Location: Chennai
Job ID: Req #4008
Job Type: Full-Time
Industry: Healthcare BPO | Revenue Cycle Management (RCM) | Medical Billing
Work Mode: On-Site
Shift: Night Shift
About the Role
A leading healthcare revenue cycle management organization is hiring experienced professionals for the role of Medical Claims Analyst in Chennai. This opportunity is ideal for candidates with expertise in medical billing, accounts receivable (AR) follow-up, denials management, claims processing, and healthcare collections within the healthcare BPO industry.
The selected candidate will be responsible for managing insurance claims, following up with payers, resolving billing discrepancies, handling appeals, and ensuring timely reimbursement for healthcare accounts.
Experience Required
Minimum Experience: 1+ year of experience required
Eligible Candidates: Experienced professionals in Healthcare AR, Medical Billing, Claims Processing, Denials & Appeals, and Healthcare Collections
Freshers: Not eligible for this role
Key Responsibilities
Claims Follow-Up & Payment Resolution
Follow up with insurance payers through calls, emails, payer portals, fax, and other communication channels to resolve outstanding claims.
Ensure timely payment collection and resolution of pending healthcare accounts.
Track claim status and identify delays in reimbursement processes.
Medical Billing & Accounts Receivable
Manage medical billing and AR collections activities efficiently.
Analyze underpayments, overpayments, and credit balance scenarios.
Identify and correct medical billing errors impacting claim reimbursement.
Maintain compliance with payer-specific billing guidelines and timely filing deadlines.
Denials Management & Appeals
Investigate denied or delayed claims and identify root causes.
Initiate and submit appeals with accurate supporting documentation.
Monitor recurring denial trends and proactively recommend corrective actions.
Collaborate with internal teams to minimize future claim denials.
Analytical & Reporting Activities
Conduct research related to payer policies and reimbursement guidelines.
Utilize workflow systems, client platforms, and AR tools for account resolution.
Communicate claim trends, payer issues, and operational concerns to management.
Support special AR and revenue cycle management projects when required.
Compliance & Confidentiality
Ensure strict compliance with HIPAA regulations and data privacy policies.
Maintain confidentiality of Protected Health Information (PHI).
Follow organizational information security policies at all times.
Required Skills & Qualifications
Educational Qualification
Minimum High School education completed
Technical & Functional Skills
Strong experience in:
Medical Billing
AR Follow-Up
Healthcare Collections
Claims Payment Processing
Denials & Appeals Management
Insurance Verification & Payer Calling
Knowledge of healthcare reimbursement workflows and payer guidelines
Familiarity with healthcare BPO operational environments
Core Competencies
Strong analytical and problem-solving abilities
Excellent verbal and written communication skills
Ability to work independently and manage assigned queues
High attention to detail with strong organizational skills
Professional attitude with a results-driven mindset
Work Environment & Shift Details
Candidates must be comfortable working in night shifts
Office-based work environment with minimal noise levels
Role requires regular system usage, communication handling, and operational coordination
Why Apply for This Medical Claims Analyst Role?
Opportunity to work in the rapidly growing Healthcare Revenue Cycle Management sector
Exposure to global healthcare insurance and medical billing operations
Career growth in Medical Billing, AR Collections, Claims Processing, and Denials Management
Excellent learning opportunity for professionals aiming to build long-term careers in Healthcare BPO and US Healthcare Processes
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