Medical Claims Analyst: Drive Timely Payments & Insights

MED-METRIX INTERNATIONAL PH-I, INC.; Pasig; On-site; PHP 335,000 - 580,000; Full time

Benefits offered by this job

8-Hour Shifts

Fixed weekends off

HMO for dependents

Group Life Insurance

Medical Cash Allowance

Rice Allowance

Clothing Allowance

Holiday Gift

Bereavement Assistance

Free Lunch Daily

Paid Time Off

Staff Development

Employee Engagement Activities

Internal Mobility

Job summary

MED-METRIX INTERNATIONAL PH-I, INC. is hiring a Medical Claims Analyst in Pasig to manage collections, account follow up, billing and allowance posting for the accounts assigned to them.

You will work with a collaborative team to ensure accurate claims processing and timely payments, while contributing to process improvements. This onsite role in Pasig requires healthcare AR/collections experience and offers ongoing development, competitive benefits on hire, and opportunities for internal

Qualifications

• Minimum 1 year in Healthcare Accounts Receivable/Collections in a BPO setting with US healthcare experience.
• Mix of 70% back-office support and 30% outbound call support.
• Experience with medical billing and AR collections.
• Experience processing workers' compensation benefits.

Responsibilities

• Follow-up with payers to ensure timely resolution of outstanding claims via phone, emails, fax or websites.
• Meets and maintains daily productivity/quality standards established in departmental policies.
• Uses workflow system and client host systems to collect payments and resolve accounts.
• Adheres to client policies and HIPAA rules and procedures.
• Knowledge of timely filing deadlines for each designated payer.
• Performs research on payer-specific billing guidelines as needed.
• Identify and correct payer payment delays and trends to reduce denials.
• Communicate identified issues/trends to management.
• Initiate appeals when necessary.
• Understand and address under or over payments and credit balances.
• Assist with special AR projects requiring analytical communication of results.
• Work cooperatively and maintain confidentiality at all times.
• Handle tasks independently from assigned work queues.
• Maintain a professional attitude.
• Other duties as assigned by management.
• Comply with HIPAA and information security policies at all times.

Skills

AR Collections

Billing & Denials

Payer Follow-Up

HIPAA Compliance

Job description

MED-METRIX INTERNATIONAL PH-I, INC. is hiring a Medical Claims Analyst in Pasig to manage collections, account follow up, billing and allowance posting for the accounts assigned to them.

You will work with a collaborative team to ensure accurate claims processing and timely payments, while contributing to process improvements. This onsite role in Pasig requires healthcare AR/collections experience and offers ongoing development, competitive benefits on hire, and opportunities for internal