Medical Claims Analyst
1 $ per yearFull-time
Stark Asia Solutions Inc.
Qualifications:
- At least 1st year college undergraduate or HS graduate
- Must have at least 1 year of US Healthcare provider (hospital or physician billing) experience and AR collections experience
- With above average communication skills and willing to do outbound calls
- Familiar with key healthcare and insurance terminologies including copay, coinsurance, and deductibles
- Must have knowledge in interpreting Explanation of Benefits (EOB)
- Must be familiar with medical claim forms (CMS - 1500 and UB - 04)
Responsibilities
- Handle outbound and inbound calls related to healthcare billing and accounts receivable (AR) collections.
- Follow up on unpaid medical claims and resolve billing discrepancies with insurance companies and patients.
- Interpret Explanation of Benefits (EOB) and explain claim outcomes to providers or patients.
- Review and process medical claims using CMS-1500 and UB-04 forms.
- Apply knowledge of insurance terms such as copay, coinsurance, and deductibles in daily tasks.
- Maintain accurate records of claim status, payments, and collection activities.
- Communicate clearly and professionally with US healthcare providers, insurance payers, and patients.
- Ensure compliance with healthcare billing guidelines, policies, and procedures.
Vacancy posted 11 hours ago
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