Medical Claims Analyst Ortigas

1 month ago


Pasig, National Capital Region, Philippines Visaya Knowledge Process Outsourcing Full time

Are you a detail-oriented professional with experience in medical collections and denials? We are seeking a Medical Claims Analyst to join our team at Visaya Knowledge Process Outsourcing in Ortigas, Pasig City.

About the Role

We are looking for an experienced Medical Claims Analyst to work onsite in Ortigas, Pasig City. As a Medical Claims Analyst, you will be responsible for verifying patient demographics and insurance information, researching unpaid or denied claims, and contacting payers to secure payment. You will also be required to maintain confidentiality of patient information and follow guidelines for prioritization and timely filing deadlines.

Requirements and Qualifications

To be successful as a Medical Claims Analyst, you will need:

  • 2-3 years of experience in medical collections, denials, and appeals
  • Intermediate knowledge of ICD-10, CPT, HCPCS, and NCCI
  • Intermediate knowledge of third-party billing guidelines and payor contracts
  • Working knowledge of Microsoft Word and Excel
  • Experience with EPIC tool
Preferred Requirements

Prior experience with patient accounting systems such as EPIC, Cerner, or other systems would be an asset. Additionally, intermediate knowledge of government rules and regulations is desirable.

What We Offer

In this role, you can expect a competitive salary of around PHP 35,000 - PHP 50,000 per month, depending on your level of experience. We offer a dynamic and supportive work environment with opportunities for growth and development. If you are a motivated and detail-oriented individual who is passionate about delivering excellent results, we encourage you to apply for this exciting opportunity.



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