Medical Claims Analyst
4 days ago
Our brand, Lennor Metier Consulting , a DOLE-licensed headhunting and recruitment agency in the Philippines, is proud to partner with a global RCM Company in their search for a Medical Claims Analyst based in Ortigas .
Industry: Healthcare
Salary Range: ₱35,000 Package
Work Setup: Onsite
Work Schedule: Night Shift
Location: Ortigas
Job Overview
We are looking for a Medical Claims Analyst to manage claim processing, billing, collections, and account reconciliation. This role involves ensuring timely resolution of outstanding claims, identifying billing discrepancies, and maintaining compliance with healthcare regulations. You will work closely with payers, clients, and internal teams to drive efficiency and accuracy in claim management.
Your Responsibilities:
Claims Processing & Resolution
- Follow up on outstanding claims via phone, email, or online portals.
- Analyze and resolve claim discrepancies to prevent payment delays.
- Identify and correct medical billing errors.
- Process appeals with proper documentation and communication.
Billing & Account Management
- Maintain accurate records of underpayments, overpayments, and credit balances.
- Conduct research on payer-specific billing guidelines and policies.
- Adhere to timely filing deadlines and compliance standards.
Reporting & Compliance
- Track and report claim trends to minimize denials.
- Ensure compliance with HIPAA and data protection regulations.
- Maintain confidentiality and professionalism in all interactions.
Collaboration & Special Projects
- Work independently while coordinating with internal teams on claim resolutions.
- Provide support on special Accounts Receivable (A/R) projects as needed.
- Act courteously and professionally with patients, providers, and stakeholders.
What our Client is Looking For:
- Education: At least a high school graduate.
- Experience: Minimum 1 year of US Insurance Follow-Up (outbound) experience.
- Strong understanding of claims processing for providers (physicians and/or hospitals).
- Ability to explain EOBs, claims, and denials effectively.
- Communication: Above-average English communication skills.
- Work Setup: Must be willing to work onsite in Ortigas, Pasig.
- Schedule: US shift (9 PM – 5 AM) with fixed weekends off.
Ready to take the next step in your career? Submit your application now
- We kindly request your patience as we receive a significant number of applications. Rest assured that our team will update your application's status soon. In the meantime, we encourage you to follow our LinkedIn page to stay informed about future opportunities and company updates.
-
Medical Claims Analyst
1 hour ago
Pasig, National Capital Region, Philippines Comrise Full timeJob Purpose:The Medical Claims Analyst is responsible for collections, account follow up, billing and allowance posting for the accounts assigned to them.Duties and Responsibilities:Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websitesMeets and maintains daily productivity/quality standards...
-
Medical Claims Analyst
2 days ago
Pasig, National Capital Region, Philippines Comrise Full time ₱72,000 - ₱96,000 per yearJob Purpose:The Medical Claims Analyst is responsible for collections, account follow up, billing and allowance posting for the accounts assigned to them.Duties and Responsibilities:Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websitesMeets and maintains daily productivity/quality standards...
-
Medical Claims Analyst- AR
6 days ago
Pasig, National Capital Region, Philippines HCM Nexus Full time $40,000 - $60,000 per yearJob DescriptionWe are looking for a Medical Claims Analyst (AR) to join our growing US Healthcare team. This role involves handling both inbound and outbound calls (30% outbound) to ensure accurate and timely resolution of accounts receivable and medical claims. You'll collaborate with healthcare providers and insurance representatives to process claims...
-
Medical Claims Analyst – Accounts Receivable
6 days ago
Pasig, National Capital Region, Philippines Comrise Full time ₱1,800,000 - ₱3,600,000 per yearWe are looking for a Medical Claims Analyst – AR to join our team. This role involves handling U.S. healthcare provider billing, managing accounts receivable collections, and completing various claims-related tasks. The ideal candidate has strong analytical skills, solid knowledge of medical billing processes, and excellent communication abilities. You...
-
40k SOB for Medical Claims Analyst
2 days ago
Pasig, National Capital Region, Philippines MED-METRIX INTERNATIONAL PH-I, INC. Full time ₱200,000 - ₱400,000 per yearJoin our dynamic team and make a meaningful impact in the healthcare industry. As a Medical Claims Analyst, you'll play a pivotal role in ensuring accurate claims processing while advancing your career in a supportive and innovative environment. Enjoy competitive benefits upon hire, ongoing professional development, and the satisfaction of helping others...
-
Medical Claims Analyst
6 days ago
Pasig, National Capital Region, Philippines John Clements Consultants, Inc. Full time ₱1,200,000 - ₱1,800,000 per yearJob PurposeFollow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites.Meets and maintains daily productivity/quality standards established in departmental policies.Uses the workflow system, client host system and other tools available to them to collect payments and resolve accounts.Adheres to the policies...
-
Medical Claims Specialist
6 days ago
Pasig, National Capital Region, Philippines Connext Full time ₱400,000 - ₱800,000 per yearJob SummaryThe Medical Claims Specialist is responsible for the timely submission of technical or professional medical claims to insurance companies. This role involves verifying patient and billing information, editing claims for compliance, resolving denials, and communicating with both payers and internal teams.Responsibilities• Utilize various...
-
Medical Claims Specialist
6 days ago
Pasig, National Capital Region, Philippines Connext Global Solutions Inc Full time ₱40,000 - ₱80,000 per yearJob SummaryThe Medical Claims Specialist is responsible for the timely submission of technical or professional medical claims to insurance companies. This role involves verifying patient and billing information, editing claims for compliance, resolving denials, and communicating with both payers and internal teams.Responsibilities• Utilize various...
-
Audit Technician Denied Medical Claims
6 days ago
Pasig, National Capital Region, Philippines Health Business Solutions Full time ₱2,500 - ₱4,000 per yearKey ResponsibilitiesReview denied medical claims to determine reasons for denial (coding errors, missing information, medical necessity, eligibility, etc.).Collect, organize, and verify supporting documentation needed for appeals or audits.Prepare and submit claim audit packets for internal review or external payor reconsideration.Collaborate with clinical...
-
medical records
6 days ago
Pasig, National Capital Region, Philippines Prime Hospital and Medical Center Pasig Full time ₱250,000 - ₱500,000 per yearDuties and Responsibilities:A. Records ManagementMaintain and update patient medical records and hemodialysis treatment logs.Ensure completeness, accuracy, and confidentiality of all patient information.File and retrieve patient charts and records efficiently.Encode and track dialysis treatment sessions and laboratory results in the hospital system.B. ICD-10...