Job Title: Medical Claim Analyst
Req ID: 2089
Location: Chennai, Tamil Nadu, India
Posted On: Thursday, September 4, 2025
Status: This job posting is no longer available
Job Purpose
The Medical Claim Analyst is responsible for collections, account follow-up, billing, and allowance posting for assigned accounts, ensuring timely resolution and compliance with payer guidelines.
Duties and Responsibilities
Follow up with payers via phone, email, fax, or websites to resolve outstanding claims.
Meet and maintain daily productivity and quality standards as per departmental policies.
Use workflow systems, client host systems, and other tools to collect payments and resolve accounts.
Adhere to client and team policies and procedures.
Maintain knowledge of timely filing deadlines for each designated payer.
Research payer-specific billing guidelines as required.
Analyze, identify, and resolve issues causing payer payment delays.
Identify and trend claims issues to proactively reduce denials.
Communicate issues and/or trends to management.
Initiate and manage appeals when necessary.
Identify and correct medical billing errors.
Send appropriate appeals with required information, supporting documentation, and clear communication to complete recovery.
Understand underpayments, overpayments, and credit balance processes.
Assist with special accounts receivable (A/R) projects, including analysis and reporting.
Act cooperatively and courteously with patients, visitors, co-workers, management, and clients.
Work independently from assigned work queues.
Maintain confidentiality and a professional attitude at all times.
Perform other duties as assigned by management.
Protect and disclose patients’ Protected Health Information (PHI) only in accordance with HIPAA standards.
Comply with Information Security and HIPAA policies and procedures.
Limit PHI viewing to the minimum necessary to complete assigned duties.
Qualifications
Education: High School diploma or equivalent.
Experience:
Minimum 1 year of healthcare Accounts Receivable/Collections experience in a BPO setting (claims payment processing, claims status and tracking, medical billing, A/R follow-ups, denials, and appeals).
Experience in medical billing and A/R collections.
Background in calling payers to verify claim status and resolve payment disputes.
Skills:
Strong interpersonal and communication skills at all organizational levels.
Problem-solving and creative thinking with sound judgment.
High integrity, dependability, urgency, and results orientation.
Excellent written and verbal communication skills.
Gracious and welcoming personality for customer service interaction.
Technical Skills: Proficiency in job-related systems and tools.
Working Conditions
Shift Requirement: Must be amenable to working night shifts.
Physical Demands: May require moving around the work area; sitting; performing manual tasks; using office equipment (computers, peripherals, telephones); extending arms; kneeling; talking; and hearing.
Mental Demands: Ability to follow directions, collaborate effectively, and handle stress.
Work Environment: Noise levels are generally minimal.
Equal Opportunity Statement
Med-Metrix is an Equal Opportunity Employer. We do not discriminate against any employee or applicant based on race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information, political affiliation, military service, veteran status, or any other protected characteristic under applicable law.
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