AR Analyst

CTB Solutions; Chennai; On-site; INR 300,000 - 450,000; Full time

Job summary

CTB Solutions in Chennai invites a detail-oriented Medical Billing Specialist to join our team. You will analyze unpaid and denied claims, follow up with insurers, and interpret EOBs to ensure accurate payments and patient responsibility.

The role requires collaboration with providers and patients, precise documentation of AR activities, and adherence to HIPAA. You will stay current with coding changes and insurance policies to support compliant billing operations.

Qualifications

• Experience in medical billing or healthcare preferred.
• Understanding of medical terminology and coding terms.
• Clear communication with providers and patients about billing.

Responsibilities

• Analyze and resolve issues related to unpaid medical claims and denied claims.
• Follow up with insurance companies to inquire about claim status and resolve issues.
• Interpret EOBs to ensure correct payment, adjustments, and patient responsibility.
• Communicate with providers and patients regarding billing issues.
• Document all AR follow-up activities consistently.
• Meet KPIs such as reducing denied or rejected claims.
• Review and appeal unpaid and denied claims.
• Maintain patient confidentiality and HIPAA compliance.
• Stay up-to-date with changes in coding and billing, insurance policies and regulations.

Skills

Excellent written and verbal comms

Analytical and problem-solving

Multitasking and prioritization

Education

Bachelor's degree (Finance, Business, Healthcare Management or related)

Tools

Microsoft Office Suite

Medical software systems

Job description

Responsibilities

• Analyze and resolve issues related to unpaid medical claims and denied claims.
• Follow up with insurance companies to inquire about claim status and resolve issues.
• Interpret Explanation of Benefits (EOBs) to ensure correct payment, adjustments, and patient responsibility.
• Communicate with providers and patients regarding billing issues, as needed.
• Document all activities related to accounts receivable follow-up in a consistent and comprehensive manner.
• Meet key performance indicators as established by management, such as reducing the number of denied and rejected claims.
• Review and appeal unpaid and denied claims.
• Maintain patient confidentiality and adhere to HIPAA regulations.
• Stay up-to-date with changes in medical coding and billing practices, insurance policies, and healthcare regulations.

Qualifications

• Bachelors degree in Finance, Business, Healthcare Management, or a related field.
• 1-2 years of experience in medical billing or healthcare, preferred but not necessary.
• Understanding of medical terminology, CPT, ICD-10, and HCPCS coding.
• Proficiency in using medical software systems and Microsoft Office Suite.
• Excellent written and verbal communication skills.
• Detail-oriented with strong analytical and problem-solving abilities.
• Understanding of insurance guidelines, including Medicare and state Medicaid.
• Ability to maintain patient confidentiality and adhere to HIPAA guidelines.
• Ability to work independently and collaboratively within a team environment.
• Able to prioritize and manage multiple tasks simultaneously.
• Strong customer service skills for interacting with patients regarding medical claims and payments.
• Willingness to stay up-to-date with changes in healthcare laws and regulations.

Disclaimer: This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.