medical billing Analyst

Company Description

Atean Healthcare Solutions is a trusted provider of cost-effective medical coding and medical billing services. The organization specializes in optimizing revenue cycle management for healthcare providers. Atean Healthcare Solutions is dedicated to delivering high-quality, efficient, and accurate billing support to meet the unique needs of healthcare practices and organizations. The company's focus is to ensure seamless billing processes and client satisfaction.

Role Description

This is a full-time, on-site role for a Medical Billing Analyst located in Chennai. The role involves managing and executing billing processes, analyzing financial data, and maintaining billing systems. Day-to-day responsibilities include verifying claims accuracy, resolving billing discrepancies, managing accounts receivable, and ensuring compliance with billing regulations. Effective communication and collaboration with internal teams and external stakeholders are key aspects of this role.

Roles and Responsibilities:

1. Medical Billing & Claims Processing

• Prepare and submit accurate medical claims to insurance companies (electronic and paper claims).
• Review patient billing information and ensure all charges are properly documented.
• Ensure claims are submitted in compliance with payer guidelines and healthcare regulations.

2. Claims Analysis & Issue Resolution

• Analyze denied or rejected claims and identify root causes.
• Work on claim corrections, resubmissions, and appeals to maximize reimbursement.
• Monitor claim status and follow up with insurance companies for pending payments.

3. Payment Posting & Reconciliation

• Review Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA).
• Verify payments received from payers and ensure correct posting in the billing system.
• Identify payment discrepancies and escalate issues when necessary.

4. Reporting & Data Analysis

• Generate billing reports related to claim status, denial trends, and revenue performance.
• Analyze billing data to identify process gaps and recommend improvements.
• Maintain accurate documentation and billing records for auditing purposes.

5. Compliance & Documentation

• Ensure adherence to HIPAA regulations and healthcare billing compliance standards.
• Maintain confidentiality of patient information and financial data.
• Stay updated with coding changes (ICD, CPT, HCPCS) and payer policies.

6. Coordination & Communication

• Coordinate with coding teams, AR teams, and providers to resolve billing discrepancies.
• Communicate with insurance companies regarding claim clarifications and payment updates.
• Assist internal teams in resolving patient billing inquiries when required

Qualifications

• Proficiency in Billing Processes and Billing Systems
• Strong Analytical Skills and problem-solving abilities
• Effective Communication skills for interacting with team members and external clients
• Understanding of finance-related processes and procedures
• Attention to detail with a focus on accuracy and compliance
• Prior experience in medical billing or a related field is preferred
• Bachelor's degree in finance, healthcare administration, or a related field is an advantage