US Healthcare Analyst · Chennai

ASCLOUDSECURE is a technology services firm delivering IT, cybersecurity, and specialized healthcare operations solutions to global clients.

Key Responsibilities

• Review and analyze US healthcare claims data for accuracy, completeness, and regulatory compliance.
• Verify patient insurance eligibility, benefits coverage, and pre-authorization documentation.
• Identify claim submission errors, discrepancies, and rejection trends to support revenue cycle teams.
• Review Electronic Data Interchange (EDI) transaction reports and resolve claim denials.
• Maintain strict adherence to HIPAA guidelines and data security protocols for protected health information.
• Extract and interpret healthcare billing data to compile periodic operational reports.
• Coordinate with US healthcare providers, payers, and clearinghouses to clarify billing queries.
• Track accounts receivable (A/R) aging metrics and suggest corrective actions for unpaid claims.
• Document process findings and contribute to operational standard operating procedures (SOPs).
• Participate in ongoing training on ICD-10, CPT coding, and changing US health payer policies.