AR Medical Claims Analyst - Night Shift

Risewave Consulting Inc.; Pasig; On-site; PHP 279,000 - 391,000; Full time

Benefits offered by this job

Performance Bonus

Health Insurance

HMO

Job summary

Risewave Consulting Inc. is seeking experienced Medical Claims Analysts - Accounts Receivable (AR) to join our healthcare operations team in Pasig on an on-site, full-time basis. The role focuses on handling provider billing, AR collections, and timely claims resolution, with an emphasis on CMS-1500 and UB-04 forms.

Ideal candidates have 1+ year of healthcare AR experience, strong communication skills, and knowledge of EOBs, copays, coinsurance, and deductibles. Night shift work is required.

Qualifications

• 1 year healthcare provider experience in AR collections.

Responsibilities

• Review, analyze, and process medical claims submitted on CMS-1500 and UB-04 forms.
• Perform end-to-end Accounts Receivable (AR) follow-up to ensure claims are paid promptly.
• Contact insurance companies via outbound calls to resolve claim denials, underpayments, and rejections.
• Interpret Explanation of Benefits (EOBs) to identify payment discrepancies and determine appropriate actions.
• Ensure accuracy and compliance with healthcare billing and insurance standards.
• Document all actions taken in the system, maintaining detailed and up-to-date claim records.
• Collaborate with internal teams and clients to improve claim resolution processes and reduce aging AR.

Skills

Healthcare AR

Communication skills

Outbound calls

EOB interpretation

CMS-1500 / UB-04

Attention to detail

MS Office

Education

Bachelor degree

Tools

Billing systems

Job description

Risewave Consulting Inc. is seeking experienced Medical Claims Analysts - Accounts Receivable (AR) to join our healthcare operations team in Pasig on an on-site, full-time basis. The role focuses on handling provider billing, AR collections, and timely claims resolution, with an emphasis on CMS-1500 and UB-04 forms.

Ideal candidates have 1+ year of healthcare AR experience, strong communication skills, and knowledge of EOBs, copays, coinsurance, and deductibles. Night shift work is required.