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

Solid 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 solid 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.

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