Med Claims Analyst AR

2 days ago

Manila, National Capital Region, Philippines Nexus Recruitment Group Full time


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. Youll 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


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