Medical Claims Analysts | AR Follow Up

Job Summary: Medical Claims Representative responsible for collections, account follow up, billing and allowance posting. Follow-up with payers via phone, emails, fax, or websites to ensure timely resolution of outstanding claims.Meet daily productivity/quality standards and adhere to established policies and procedures.Analyze and resolve issues causing...

Highly skilled Medical Claims Representative sought to manage collections, account follow-ups, billing, and allowance postings for assigned accounts. Must have at least 1 year of healthcare account receivable/collections experience and be able to work independently with minimal supervision. Key responsibilities include following up with payers, meeting...

Hospice Billing Job DescriptionAt Cliniqon, we are seeking a highly skilled Medical Claims Specialist to join our team. As a key member of our healthcare revenue cycle team, you will be responsible for preparing and submitting accurate and timely billing claims for hospice services to Medicare, Medicaid, and private insurance companies.Key...

Job Title: PHRN in Metro ManilaJob Summary: We are seeking a highly skilled and experienced PHRN to join our team at Metacom Philippines.Responsibilities:Review medical claims for medical necessity and ensure compliance with company policies.Assess and interpret customer needs, requirements, and medical records to provide accurate and timely...

JOB SUMMARY: Under the direct supervision of the Credit and Collection Manager, the position is primarily responsible for the monitoring and maintenance of credit customers’ accounts. The position is also responsible for dispute identification (rate issues, weight, re-bill issues, wrong billings, and claim paid invoices, unreceived billings and wrong...

Shift Schedule: NightshiftWork Setup: ONSITE during training at Mckinley, Taguig and HYBRID after Description of Duties and Responsibilities:Data and charge entry; payment posting.Encounter tracking to ensure all visits are captured.Submission of paper and electronic claims.Balancing on a daily and monthly basis.Follow up on all unpaid claims or denials, as...

Create Nightshift billing reports and maintain accurate records, ensuring timely payment processing and customer satisfaction through attention to detail and effective problem-solving skills.Enter data, post payments, track encounters, and submit claims electronically or on paper.Balance daily and monthly records, follow up on unpaid claims and denials, and...

JOB SUMMARY: Under the direct supervision of the Credit and Collection Manager, the position is primarily responsible for the monitoring and maintenance of credit customers’ accounts. The position is also responsible for dispute identification (rate issues, weight, re-bill issues, wrong billings, and claim paid invoices, unreceived billings and wrong...

At Addmore Outsourcing Inc., we are seeking a skilled Healthcare Coding Specialist to manage patient billing and coding processes.Key Responsibilities:Coding and Billing: Assign accurate ICD-10, CPT, and HCPCS codes to patient diagnoses and procedures, ensuring compliance with current regulations and guidelines.Insurance Claims: Prepare and submit insurance...

REGULATORY AFFAIRS ANALYST Job DescriptionRegulatory Affairs Analyst shall be responsible for the regulatory compliance and registration of company products with government regulatory agencies.Job Specifications:Education:·       Graduate of PharmacyExperience:·       Handling Medical device or Drugs...

Work night shifts onsite during training in Mckinley, Taguig, and hybrid after.Key responsibilities include:Data and charge entry, payment posting.Encounter tracking to ensure all visits are captured.Submission of paper and electronic claims.Balancing on a daily and monthly basis.Follow up on all unpaid claims or denials.Development and mailing of patient...

Medical Billing and Coding SpecialistWe are seeking a detail-oriented and knowledgeable Medical Billing and Coding Specialist to join our healthcare team at Addmore Outsourcing Inc.Key Responsibilities:Coding and Billing: Accurately assign ICD-10, CPT, and HCPCS codes to patient diagnoses and procedures based on medical documentation, ensuring compliance...

We are seeking a detail-oriented Accounts Payable and Accounts Receivable Specialist to manage and oversee our company’s financial transactions. The ideal candidate will be responsible for processing invoices, handling payments, managing customer accounts, and ensuring accuracy in financial records.Key Responsibilities:Accounts Payable:Process and review...

Access Healthcare is looking for experienced Inpatient/Outpatient Medical Coders to join our PIONEER TEAM team. The ideal candidate will have at least 3 years of outpatient coding experience in one or more of the following specializations: Inpatient DRG, Clinical Documentation Specialist, Emergency Department (ED) Facility, Observation, Evaluation Management...

JOB SUMMARYThe Quality Analyst supports clinical performance by using specialty registries and databases to abstract data elements from patient records to meet applicable regulatory and safe care practice requirements. The data identified and analyzed by this team member supports ongoing quality initiatives, and is an essential part of providing safe and...

The Medical Virtual Assistant is responsible for the delivery of services or projects as contracted by the Client. The services or projects include scheduling and calendar management, verification of insurance coverage and benefits, dealing with correspondences.Pre-exam verification of insurance eligibility, benefits and coverageSecuring treatment...

Liaise with arrange of internal and external stakeholders (such as, but shall not be limited to, employees, regulatory and government bodies, accrediting bodies, etc.) to ensure compliance with existing Philippine laws, rules and regulations as well as policies, standards and guidelines of the Medical Center for quality of patient care, facility licensure...

Seeking Medical Specialist II - Part Time in NCR. For full job details, please see PDF file on Civil Service Commission site. To proceed, kindly follow the procedure described in the PDF file. This part-time role requires a medical specialist to provide high-quality patient care in a dynamic and fast-paced environment. Key responsibilities include conducting...

Access Healthcare is looking for experienced Inpatient/Outpatient Medical Coders to join our PIONEER TEAM team. The ideal candidate will have at least 3 years of outpatient coding experience in one or more of the following specializations: Inpatient DRG, Clinical Documentation Specialist, Emergency Department (ED) Facility, Observation, Evaluation Management...

SUMMARYThe Clinical Denials Clinician of AR Management is responsible for recovering revenue through a.) intelligent and ethical investigation of disputed/denied clinical claims, b.) verifying eligibility for clinical review, and c.) preparation and documentation of appeals based on industry-accepted criteria. He / She is also relied on when it comes to...