Medical Claims Analyst

1 week ago


Chennai Tamil Nadu, India Med-Metrix Full time

Job Purpose The Medical Claims Analyst is responsible for collections account follow up billing and allowance posting for the accounts assigned to them Duties and Responsibilities Follow-up with payers to ensure timely resolution of all outstanding claims via phone emails fax or websites Meets and maintains daily productivity quality standards established in departmental policies Uses the workflow system client host system and other tools available to them to collect payments and resolve accounts Adheres to the policies and procedures established for the client team Knowledge of timely filing deadlines for each designated payer Performs research regarding payer specific billing guidelines as needed Ability to analyze identify and resolve issues causing payer payment delays Ability to analyze identify and trend claims issues to proactively reduce denials Communicates to management any issues and or trends identified Initiate appeals when necessary Ability to identify and correct medical billing errors Send appropriate appeals accurate requesting information supporting documentation and effective communication to complete recovery process Understanding of under or over payments and credit balance processes Assist with special A R projects as needed Analytical skills and the ability to communicate results are required Act cooperatively and courteously with patients visitors co-workers management and clients Work independently from assigned work queues Maintain confidentiality at all times Maintain a professional attitude Other duties as assigned by the management team Use protect and disclose patients protected health information PHI only in accordance with Health Insurance Portability and Accountability Act HIPAA standards Understand and comply with Information Security and HIPAA policies and procedures at all times Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties Qualifications Completed at least High School education Minimum 1 year of Healthcare Account Receivable Collections in a BPO setting or environment claims payments processing claims status and tracking Medical Billing AR Follow ups Denials and Appeals-outbound healthcare providers Experienced on medical billing AR Collections Background in calling insurance Payer to verify claim status and payment dispute Strong interpersonal skills ability to communicate well at all levels of the organization Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses High level of integrity and dependability with a strong sense of urgency and results oriented Excellent written and verbal communication skills required Gracious and welcoming personality for customer service interaction Working Conditions Must be amenable to work night shifts Physical Demands While performing the duties of this job the employee is occasionally required to move around the work area Sit perform manual tasks operate tools and other office equipment such as computer computer peripherals and telephones extend arms kneel talk and hear Mental Demands The employee must be able to follow directions collaborate with others and handle stress Work Environment The noise level in the work environment is usually minimal Med-Metrix will not discriminate against any employee or applicant for employment because of race color religion sex including pregnancy gender identity and sexual orientation parental status national origin age disability genetic information including family medical history political affiliation military service veteran status other non-merit based factors or any other characteristic protected by federal state or local law



  • Chennai, Tamil Nadu, India Med-Metrix Full time ₹ 6,00,000 - ₹ 8,00,000 per year

    Job PurposeThe Medical Claims Analyst is responsible for collections, account follow up, billing and allowance posting for the accounts assigned to them.Duties and ResponsibilitiesFollow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websitesMeets and maintains daily productivity/quality standards established...


  • Chennai, Tamil Nadu, India Med-Metrix Full time ₹ 6,00,000 - ₹ 8,00,000 per year

    Job PurposeThe Medical Claims Analyst is responsible for collections, account follow up, billing and allowance posting for the accounts assigned to them.Duties and ResponsibilitiesFollow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websitesMeets and maintains daily productivity/quality standards established...

  • ESB Claims Analyst

    3 days ago


    Chennai, Tamil Nadu, India Ford Global Career Site Full time ₹ 9,00,000 - ₹ 12,00,000 per year

    The Extended Service Business (ESB) Claim Analyst is responsible for evaluating claims related to Extended Service Business (Extended Warranty Contracts, Service Contracts etc) in accordance with the Terms and conditions of Contracts and as per Ford recommended repair / service procedures, thereby ensuring that quality repair / service has been performed at...

  • ESB Claims Analyst

    2 days ago


    Chennai, Tamil Nadu, India Ford Motor Company Full time ₹ 6,00,000 - ₹ 12,00,000 per year

    The Extended Service Business (ESB) Claim Analyst is responsible for evaluating claims related to Extended Service Business (Extended Warranty Contracts, Service Contracts etc) in accordance with the Terms and conditions of Contracts and as per Ford recommended repair / service procedures, thereby ensuring that quality repair / service has been performed at...

  • ESB Claim Analyst

    2 weeks ago


    Chennai, India Ford Motor Company Full time

    Job DescriptionThe Extended Service Business (ESB) Claim Analyst is responsible for evaluating claims related to Extended Service Business (Extended Warranty Contracts, Service Contracts etc) in accordance with the Terms and conditions of Contracts and as per Ford recommended repair / service procedures, thereby ensuring that quality repair / service has...

  • ESB Claim Analyst

    2 days ago


    Chennai, Tamil Nadu, India Ford Motor Company Full time ₹ 9,00,000 - ₹ 12,00,000 per year

    Job DescriptionThe Extended Service Business (ESB) Claim Analyst is responsible for evaluating claims related to Extended Service Business (Extended Warranty Contracts, Service Contracts etc) in accordance with the Terms and conditions of Contracts and as per Ford recommended repair / service procedures, thereby ensuring that quality repair / service has...


  • Chennai, Tamil Nadu, India True Talents Consulting Pvt Ltd Full time

    the Claims Processing Executive (CPE) performs all activities involved in the preparation, insurance verification and retrieval of medical records for US Workers’ Compensation claims. The CPE acts as the liaison between key Client contacts and insurance companies primarily through phone. **Responsibilities**: - Analyze and evaluate worker’s...


  • Chennai, Tamil Nadu, India CIEL HR Services Full time

    **Hiring at Leading BPO at chennai** Designation**:Claim process executive or Senior Claim Process Executive** Experience**:Minimum 6 month to 5 years from voice process only** Qualification: Any Degree **Night Shift US,UK Voice Process** Good communication skill and typing skill must **Job Description**: International medical and non medical claim...

  • Claims Adjuster

    2 days ago


    Chennai, Tamil Nadu, India Bluemoon construction Full time

    **Age limit: 20 to 30.**: - **Investigate Claims**: Gather facts and evidence, such as police reports, witness statements, and surveillance video, to understand the details of a claim. - **Evaluate Policies**: Review the claimant's insurance policy to determine the extent of coverage and the company's liability. - **Assess Damages**: Inspect damaged...

  • Medical Officer

    1 week ago


    Chennai, Tamil Nadu, India Natobotics Technologies Private Limited Full time

    **Job description** Role**:Claims Specialist** Location: Nungambakkam, **Chennai** Work Mode: Work from office Experience: Freshers and 1+ - _ **Claims Specialist** for the opening at **Chennai** location. Qualifications: BDS,BHMS, BSMS, BAMS, BPT. - To medically adjudicate the claims that are being allotted adhering to the company policies and...