బ్యాక్ ఆఫీస్ అసిస్టెంట్

We are looking for a detail-oriented and motivated Associate Analyst to join our Insurance Follow-Up team. The candidate will be responsible for following up on outstanding insurance claims, identifying claim issues, communicating with insurance companies, and ensuring timely resolution and payment of accounts.

Key Responsibilities

Perform regular follow-up on unpaid, denied, and outstanding insurance claims.

Contact insurance companies through calls, portals, and other available channels to check claim status.

Analyze EOBs/ERAs and identify reasons for claim denials, underpayments, and non-payment.

Take appropriate action on denied or rejected claims, including corrections, reconsiderations, and appeals.

Verify patient and insurance information when required.

Maintain accurate and detailed documentation of all follow-up activities.

Identify claim discrepancies and coordinate with relevant internal teams for resolution.

Meet daily productivity, quality, and collection targets.

Ensure timely follow-up according to payer-specific timelines and client requirements.

Escalate complex or unresolved claims to the appropriate team or supervisor.

Maintain confidentiality and comply with applicable healthcare and data-protection requirements.

Required Skills

Good understanding of US Healthcare Revenue Cycle Management (RCM) and medical billing.

Knowledge of insurance claims, denials, EOBs/ERAs, and payer processes.

Strong verbal and written communication skills.

Good analytical and problem-solving abilities.

Proficiency in MS Office, particularly Excel.

Ability to work independently and manage multiple accounts efficiently.

Strong attention to detail and ability to meet targets.

Preferred Qualifications

Bachelor's degree or equivalent qualification.

Prior experience in US Healthcare, Medical Billing, AR, or Insurance Follow-Up.

Experience working with US insurance payers and healthcare providers.

Familiarity with medical billing software or practice-management systems.

Key Performance Indicators (KPIs)

Claim follow-up productivity

Collections/recovery rate

Denial resolution rate

Account accuracy

Quality and compliance

Timely claim resolution

• It is a Full Time బ్యాక్ ఆఫీస్ / డేటా ఎంట్రీ job for candidates with 0 - 1 years of experience.