Night-Shift Medical Bill Review Associate

MedRisk; Mandaluyong; On-site; PHP 167,000 - 335,000; Full time

Job summary

MedRisk in Mandaluyong, Philippines seeks a meticulous Medical Billing Analyst to audit payments and assist in coding complex procedures, ensuring accurate reimbursements and policy compliance.

The role requires a Graveyard shift, willingness to work overtime, weekends, and holidays as needed. Strong analytical skills and MS Office proficiency are essential for success in a fast-paced, team-oriented environment.

Qualifications

• Experience in medical bill review or related field.
• Strong analytical and attention-to-detail skills.
• Proficiency in Microsoft Office applications and relevant bill review systems.
• Ability to interpret medical documentation and reimbursement policies.

Responsibilities

• Audits payment determinations, reconsiderations, and re-reviews on Medical Bill Data.
• Assists in assigning procedure codes regarding complex issues and comprehensive exam codes.
• Examines and adjusts lower-level technical bills, including high-level office visits, reports, and record reviews.
• Analyzes medical reports, test results, and treatment plan to determine proper payment or reimbursement.
• Maintains reference library of company and industry reimbursement policies
• Conducts test studies for the compliance team, requiring high-quality results and strict deadlines.
• Performs other duties as assigned.
• Complies with all policies and standards.

Skills

Analytical skills

Attention to detail

MS Office

Bill review systems

Medical documentation interpretation

Job description

MedRisk in Mandaluyong, Philippines seeks a meticulous Medical Billing Analyst to audit payments and assist in coding complex procedures, ensuring accurate reimbursements and policy compliance.

The role requires a Graveyard shift, willingness to work overtime, weekends, and holidays as needed. Strong analytical skills and MS Office proficiency are essential for success in a fast-paced, team-oriented environment.