Medical Claims Analyst

Lennor Group; United States; On-site; USD 5,700 - 6,400; Full time

Job summary

Lennor Metier is recruiting for a healthcare Revenue Cycle role in Ortigas to support US insurance follow-up and claims processing. You will handle claims resolution, follow-ups via phone and email, and ensure accurate documentation and compliance on HIPAA standards.

The ideal candidate has at least 1 year of US insurance follow-up experience, strong claims processing knowledge, and excellent English communication. Onsite work with a night shift from 9 PM to 5 AM, with weekends off, is required.

Qualifications

• US Insurance follow-up experience required.
• Strong understanding of claims processing for providers (physicians and/or hospitals).
• Ability to explain EOBs, claims, and denials effectively.
• Above-average English communication skills.

Responsibilities

• Claims Processing & Resolution
• Follow up on outstanding claims via phone, email, or online portals.
• Analyze and resolve claim discrepancies to prevent payment delays.
• Identify and correct medical billing errors.
• Process appeals with proper documentation and communication.
• Maintain accurate records of underpayments, overpayments, and credit balances.
• Research payer-specific billing guidelines and policies.
• Adhere to timely filing deadlines and compliance standards.
• Track and report claim trends to minimize denials.
• Ensure HIPAA and data protection compliance.
• Maintain confidentiality and professionalism in all interactions.
• Work independently while coordinating with internal teams on claim resolutions.
• Provide support on special Accounts Receivable (A/R) projects as needed.

Skills

US Insurance Follow-Up

Claims processing

English communication

Onsite Ortigas requirement

Education

High school graduate

Job description

COMPANY OVERVIEW

Our client is an organization operating within the healthcare technology and services sector, focused on end to end Revenue Cycle Management . The company serves globally and is committed to delivering quality solutions, operational excellence, and sustainable business growth. Additional information about the organization will be shared with selected candidates at the appropriate stage of the recruitment process.

Location:Ortigas

Work Setup:Onsite, Night shift

Compensation: ₱33,000 package

KEY RESPONSIBILITIES

• Claims Processing & Resolution
• Follow up on outstanding claims via phone, email, or online portals.
• Analyze and resolve claim discrepancies to prevent payment delays.
• Identify and correct medical billing errors.
• Process appeals with proper documentation and communication.

Billing & Account Management

• Maintain accurate records of underpayments, overpayments, and credit balances.
• Conduct research on payer-specific billing guidelines and policies.
• Adhere to timely filing deadlines and compliance standards.

Reporting & Compliance

• Track and report claim trends to minimize denials.
• Ensure compliance with HIPAA and data protection regulations.
• Maintain confidentiality and professionalism in all interactions.

Collaboration & Special Projects

• Work independently while coordinating with internal teams on claim resolutions.
• Provide support on special Accounts Receivable (A/R) projects as needed.
• Act courteously and professionally with patients, providers, and stakeholders.

REQUIRED QUALIFICATIONS

• Education: At least a high school graduate.
• Experience: Minimum 1 year of US Insurance Follow-Up (outbound) experience.
• Strong understanding of claims processing for providers (physicians and/or hospitals).
• Ability to explain EOBs, claims, and denials effectively.
• Communication: Above-average English communication skills.
• Work Setup: Must be willing to work onsite in Ortigas, Pasig.
• Schedule: US shift (9 PM - 5 AM) with fixed weekends off.

___

ABOUT LENNOR METIER

Lennor Metier is a specialized executive search and professional recruitment firm helping organizations hire leadership, finance, accounting, human resources, sales, marketing, supply chain, operations, and business-critical talent.

EQUAL OPPORTUNITY STATEMENT

Lennor Metier is committed to fostering an inclusive and equitable recruitment process. All qualified applicants will receive consideration based on their qualifications, experience, capabilities, and business requirements.

DATA PRIVACY NOTICE

By submitting your application, you acknowledge that your personal information may be collected, processed, stored, and shared with authorized stakeholders solely for recruitment-related purposes in accordance with applicable data privacy laws and regulations.