Med Claims Analyst AR

Nexus Recruitment Group; Manila; On-site; PHP 279,000 - 446,000; Full time

Benefits offered by this job

8-hour shifts

Fixed weekends off

Day 1 HMO

Medical cash allowance

Rice and clothing allowance

Free daily lunch (onsite)

Paid time off 2.5 credits/quarter

Training and staff development

Employee engagement activities

Internal mobility opportunities

Job summary

Nexus Recruitment Group is seeking a Medical Claims Analyst (AR) to join our US Healthcare team. The role handles inbound and outbound calls (30% outbound) to ensure accurate and timely AR and medical claims resolution, collaborating with providers and insurers to process claims efficiently.

Qualifications include 1st year undergrad or High School grad, 1 year US healthcare/billing experience, CMS-1500/UB-04 familiarity, and strong EOB interpretation plus excellent communication.

Qualifications

• 1st year undergrad or high school graduate required.
• Minimum 1 year experience in US healthcare provider or billing.
• Knowledge of US healthcare and insurance terminologies.
• Familiar with CMS-1500 and UB-04 claim forms.
• Able to interpret Explanation of Benefits (EOB).
• Excellent communication and problem-solving skills.
• Willing to handle outbound calls (30%).

Responsibilities

• Handle inbound and outbound calls (30% outbound) to resolve AR and medical claims.
• Collaborate with healthcare providers and insurance representatives to process claims.
• Ensure accurate and timely resolution and client satisfaction.

Skills

US healthcare terms

Communication skills

Problem solving

Outbound calls

Education

1st year undergraduate

High School graduate

Tools

CMS-1500

UB-04

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%)

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