Medical Billing & Claims Analyst(US Healthcare Process)

• Title - Medical Billing & Claims Analyst (US Healthcare Process)
• Type- Permanent
• working days -6 days (US Working hrs)

Key Responsibilities

• Make outbound calls to insurance carriers to resolve unpaid or delayed claims.
• Track claim status, identify reasons for denials or underpayments, and escalate unresolved issues.
• Document carrier interactions accurately in the system.
• Collaborate with billing/coding teams to correct and resubmit claims.
• Ensure HIPAA compliance in all communications.
• Provide timely updates and reports on claim follow-up progress.

Qualifications

• 1–2 years’ AR follow-up or claims management experience in the US healthcare market (mandatory).
• Strong knowledge of US insurance carriers, claims processing, and denial management.
• Excellent communication and organizational skills.
• Proficient in practice management systems, billing software, or EHR platforms.
• Able to work independently and meet deadlines.

Preferred Skills

• Experience in medical billing or revenue cycle management.
• Familiarity with CPT, ICD-10, HCPCS codes.
• Handling both government (Medicare/Medicaid) and commercial insurance claims.