Billing & Rejections Analyst

TruBridge, Inc; Chennai; Remote; INR 600,000 - 850,000; Full time

Job summary

TruBridge, Inc. in Chennai, India seeks a BR Analyst to ensure accurate and timely processing of healthcare claims and to minimize financial leakage. The role involves reviewing rejected or denied claims, performing edits, and collaborating with internal teams and payers to optimize revenue cycle performance.

The analyst will monitor billing queues, maintain documentation, and focus on quality targets while adhering to HIPAA, ERISA, and other regulations. Night shifts may be required due to U.S.

Qualifications

• Bachelor’s degree or equivalent in healthcare administration, finance or related field.
• 2–4 years of experience in U.S. healthcare billing, claim processing, or denial management.
• Strong written and verbal communication skills.
• Working knowledge of medical terminology, ICD-10, CPT, and HCPCS codes.
• Basic computer proficiency.
• Willingness to work continuous night shifts.

Responsibilities

• Process claims in CS queues, perform edits, and manage unbilled items to ensure timely submission.
• Review and analyze rejected or denied claims, identify root causes, and implement corrective actions.
• Maintain clear and accurate documentation of billing activities, including system notes and audit trails.
• Collaborate with internal teams and payers to resolve billing issues efficiently.
• Monitor trends in claim rejections and provide feedback for process improvements.
• Ensure compliance with billing, reimbursement, and regulatory requirements (including HIPAA).
• Meet or exceed daily/weekly productivity and quality targets.
• Comply with EEO, HIPAA, ERISA and other regulations.

Skills

Analytical skills

Attention to detail

Time management

Communication skills

HIPAA compliance

Education

Bachelor’s degree in healthcare administration, finance or related field

Tools

Waystar

Realmed

Availity

Change Healthcare

ViaTrack

Job description

The BR Analyst is responsible for accurate and timely processing of healthcare claims, identifying and resolving rejected or denied claims, and ensuring compliance with billing standards. This role involves monitoring billing queues, performing edits, analyzing rejection patterns, and collaborating with internal and external teams to optimize revenue cycle performance. The Analyst will play a key role in minimizing financial leakage, maintaining billing accuracy, and supporting operational efficiency.

Essential Functions:

• Process claims in Customer Service (CS) queues, perform edits, and manage unbilled items to ensure timely submission.
• Review and analyze rejected or denied claims, identify root causes, and implement corrective actions.
• Maintain clear and accurate documentation of billing activities, including system notes and audit trails.
• Collaborate with internal teams and payers to resolve billing issues efficiently.
• Monitor trends in claim rejections and provide feedback for process improvements.
• Ensure compliance with all billing, reimbursement, and regulatory requirements (including HIPAA).
• Meet or exceed daily/weekly productivity and quality targets.
• All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA, and other applicable regulations.

Key Result Areas (KRAs):

• Production ≥ 100% – 40% – Regular CS queues, edits, unbilled items.
• Quality ≥ 98.5% – 40% – Achieve your set target on a monthly basis.
• Follow SOPs and Checklists ≥ 95% – 10% – Follow SOPs, Site Books, and Checklists.
• Time on System 9 hrs daily – 4% – Meet required 9 hrs time-on-system mandate (only 3 days non-adherence allowed).
• Shift Adherence Login before shift time – 3% – Meet required shift start/end mandate (only 2 days non-adherence allowed).
• Unapproved Leaves 0 – 3% – Associate should not take any unapproved leaves.

Minimum Requirements:

• Bachelor’s degree (preferred) or equivalent experience in healthcare administration, finance or related field.
• 2 - 4 years of experience in U.S. healthcare billing, claim processing, or denial management.
• Strong written and verbal communication skills.
• Working knowledge of medical terminology, ICD-10, CPT, and HCPCS codes.
• Basic computer proficiency.
• Willingness to work continuous night shifts.

Experience / Certification:

• Prior experience in U.S. healthcare BPO/RCM preferred.
• Familiarity with billing software, EHR systems, or clearinghouses such as Waystar, Realmed, Availity, Change Healthcare, and ViaTrack.
• Proficiency in MS Excel, MS Word, and Google Sheets preferred.

Skills & Technical Proficiency:

• Strong analytical and problem-solving skills with attention to detail.
• Ability to identify, analyze, and resolve rejected claims efficiently.
• Ability to manage multiple tasks while processing high volumes of claims accurately.
• Strong organizational and time management skills.
• Ability to work independently with minimal supervision.
• Commitment to maintaining confidentiality and compliance with HIPAA.

Working Environment/Physical Demands:

General office environment: Works generally at a desk in a well-lighted, air-conditioned office, with moderate noise levels. Periods of stress may occur. May require collaboration across teams (Coding, AR, payment posting).

Physical Demands:

Activities require a significant amount of sitting at office and work desks and in front of a computer monitor. Some walking and standing relative to interaction with other personnel.

Travel Requirements:

• None

Unofficial Titles:

Unofficial titles may be given by the manager and used for email signature. Note: Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time. This document does not create an employment contract, implied or otherwise. It does not alter the "at will" employment relationship between the company and the employe Individual Contributor

What’s it like to work for TruBridge?

You’ll help connect providers, patients and communities with innovative solutions that create real value by supporting both the financial and clinical sides of healthcare delivery. You’ll be part of a remote team that’s encouraged to push boundaries and look at things differently. And you’ll contribute to supporting providers in delivering the best care possible for their communities.

Are you ready to help us clear the way for care? Explore opportunities with TruBridge.