Medical Claims Analyst

Stark Asia Solutions Inc; Metro Manila; On-site; PHP 240,000 - 360,000; Full time

Job summary

Stark Asia Solutions Inc is hiring a Medical Claims Analyst to work onsite during US hours / night shift for US healthcare clients. Role focuses on claims processing and AR collections within a BPO environment.

Ideal candidates hold a high school diploma or are first-year college undergraduates, with at least 1 year US healthcare experience, familiarity with CMS-1500 and UB-04, EOB interpretation, and strong communication skills. Night shift and on-site work required.

Qualifications

• High school diploma or 1st-year college student.
• 1 year US healthcare experience in hospital/physician billing and AR collections/claims processing in a BPO setting.
• Familiarity with CMS-1500 and UB-04 claim forms, EOB interpretation, and common insurance terms.

Responsibilities

• Outbound calls to US insurance payers for claim status verification and payment disputes.
• Maintain clear, professional communication with clients and internal teams.
• Adhere to US hours and on-site work requirements.

Education

High School Graduate

First-year college undergraduate

Tools

CMS-1500 familiarity

UB-04 familiarity

EOB interpretation

US payer communications

Job description

Role: Medical Claims Analyst
Work Set-up: Onsite
Work Schedule: US Hours / Night Shift

What You Need to Qualify:

• At least a High School Graduate or 1st-year college undergraduate.
• Minimum 1 year of US Healthcare experience (Hospital/Physician billing) and AR Collections / Claims Processing in a BPO setting.
• Familiarity with medical claim forms (CMS-1500 and UB-04), EOB interpretation, and key insurance terms (copay, coinsurance, deductibles).
• Experience in making outbound calls to US insurance payers for claim status verification and payment disputes.
• Above-average written and verbal communication skills.