Medical Claims Analyst

2 hours ago

Pasig City, Metro Manila, Philippines Stark Asia Solution Inc Full-time

• Payer Follow-Ups: Contact insurance carriers via phone, email, fax, or portal to track claim status and resolve outstanding balances.
• Denials & Appeals: Identify reasons for claim denials, research payer-specific billing guidelines, initiate appeals, and submit supporting documentation for recovery.
• Billing & Posting: Handle billing tasks, correct medical billing errors, and post allowances/payments accurately in client and workflow systems.
• Trend Analysis: Analyze claims data to spot recurring payment delays or denial trends and report them to management.
• Compliance & Privacy: Strictly adhere to HIPAA (Health Insurance Portability and Accountability Act) standards and information security policies regarding Protected Health Information (PHI).