Medical Billing Analyst

About EMPClaims

EMPClaims Pvt. Ltd. is a growing healthcare outsourcing solutions provider, specializing in US Healthcare Revenue Cycle Management (RCM) services. With a strong focus on accuracy, compliance, and operational excellence, we help healthcare providers, physician groups, and medical billing companies optimize their revenue cycles, reduce denials, and enhance cash flow. At EMPClaims, we believe in empowering our teams with knowledge, innovation, and growth opportunities to deliver high-quality services to our clients.

Key Responsibilities:

• · Accurately post and reconcile payments received from various sources, including insurance companies, patients, and government payers.
• · Verify the accuracy of payment amounts, adjustments, and denials.
• · Enter payment data into the billing system and ensure all information is correctly recorded.
• · Analyze remittance advice or Explanation of Benefits (EOBs) to identify discrepancies, underpayments, or overpayments.
• · Investigate and resolve any payment discrepancies or issues promptly.
• · Identify denied claims and understand the reasons for denials.
• · Work closely with the denial management team to address and resolve claim denials, ensuring maximum reimbursement.
• · Perform daily and monthly reconciliation of patient received against posted payments.
• Identify and report any discrepancies or irregularities in cash reconciliation.

Qualifications:

• Minimum Bachelor's degree
• Problem-solving and critical-thinking abilities.
• Knowledge of healthcare compliance and privacy regulations (e.g., HIPAA)
• Excellent attention to detail and data accuracy
• Ability to work independently and collaboratively in a team environment.

Benefits:

• PF/ESIC
• Company Sponsored Health Insurance
• Lucrative Incentive Programs

Job Types: Full-time, Permanent

Pay: ₹22,000.00 - ₹35,000.00 per month

Benefits:

• Health insurance
• Paid time off
• Provident Fund

Work Location: In person