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Claims Analyst Position in Cebu
3 weeks ago
We are seeking an experienced claims analyst to join our team in Cebu. In this role, you will be responsible for managing insurance claims and resolving issues related to payment denials.
ResponsibilitiesYour key responsibilities will include:
- Managing insurance claims and resolving issues related to payment denials.
- Following up with insurance carriers to determine the reason for claims denial and working to resolve medical claims for payment.
- Researching problem accounts to ensure accuracy and identifying errors or discrepancies.
- Analyzing unpaid medical claims and denials, and investigating the reasons for nonpayment.
- Resolving insurance denials and filing appeals with government and commercial carriers.
To succeed in this role, you will need to have:
- Experience working as a representative of providers or members lines for queries in eligibility and benefits, claims, and authorizations.
- Knowledge of basic insurance terms and medical billing/claims principles.
- Experience in revenue cycle management, preferably in inpatient or outpatient services.
- Strong analytical and problem-solving skills, with the ability to work independently and as part of a team.
- Excellent communication and interpersonal skills, with the ability to interact with various stakeholders, including insurance carriers and healthcare professionals.
