Medical Billing Analyst

Job Summary:

The Medical Biller is responsible for accurate and timely submission of medical claims to insurance companies, government payers (Medicare/Medicaid), and patients. The role requires deep understanding of the US healthcare RCM process, medical terminology, insurance guidelines, and coding standards (ICD-10, CPT, HCPCS). The medical biller works collaboratively with providers, coders, and payers to ensure proper reimbursement for healthcare services.

Key Responsibilities:

• Monitor and follow up on unpaid claims within standard billing cycle timeframe.
• Correct and re-submit rejected or denied claims after verifying and resolving the issue.
• Maintain patient confidentiality and comply with HIPAA regulations.
• Stay current with insurance guidelines, payer policies, and coding updates.
• Coordinate with the coding team to ensure accurate coding and documentation.
• Meet or exceed productivity and quality metrics set by management.

Required Qualifications:
Education: High school diploma or bachelor’s degree preferred.

Experience:

1–3 years of experience in US healthcare medical billing, preferably in a physician or hospital billing environment.

Familiarity with CMS-1500 and UB-04 claim forms.

Technical Skills:

• Proficiency in billing software (e.g., Kareo, AdvancedMD, eClinicalWorks, Athenahealth, NextGen).
• Understanding of EHR/EMR systems.
• Compliance: Strong knowledge of HIPAA, Medicare, Medicaid, and commercial payer billing guidelines.
• Key Competencies:

Strong attention to detail and accuracy.

• Ability to handle sensitive and confidential information.
• Time management and ability to prioritize tasks.
• Problem-solving and analytical thinking.

Job Types: Full-time, Permanent

Benefits:

• Health insurance
• Paid time off
• Provident Fund

Work Location: In person