Healthcare Denials Analyst - Technical (Night Shift)

MicroSourcing; Taguig; On-site; PHP 391,000 - 670,000; Full time

Benefits offered by this job

Healthcare coverage from Day 1

Paid time off with cash conversion

Group life insurance

Performance bonuses

Job summary

MicroSourcing in BGC, Taguig City is seeking a Healthcare Denials Analyst (Technical) to manage and resolve non-clinical (technical and administrative) claim denials within the US healthcare revenue cycle. You will analyze denial root causes, correct claim issues, prepare technical appeals, and collaborate with payers and internal stakeholders to maximize reimbursement and reduce denials.

You will review denied claims, interpret CARC/RARC codes, correct demographic and CPT/ICD coding issues,

Qualifications

• Minimum 1 year experience in technical denials or US healthcare revenue cycle.
• Senior High School Diploma or equivalent.
• Working knowledge of US revenue cycle management and medical billing.
• Knowledge of ICD-10, CPT/HCPCS, CMS-1500, UB-04, CARC/RARC denial codes.
• Familiarity with EMR systems such as Epic, Cerner, or Meditech.
• Excellent written and verbal English communication skills (CEFR B2).

Responsibilities

• Review denied claims using EOBs, ERAs, and payer portals to identify denial reasons and root causes.
• Interpret denial reason codes (CARC/RARC) and categorize denials (authorization, eligibility, coding, timely filing).
• Correct claim errors related to demographics, insurance, provider details, authorizations, and basic CPT/ICD coding validation.
• Prepare and submit non-clinical appeal letters with supporting documentation.
• Monitor appeal status and perform timely follow-up to ensure resolution.
• Manage denied and unpaid claims within A/R through payer follow-up.
• Collaborate with billing, coding, QA, and other teams to resolve denial issues.
• Maintain documentation, logs, and denial tracking reports for process improvement.

Skills

English proficiency

Analytical thinking

Problem solving

Time management

Attention to detail

Education

Bachelor's degree in Healthcare Administration

Tools

Epic

Cerner

Meditech

Denial management systems

Job description

MicroSourcing in BGC, Taguig City is seeking a Healthcare Denials Analyst (Technical) to manage and resolve non-clinical (technical and administrative) claim denials within the US healthcare revenue cycle. You will analyze denial root causes, correct claim issues, prepare technical appeals, and collaborate with payers and internal stakeholders to maximize reimbursement and reduce denials.

You will review denied claims, interpret CARC/RARC codes, correct demographic and CPT/ICD coding issues,