Claim Processing Analyst

We are looking for a proactive and enthusiastic candidate for our Claim Processing Analyst is responsible for reviewing, validating, and processing healthcare claims with accuracy and compliance. This role ensures timely submission, identifies billing errors and supports revenue cycle efficiency for healthcare providers or payers.

• Assist in the review and processing of medical claims, ensuring adherence to company policies and regulatory guidelines.
• Utilize data entry and claims management systems to accurately input and track claim information.
• Submit electronic claims for facilities and insurance carriers
• Work scrubbing/editing reports from billing systems and clearinghouses
• Conduct preliminary audits to identify patterns or issues in claims submissions and escalate findings to senior analysts.
• Maintain records in spreadsheets as required.
• Send required documents to doctor office in PDF format.
• Collaborate with healthcare providers to resolve discrepancies and gather necessary documentation to support claims adjudication.
• Collaborate with healthcare providers to resolve discrepancies and gather necessary documentation to support claims adjudication.
• Support the team in the development of reports and analyses to improve claims processing efficiency.

Job Types: Full-time, Permanent, Fresher

Pay: ₹6,000.00 - ₹15,000.00 per month

Benefits:

• Health insurance
• Leave encashment
• Paid sick time
• Provident Fund

Work Location: In person