
Medical Claims Analyst
4 weeks ago
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
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Medical Claim Analyst
5 days ago
Chennai, Tamil Nadu, India Med-Metrix Full time ₹ 6,00,000 - ₹ 8,00,000 per yearJob 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...
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Medical Claims Analyst
22 hours ago
Chennai, Tamil Nadu, India Med-Metrix Full time ₹ 6,00,000 - ₹ 8,00,000 per yearJob 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...
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Medical Officer
7 days ago
Chennai District, Tamil Nadu, India Link-K Insurance TPA Private Ltd Full time**Greeting From Link-K Insurance TPA Pvt Ltd** We are hiring **Senior Medical Officer** for our **Claims Team**at our **Chennai Corporate office.** **Job Role**:Medical Officer **Industry**:TPA/Health Insurance **Location**:Anna Nagar, Chennai **Experience**: 3 Years+ **Qualification**:MBBS, BDS, BAMS, BHMS,.. **Roles & Responsibilities**: -...
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Medical Officer
2 weeks ago
Anna Nagar, Chennai, Tamil Nadu, India Link K Insurance TPA Pvt Ltd Full time**Roles & Responsibilities of Cashless / Claims - Medical Officer / Doctor**: - Processing of health insurance claims submitted by policyholders, hospitals, or healthcare providers. - Get fully trained and understand claims software, functionality and validations. - Verify whether the claim falls within the coverage/ scope of the health insurance policy. -...
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ESB Claims Analyst
23 hours ago
Chennai, Tamil Nadu, India Ford Global Career Site Full time ₹ 9,00,000 - ₹ 12,00,000 per yearThe 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...
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Medical Billing Executive
2 weeks ago
Perungudi, Chennai, Tamil Nadu, India Lubdub Medical Technologies Pvt Ltd Full timeA Medical Billing Executive oversees and manages all aspects of a hospital's billing and financial processes. They ensure accurate billing, timely claims processing, and adherence to healthcare regulations. Additionally, they resolve billing issues, manage accounts receivable, and may train billing staff. Key Responsibilities: - **Billing and Claims...
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ESB Claims Analyst
1 day ago
Chennai, Tamil Nadu, India Ford Motor Company Full time ₹ 6,00,000 - ₹ 12,00,000 per yearThe 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...
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Medical Officer
2 days ago
Chennai, Tamil Nadu, India Link K Insurance TPA Pvt Ltd Full time**Greeting From Link K Insurance TPA Pvt Ltd** We are hiring **Medical Officer** for our **Claims Team**at our **Chennai Corporate office.** **Job Role: Medical Officer** **Industry: TPA Health Insurance** **Location: Anna Nagar, Chennai** **Experience: 3 to 5 Years** **Qualification: BAMS (**Bachelor of Ayurvedic Medicine and Surgery)...
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Claims Analyst
1 day ago
Chennai, Tamil Nadu, India Nodoos Tech solutions private limited Full time ₹ 3,80,000 - ₹ 4,70,000 per yearAnalytical Skills: Ability to analyze complex data, identify trends, and provide recommendations. Attention to Detail: Meticulous in reviewing documents and processing claims to prevent errors. Communication: Strong verbal and written skills to communicate effectively with providers, policyholders, and internal teams. Technical Skills: Proficiency with...
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Medical Officer-claims Processing
7 days ago
Aminjikarai, Chennai, Tamil Nadu, India MEDI ASSIST INSURANCE TPA PRIVATE LIMITED Full time**Job description** **Role**:Medical Officer** **Work from Office only** **Job Descriptions**: - To approve Claims based on the buckets allotted to each approver. - To inform the Network department in case of any erroneous billing / excess billing. - To approve online preauthorization requests received. - In case of any suspicious case, the same will be...