. Analyze trends in denials, rejections, and billing errors to identify root causes and recommend corrective actions. Work with billing and coding teams to resolve discrepancies and improve first-pass claim acceptance rates. Create and maintain quality performance reports and dashboards. Assist in developing training programs and materials to improve billing team performance. Ensure compliance with HIPAA, payer regulations, and applicable federal and state laws. Participate in internal and external audits and support compliance and risk mitigation initiatives. Qualifications & Requirements: Bachelor’s degree in healthcare administration, finance, or a related field (preferred). 4+years of experience with atleast 2yrs of exp in hospital billing, RCM, or medical claims auditing Experience with Medicare, Medicaid, and commercial insurance billing guidelines.

We are looking for Hospital Billing Assistant Managers to join our team at Hyderabad Job Summary: The AR Assistant Manager helps lead the hospital’s billing and collections efforts by managing AR teams, tracking performance, resolving escalated issues, and ensuring timely payments from insurance companies and patients. They support the AR Manager in improving cash flow, reducing aging accounts, and maintaining compliance. Key Responsibilities: Supervise AR team leaders and specialists in insurance follow-up and collections. Monitor aging reports and ensure timely follow-up on outstanding accounts. Analyze denial trends, underpayments, and delays in payment. Assist with staff training, performance monitoring, and coaching. Support escalated payer issues and complex account resolutions. Work closely with billing, coding, and patient access departments. Help implement process improvements to increase efficiency. Ensure compliance with billing policies, payer rules, and regulations (e.g., HIPAA, CMS). Prepare regular reports for management on AR performance and KPIs. Requirements: Education: Associate or bachelor’s degree in healthcare administration, Business, or related field preferred. Experience: 7-9yrs with atleast 1-2yrs of exp in Supervisory role with 3+yrs in Hospital Billing Skills: Strong understanding of hospital billing and insurance follow-up Experience with denial management and claims resolution Proficient in billing systems (e.g., Epic, Cerner, Meditech) Strong communication, leadership, and problem-solving skills

We are looking for Hospital Billing Team Leaders to join our team at Hyderabad Job Summary: The AR Team Leader manages a team that follows up on unpaid insurance claims and patient balances. This role helps ensure money owed to the hospital is collected on time. The leader trains the team, tracks progress, solves problems, and works with other departments to improve billing results. Key Responsibilities: Lead and support a team of AR (accounts receivable) specialists. Assign work and help staff follow up on unpaid claims. Review denied or delayed claims and ensure timely resolution. Work with insurance companies to get payments processed. Monitor daily progress and generate simple reports. Train new staff and help current team members improve. Make sure billing rules and hospital policies are followed. Help fix recurring problems in the billing or follow-up process. Take care of complex or escalated account issues. Requirements: Education: High school diploma required; associate or bachelor’s degree preferred. Experience: 6+yrs of exp with atleast 1-2yrs exp as a Team Lead Skills: Good knowledge of medical insurance billing and claim follow-up Able to lead a small team and organize work Strong communication and problem-solving skills Comfortable using billing software and Excel

As a Medical Coder at our organization, your primary responsibility will be to ensure that the team meets the Service Level Agreement (SLA) by adhering to the specified turnaround time and maintaining high quality standards. You will be tasked with abstracting information from medical records and assigning the appropriate ICD-10 codes. It is essential to apply your knowledge of anatomy and physiology to guarantee the accuracy and proper sequencing of ICD codes according to ICD-10 guidelines. Compliance with medical coding policies and guidelines is crucial in this role. You are expected to demonstrate proficiency in coding charts with 100% productivity and achieve an accuracy rate of over 90%. Upholding patient confidentiality and strict adherence to HIPAA regulations are non-negotiable aspects of this position. Additionally, you will be responsible for analyzing medical records to identify any documentation deficiencies and collaborating with your peers on a daily basis to coordinate work effectively. The ideal candidate for this role must possess certification in medical coding, along with proven Quality Assurance (QA) experience. Immediate joiners are preferred for this position. Please note that this is a permanent work-from-office opportunity. If you meet the specified qualifications and are interested in joining our team, please send your CV to careers@eclathealth.com / mamatha.bandisawsare@eclathealth.com / sriharsha.mada@eclathealth.com. We look forward to welcoming you as part of our Talent Acquisition team.,

You should possess a minimum of 8 years of experience in Medical Coding Training, preferably as an experienced Auditor or QA with training capabilities. Your primary responsibilities will include conducting training sessions for 30-75 trainees simultaneously, delivering effective presentations, and assessing trainees to provide constructive feedback. To excel in this role, you must hold certifications such as CPC, CCS, COC, CIC, etc. from AAPC or AHIMA. Additionally, you should have a strong understanding of Human Anatomy, Physiology, Medical Terminology, ICD-10-CM Guidelines, CPT codes, Modifiers, and HCPCS Level II codes. Your proficiency in researching and problem-solving related to coding, designing training modules and educational materials, and evaluating training outcomes will be crucial. You should also be adept at utilizing Learning Management Systems (LMS) and other automated software. Moreover, the ability to track and report on the effectiveness of training programs to ensure alignment with organizational goals is essential. A willingness to travel and work at different locations as per business requirements is expected. Furthermore, you need to specialize in at least two of the following areas: Surgery (familiarity with 10000 series to 60000 series), Emergency Department coding (Professional & Facility), Evaluation Management (IP and OP), or Anesthesia. If you meet these qualifications and are passionate about imparting knowledge in the field of Medical Coding, we encourage you to apply for this rewarding opportunity.,

Hello, Greetings from Eclat Health !!! We are hiring for AR Team Lead Operations Hospital Billing (UB04) Job Description : AR Callers only Hospital Billing ( UB04) (1-8 Yrs) Min 1 Year into AR Team Lead on Papers Experience is mandatory from UB04 Only End to End Process knowledge on Denial Management Complete and send appropriate claim forms according to CMS and third-party Payer Guidelines. Excellent with communication skills and Interpersonal skills. Should be willing to work in nigh shifts Work from Office - Banjara Hills, Hyderabad Immediate Joiners are preferred Key Roles and Responsibilities Manage day-to-day operations of the AR team, ensuring efficient processing of patient billing and revenue cycle management. Lead a team of AR callers to achieve daily targets, providing guidance on denial management and customer service standards. Oversee the entire revenue cycle process from admission to discharge, ensuring timely submission of claims and resolution of billing issues. Analyze performance metrics to identify areas for improvement and implement changes to increase efficiency. Collaborate with other departments (e.g., medical records, insurance verification) to resolve claim denials and optimize revenue streams. Contact HR Vinay - WhatsApp - 7893217519 Email : vinaykumar.chenoji@eclathealth.com Regards Vinay HR Eclat Health Solutions India Pvt Ltd

You should have good knowledge and experience in E/M OP, including handling different specialties such as orthopaedics and dermatology. Your expertise should extend to 1 to 6 & 9 series, proficiency in ICD and CPT codes, strong familiarity with medical terminology, human anatomy, and physiology. It is essential to provide feedback, identify error patterns, and possess good knowledge of modifiers. You will be responsible for maintaining daily production and quality as per client requirements. A minimum of two years of experience in Quality is required, with excellent communication and teamwork skills. This is a work from office position, and you must have at least two years of experience as QA/SME on paper. The preferred candidate should have 4 to 9 years of experience with certification from AAPC or AHIMA (CPC, COC, CIC, CCS).,

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).