Medical Claims Analyst

The ideal candidate will have a basic understanding of healthcare claims and reimbursement processes, strong communication skills, and the ability to remain composed during challenging interactions. If you’re passionate about helping others and thrive in a fast-paced call center environment, we’d love to hear from you. Duties and Responsibilities:

• Respond to patient inquiries, requests, and disputes over the phone by clarifying, researching, locating, and providing accurate information.
• Demonstrate basic working knowledge of healthcare claims processing
• Understand fundamental concepts in healthcare reimbursement methodologies and the revenue cycle.
• Analyze, identify, and resolve issues on patient accounts with accuracy and professionalism.
• Interact cooperatively and courteously with patients, visitors, co-workers, management, and clients.
• Adhere to all policies and procedures established for the client and team.
• Meet and maintain daily productivity standards as outlined in departmental policies.
• Meet and maintain quality standards in accordance with departmental expectations.
• Maintain confidentiality at all times and comply with HIPAA and PHI guidelines.
• Remain composed and professional when handling difficult or escalated customer calls.
• Perform all tasks related to the Call Center Department’s areas of responsibility.
• Carry out other related duties and special projects as assigned.

• Fresh graduates are welcome to apply!
• At least 1 year of experience in Customer Service handling Healthcare or medical claims/billing and account receivable in an US Healthcare account/company.
• Ability to work independently and collaboratively in a team environment
• Proficiency in Microsoft Office applications
• Strong verbal communication skills
• Strong organizational and time management abilities
• English-speaking proficiency required
• Ability to remain calm and professional when handling difficult customer calls