Medical Claims Analyst - Accounts Receivable
Full-time
Risewave Consulting Inc.
The Medical Claims Analyst is responsible for collections, account follow-up, billing, and
allowance posting for assigned accounts. The role ensures accurate, timely resolution of outstanding claims through proactive follow-up and analytical problem-solving.
Responsibilities:
- Follow up with payers via phone, email, fax, or payer portals to ensure timely resolution of outstanding claims.
- Meet and maintain daily productivity and quality standards.
- Use workflow systems, client host systems, and other tools to collect payments and resolve accounts.
- Adhere to all client and team policies and procedures.
- Maintain knowledge of timely filing deadlines for designated payers.
- Research payer-specific billing guidelines as needed.
- Analyze and resolve issues causing payer payment delays.
- Identify trends in claim issues to proactively reduce denials.
- Communicate identified issues and trends to management.
- Initiate and process appeals when necessary.
- Identify and correct medical billing errors.
- Prepare and send accurate appeal documentation and supporting records.
- Understand underpayments, overpayments, and credit balance processes.
- Assist with special A/R projects as needed; strong analytical and communication skills required.
- Maintain cooperative and courteous communication with patients, visitors, coworkers, management, and clients.
- Protect and handle PHI in accordance with HIPAA standards.
- Work independently using assigned work queues.
- Maintain confidentiality and professionalism at all times.
- Perform other duties as assigned by management.
Qualifications:
- Must be willing to work night shifts/shifting schedule in Ortigas, Pasig (Full Onsite).
- Completed at least High School education.
- Minimum of 1 year of Healthcare Accounts Receivable/Collections experience in a BPO environment (claims payment processing, status/tracking, medical billing, AR follow-ups, denials, appeals).
- Experience in Medical Claims/Billing and AR collections.
- Background in calling insurance payers to verify claim status and resolve payment disputes.
Vacancy posted 8 hours ago
Similar jobs that could be interesting for youBased on the Medical Claims Analyst - Accounts Receivable in Pasig vacancy
- ...The Medical Claims Analyst is responsible for collections, account follow-up, billing, and allowance posting for assigned accounts. The role ensures accurate, timely... .... Minimum of 1 year of Healthcare Accounts Receivable/Collections experience in a BPO environment (...
- ...Medical Claims Analyst The Medical Claims Analyst is responsible for collections, account follow-up, billing, and allowance posting. The role ensures timely and accurate resolution of outstanding medical claims through proactive follow-up and strong analytical problem...
1 $ per year
...interpreting Explanation of Benefits (EOB) Must be familiar with medical claim forms (CMS - 1500 and UB - 04) Responsibilities... ...outbound and inbound calls related to healthcare billing and accounts receivable (AR) collections. Follow up on unpaid medical claims and...- ...year experience in US healthcare provider accounts (hospital or physician billing) With hands-on experience in Accounts Receivable (AR) collections Above-average... ...Explanation of Benefits (EOB) Familiar with medical claim forms CMS-1500 and UB-04...
33000 Php
...MED-METRIX IS HIRING! Location: Pasig City Position: Medical Claims Analyst – AR Earn Up to ₱33,000 Monthly! 8-Hour Shift Fixed Weekends... ...managing and resolving outstanding insurance and patient accounts to ensure timely reimbursement. You will review claim...- ...Accounts Receivable (AR) Analyst – Collections Ortigas Center, Pasig City | EU Mid Shift Are you an experienced collections professional who enjoys managing complex accounts, resolving payment issues, and driving results? Join a finance team where you'll take ownership...
- ...We are looking for experienced Medical Claims Analysts – Accounts Receivable (AR) to join our growing healthcare operations team. The role involves handling provider billing, performing AR collections, and ensuring timely and accurate claims resolution. The ideal candidate...
- ...Key Responsibilities Receives batches of claim transactions. Adjudicates claims based on the Schedule of Benefits, claims protocols, and... ...in Insurance or a related field. Technical knowledge of medical claims or relevant experience in the HMO, Third- Party Administrator...
- ...you want to be considered for this role you will need: Candidates must possess at least a Bachelor's/College Degree (Finance/Accounting/Business course or equivalent) With at least 2 years work experience in the same category Knowledgeable in AR procedures...
- The Claims Assistant reports to the Claims Officer and Assistant Manager, Non-Motor Claims... ...and check correctness of documents received from claimants or intermediaries. Encode... ...Attend to inquiries related to assigned accounts and provide accurate information....
- ...outstanding invoices and payment schedules through calls, emails, and other communication channels. Monitor and maintain the Accounts Receivable (AR) aging report to ensure timely collection of payments. Coordinate with customers regarding payment processes, billing...
- ...The Senior Accounts Receivable Associate is responsible for managing end-to-end Accounts Receivable operations, including invoicing, collections, cash application, and account reconciliations. The role ensures accurate customer account management, timely collection of...
- ...ABOUT THE ROLE We are looking for a detail-driven Accounts Receivable Officer to take ownership of our end-to-end AR function, with a strong focus on invoicing accuracy and collections. This is a fast-paced, high-volume role servicing a diverse client base across the...
- ...Own the full Accounts Receivable cycle for a fast-growing US brand — no gatekeeping requirements, real ownership from day one. If you're... ...flow and process Mentor and support an Accounts Receivable Analyst, reviewing work for quality and accuracy Partner cross-...
- ...Accounts Receivable Responsibilities: Processing, verifying, and posting receipts for goods sold or services rendered. Researching and resolving account discrepancies. Processing and recording transactions. Maintaining records regarding payments and account...
- ...An Accounts Receivable (AR) Assistant would be responsible for various tasks related to managing customer invoices, payments, and account balances. This includes tasks such as generating and distributing invoices, processing payments, monitoring customer accounts for overdue...
- ...Duties and Responsibilities Monitor and manage customer accounts to ensure timely collection of outstanding receivables. Prepare and issue invoices, statements of accounts, and billing documents accurately and on time. Record and reconcile incoming payments, including...
- ...We are seeking an experienced Accounts Receivable and Recruitment Administration Officer to support payroll, invoicing, and timesheet administration functions. This role requires strong attention to detail, excellent organisational skills, and experience working with MYOB...
- ...Job Responsibilities: Communicate with customers to follow up on payments and arrange meetings when required. Manage accounts receivable and monitor outstanding balances. Ensure timely payments and minimize delinquency by contacting customers through phone, email...
- ~ HIRING !!! ~ POSITION: ACCOUNTING STAFF (*Accounts Receivable) ~ Gonna Be Working Under Accounting Department , and Responsible for the Accounts Receivables , Printing of Sales Invoices & Reconciliation of Daily Sales Collection. ~ COMPENSATION & BENEFITS: ~ PHP...
- ...Our client is seeking for an Accounts Receivable Specialist to join their team! Reporting to the Corporate Accounting Manager, the Accounts Receivable Specialist is a member of the Finance team and will be responsible for cash application of client receipts. The position...
- ...Manage and monitor customer accounts and payments to ensure timely collection. Prepare and send invoices, statements, and reminders... ...with other departments to facilitate smooth accounts receivable processes. Requirements Educational Qualifications: Bachelor...
- ...Perform any combination of the following: calculating, posting, and verifying duties to obtain financial data for use in maintaining accounting records Compute and record charges, refunds, cost of lost or damaged goods Prepare account statements, ageing reports, and...
- ...Qualifications: ~ Bachelor's Degree in Accounting or a related degree. ~5 years and up relevant work experience. ~ Must have excellent... ...Netsuite system. Generate reports detailing account receivable status Monitors and consolidates daily sales and remittances...
- ...meetings, and formal collection letters to secure payment of overdue accounts. Prepare and maintain collection schedules and follow-up... ...in improving collection processes and reducing outstanding receivables. Coordinate with the Finance Manager and other departments...
- ...Supervise and manage the accounts receivable team to ensure timely collection of payments and maintenance of financial records. Oversee the billing and invoicing processes, ensuring accuracy and compliance with company policies. Monitor overdue accounts and implement...
- ...Process accounts receivable transactions and ensure accurate posting to customer accounts. Assist in the preparation and maintenance of financial reports related to receivables. Communicate with clients regarding outstanding invoices and payment discrepancies....
- ...Description Manage and monitor accounts receivable transactions to ensure timely and accurate processing. Reconcile customer accounts and resolve discrepancies in a prompt manner. Prepare and send out invoices, and track payments to maintain cash flow. Communicate...
- ...provides broad administrative and clerical support in the accounting department helping out in capturing data, generating reports and... ...to the correct accounts 4. Reconciling the accounts receivable ledger to ensure all payments are accounted for and properly...
- ...your career with the largest and leading independent fuel company in the country - join us as our next Corporate Accounting Assistant - Accounts Receivable! What is this role about? The role will will complete the Accounts Receivable (AR) Report by validating reimbursements...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medical Claims Analyst - Accounts Receivable. Be the first to apply!
