Medical Claims Analyst - AR

RSD Human Resource Management Consultancy; Pasig; On-site; PHP 334,800 - 446,400; Full time

Benefits offered by this job

Performance Bonus

Job Training

Job summary

A human resource management company based in Pasig is looking for a candidate with experience in US healthcare billing. The ideal applicant should be a High School Graduate or 1st-year College Undergraduate and have at least 1 year of experience managing Accounts Receivable collections. Responsibilities include conducting outbound calls for claims resolution, analyzing discrepancies in EOBs, and ensuring accurate claims processing. This is a full-time, on-site position.

Qualifications

• At least a High School Graduate or 1st year College Undergraduate.
• Minimum of 1 year experience in US healthcare provider accounts.
• Hands-on experience in Accounts Receivable collections.

Responsibilities

• Manage and follow up on outstanding AR accounts.
• Conduct outbound calls to insurance companies for claims resolution.
• Analyze EOBs and payment postings to identify discrepancies.

Skills

Communication skills

Accounts Receivable collections

Understanding of healthcare and insurance terms

Ability to interpret Explanation of Benefits

Education

High School Graduate or 1st year College Undergraduate

Job description

RSD Human Resource Management Consultancy

On-site - Pasig 1-3 Yrs Exp High/Senior High School Full-time

Employee Recognition and Rewards

Performance Bonus

Professional Development

Job Training

Qualifications

• At least a High School Graduate or 1st year College Undergraduate
• Minimum of 1 year experience in US healthcare provider accounts (hospital or physician billing)
• With hands-on experience in Accounts Receivable (AR) collections
• Above-average communication skills with confidence in handling outbound calls
• Strong understanding of healthcare and insurance terms such as copay, coinsurance, and deductibles
• Ability to interpret Explanation of Benefits (EOB)
• Familiar with medical claim forms CMS-1500 and UB-04

Responsibilities

• Manage and follow up on outstanding AR accounts
• Conduct outbound calls to insurance companies for claims resolution
• Analyze EOBs and payment postings to identify discrepancies
• Ensure timely and accurate claims processing and collections
• Maintain proper documentation of all account activities

Working Location

RSD Human Resource Management Consultancy, Pasig (On-site)