Medical Claims Analyst

22 hours ago


Ortigas, Philippines Lennor Metier Consulting Philippines Full time ₱396,000 - ₱720,000 per year

Lennor Metier Consulting, a leading Recruitment Agency & Headhunters in the Philippines, is urgently recruiting a Medical Claims Analyst to join one of its client companies.

Start Date: Nov. 5, 2025

Industry: Healthcare

Salary Range: ₱33,000 Package + 40K SIGN ON BONUS

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) VOICE ACCOUNT 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.

Why Join Us?

  • HMO on Day 1
  • Paid Time-offs
  • Fixed Weekends Off
  • Free Lunch

Ready to take the next step in your career? Submit your application now


About Us

Lennor Metier Consulting is a top recruitment agency and Headhunters licensed by DOLE. We specialize in IT, Finance, Engineering, Sales & Marketing, Supply Chain, HR & Executive Search. With expertise spanning multiple industries, we leverage our extensive network and industry knowledge to connect leading organizations with top-tier talent, ensuring successful placements that drive business growth and success.

  • --- 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.

Job Type: Full-time

Pay: Php33,000.00 per month

Benefits:

  • Company events
  • Health insurance
  • Staff meals provided

Application Question(s):

  • Can you start ASAP?
  • What is your current basic pay?
  • How much is your salary expectation?

Work Location: In person



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