Process Associate Medical Billing

Key Responsibilities:

• Review and process healthcare insurance claims in accordance with client guidelines.

• Verify patient, provider, and claim details for completeness and accuracy.

• Identify and resolve discrepancies or missing information in claims.

• Ensure timely processing of claims to meet daily productivity and quality standards.

• Handle claim denials, rejections, and resubmissions as per standard procedures.

• Maintain proper documentation and update internal systems with claim status.

• Collaborate with team leads or supervisors to address process issues or escalations.

• Adhere to HIPAA and company data security policies at all times.

• Participate in process improvement and quality assurance initiatives.

Required Skills & Qualifications:

• Bachelor’s degree in any discipline.

• 0–3 years of experience in insurance claims processing (healthcare preferred).

• Good understanding of US healthcare insurance concepts (CPT, ICD, HCPCS codes preferred).

• Excellent written and verbal communication skills in English.

• Strong analytical and problem-solving skills.

• Basic computer knowledge with proficiency in MS Office (Excel, Word).

• Ability to work night shifts and meet strict deadlines.

Preferred Qualifications:

• Experience in claims adjudication, AR follow-up, or medical billing.

• Knowledge of EOB (Explanation of Benefits) and healthcare claim life cycle.

• Prior experience in BPO/KPO environments.

Job Type: Full-time

Pay: ₹14,000.00 - ₹16,000.00 per month

Work Location: In person