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 skilled 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

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📌 Medical Claims Analyst (Chennai)
🏢 Med-Metrix
📍 Chennai