Medical Claims Analyst Professional

7 days ago


Pasig, National Capital Region, Philippines Med-Metrix Full time

Job Overview

As a Medical Claims Analyst at Med-Metrix, you will play a vital role in ensuring the accuracy and efficiency of our claims processing. This is an excellent opportunity to advance your career in a supportive and innovative environment.

About the Role

The Medical Claims Analyst is responsible for collections, account follow-up, billing, and allowance posting for assigned accounts. Key responsibilities include:

  • Follow-up with payers to ensure timely resolution of outstanding claims.
  • Meet daily productivity/quality standards established by departmental policies.
  • Utilize workflow systems, client host systems, and other available tools to collect payments and resolve accounts.
  • Adhere to established policies and procedures for clients/teams.
  • Knowledge of timely filing deadlines for designated payers.
  • Analyze payer-specific billing guidelines as needed.
  • Ability to identify and resolve issues causing payment delays.
  • Trend claims issues to proactively reduce denials.
  • Communicate management about identified issues/trends.


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