Medical Claims Analyst (AR) – Onsite, PTO & Growth

Nexus Recruitment Group; Manila; Sur place; PHP 279 000 - 446 000; Plein temps

Avantages offerts par ce poste

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

Résumé du poste

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%).

Responsabilités

• 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.

Connaissances

US healthcare terms

Communication skills

Problem solving

Outbound calls

Formation

1st year undergraduate

High School graduate

Outils

CMS-1500

UB-04

Description du poste

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.