Process Analyst-Medical Billing

1 - 6 years

3 - 7 Lacs

Posted:2 hours ago| Platform: Naukri logo

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Work Mode

Work from Office

Job Type

Full Time

Job Description

Experience: 6 Months 7years

Location: Bangalore

Type: Full-time | Work from Office-US shift

Industry: US Healthcare / Revenue Cycle Management (RCM)

About the Role

We are seeking enthusiastic and detail-oriented AR Callers with hands-on experience in US Healthcare, RCM,

Hospital Billing, EPIC, and Accounts Receivable follow-up. The ideal candidate will be responsible for managing

denials, resolving billing issues, and ensuring timely follow-up with insurance companies to accelerate cash flow.

Key Responsibilities

• Perform AR follow-up with US insurance companies via phone to resolve outstanding claims.

• Review and analyze unpaid, underpaid, or denied claims and take corrective actions.

• Work on Hospital Billing, charge corrections, and claim status checks.

• Handle denials, appeals, and reprocessing requests as required.

• Understand and apply US healthcare terminology, insurance guidelines, and compliance standards.

• Document all actions taken in the relevant systems, including EPIC or other RCM platforms.

• Collaborate with internal teams to reduce A/R aging and improve collection efficiency.

• Meet daily, weekly, and monthly productivity and quality targets.

Required Skills & Qualifications

• 6 months to 2 years of hands-on experience as an AR Caller or in RCM / US Healthcare processes.

• Strong understanding of Hospital Billing and insurance follow-up procedures.

• Experience working on EPIC software or similar claims management tools.

• Excellent verbal communication skills with a neutral accent.

• Ability to analyze issues, think critically, and negotiate with insurance representatives.

• Good typing, documentation, and MS Office skills.

• Willingness to work in night shifts (US shift hours).

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