Medical Claims Analyst

We 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...

Join 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...

Job 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...

WE ARE HIRING MEDICAL CLAIMS ANALYST WITH 40K SOB UNTIL JANUARY 12Join 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...

Key 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...

Job description:The ideal candidate will have a basic understanding of healthcare claims and reimbursement processes, strong communication skills, and the ability to remain composed during challenging interactions. If you're passionate about helping others and thrive in a fast-paced call center environment, we'd love to hear from you.Duties and...

QUALIFICATIONS:Education:Bachelor's Degree in Nursing, Medical Technology, Pharmacy, Healthcare Administration, or related fieldExperience:At least 1–3 years experience in hospital liaison, patient services, or medical coordinationFamiliarity with insurance, HMO, and PhilHealth processes is an advantageSkills & Competencies:Strong communication,...

A. JOB SUMMARYThe Non-Motor Claims Analyst reports to the Claims Officer and Assistant Manager, Non-Motor Claims and is responsible for end-to-end processing of designated Personal Accident (PA) Claims and other related tasks as assigned. This includes validating documents, evaluating Claims, coordinating with the assureds and/or intermediaries, and ensuring...

Process OFW Claims from start to end which includes the following :Checks the compensability and ensures that the documents are complete and validConducts investigation into the details of the claims. In some cases, conducts interview with the OFW/Agencies/Government bodies.Ensure that claims are processed and settled promptlyMaintains accurate records of...

Process OFW Claims from start to end which includes the following :Checks the compensability and ensures that the documents are complete and validConducts investigation into the details of the claims. In some cases, conducts interview with the OFW/Agencies/Government bodies.Ensure that claims are processed and settled promptlyMaintains accurate records of...