Medical Claims Analyst- AR

56 minutes ago


Pasig, National Capital Region, Philippines HCM Nexus Full time $40,000 - $60,000 per year
Job Description

We 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 efficiently and ensure client satisfaction.


Qualifications:
  • At least 1st year undergraduate or High School graduate
  • Minimum of 1 year experience in US Healthcare provider or billing (hospital or physician billing) and AR collections
  • Strong knowledge of US healthcare and insurance terminologies (copay, coinsurance, deductibles)
  • Familiar with CMS-1500 and UB-04 claim forms
  • Proficient in interpreting Explanation of Benefits (EOB)
  • Excellent communication and problem-solving skills
  • Willing to handle outbound calls (30%)

Perks & Benefits:

8-Hour Shifts, Fixed Weekends Off

Day 1 HMO (covers employee + 2 dependents for FREE)

Medical Cash Allowance

Rice and Clothing Allowance

Free Daily Lunch (for onsite employees)

Paid Time Off: 2.5 leave credits every quarter (upon regularization)

Training and Staff Development Programs

Employee Engagement Activities

Opportunities for Internal Mobility and Career Growth



  • Pasig, National Capital Region, Philippines Risewave Consulting, Inc. Full time ₱450,000 - ₱600,000 per year

    Job SummaryWe are looking for experiencedMedical Claims Analysts – Accounts Receivable (AR)to join our growing healthcare operations team. The role involves handling provider billing, performing AR collections, and ensuring timely and accurate claims resolution. The ideal candidate has solid experience in healthcare revenue cycle management, exceptional...


  • Pasig, National Capital Region, Philippines Comrise Full time ₱1,800,000 - ₱3,600,000 per year

    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...

  • Healthcare AR

    2 weeks ago


    Pasig, National Capital Region, Philippines GGIS - Global Group Innovative Services Full time ₱240,000 - ₱480,000 per year

    Ready to take your healthcare career to the next level? We're hiring skilled and passionate professionals to join our growing team of Healthcare AR and Medical Billing Specialists Whether your expertise lies in Accounts Receivable (AR), Claims Follow-up, or Medical Billing, we have the perfect opportunity for you. Work with a global healthcare company that...

  • Medical Claims Specialist

    21 minutes ago


    Pasig, National Capital Region, Philippines Connext Full time ₱400,000 - ₱800,000 per year

    Job 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...


  • Pasig, National Capital Region, Philippines Connext Global Solutions Inc Full time ₱40,000 - ₱80,000 per year

    Job 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...


  • Pasig, National Capital Region, Philippines Risewave Consulting, Inc. Full time ₱150,000 - ₱250,000 per year

    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...

  • medical records

    1 hour ago


    Pasig, National Capital Region, Philippines Prime Hospital and Medical Center Pasig Full time ₱250,000 - ₱500,000 per year

    Duties 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...


  • Pasig, National Capital Region, Philippines Connext Full time ₱150,000 - ₱250,000 per year

    Connext Global Solutionsis a dedicated team of business process outsourcing experts and innovators, with experience in supporting world-class companies in Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance.We are currently looking for a MedicaClaims Resolution Specialistwho will be working with Connext's...

  • Non-Motor Claims Analyst

    8 minutes ago


    Pasig, National Capital Region, Philippines Fortune General Insurance Corporation Full time ₱200,000 - ₱500,000 per year

    The Claims Assistant 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 timely and accurate...

  • Non Motor Claims Analyst

    48 minutes ago


    Pasig, National Capital Region, Philippines Fortune General Insurance Corporation Full time $80,000 - $150,000 per year

    A.      JOB SUMMARYThe Claims Assistant 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...