US Medical Claims Processing Specialist – Chennai, India

Join Core2Code Healthcare, a mid-sized leader in healthcare services, as a US Medical Claims Processing Specialist based in Chennai, Tamil Nadu, India. We’re looking for a detail-oriented professional passionate about improving healthcare efficiency through precise claims management. This full-time, on-site role offers a competitive salary of up to $500,000 USD per year, along with comprehensive benefits including health insurance, paid time off, and a retirement plan. At Core2Code Healthcare, you’ll experience a collaborative culture focused on career development and advancement opportunities within the growing medical claims industry.

Key Responsibilities

• Review and analyze medical claims for accuracy and completeness before submission to US insurance providers, ensuring a high claim approval rate.
• Maintain thorough documentation of all processed claims to comply with regulatory guidelines and audit requirements.
• Conduct data analysis to identify trends or recurring issues in claims processing, proposing actionable solutions to improve workflow efficiency.
• Collaborate closely with healthcare providers to resolve discrepancies and expedite payment processes, reducing claim turnaround time.
• Stay updated on evolving US insurance regulations and medical coding standards to ensure compliance and minimize risk.
• Participate actively in team meetings to share insights and contribute to continuous process improvements in claims management.
• Support training and onboarding of new team members, promoting adherence to claims processing standards and best practices.

What We’re Looking For

Required:

• Bachelor’s Degree in Healthcare Administration or a related field.
• Proficiency in Medical Coding (e.g., ICD-10, CPT) and strong understanding of US insurance regulatory guidelines.
• 2-3 years of experience in healthcare claims processing or a similar role.
• Strong data analysis and documentation skills with attention to detail.
• Technical proficiency in claims processing software and MS Office tools.
• Exceptional problem-solving abilities and a collaborative mindset.

Preferred:

• Experience working with US healthcare providers or insurance companies.
• Knowledge of healthcare compliance standards such as HIPAA.
• Ability to train and mentor junior staff.

What We Offer

• Competitive salary of up to $500,000 USD per year.
• Comprehensive health insurance coverage to support your well-being.
• Paid time off for work-life balance and personal growth.
• Retirement plan to secure your financial future.
• Professional development programs and career advancement opportunities.
• Collaborative work environment fostering innovation and team success.
• On-site role in vibrant Chennai, offering cultural richness and career growth.

Frequently Asked Questions

What are the working hours for this position? This is a full-time, on-site role with standard business hours aligned to US time zones to facilitate communication with US clients.

Is prior experience with US medical claims mandatory? While preferred, candidates with strong healthcare claims processing experience and willingness to learn US-specific regulations are encouraged to apply.

Does Core2Code Healthcare provide training? Yes, we offer comprehensive onboarding and ongoing training to ensure you stay current with industry standards and software tools.

What software tools will I use? You will work with industry-standard claims processing software and data analysis tools, including MS Excel and specialized coding platforms.

Are there opportunities for career advancement? Absolutely. We prioritize internal growth and provide clear pathways for professional development within the company.

Is remote work an option? This position is on-site in Chennai to maintain close collaboration with our team and clients.

Explore related roles such as Logistics Executive positions in Mumbai or Field Sales Executive careers in Coimbatore for additional opportunities within the healthcare sector.

Related Opportunities

Explore these similar positions that might interest you:

• Logistics Executive at Intermedics Healthcare LLP in Mumbai, Maharashtra, India
• Field Sales Executive at Star Buzz Solutions Private Limited in Coimbatore, Tamil Nadu, India
• Customer Service Representative at Comrise in Pasig, Metro Manila, Philippines

Ready to advance your career in medical claims processing? Apply today to join Core2Code Healthcare’s dedicated team and make a meaningful impact in the US healthcare industry.