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Medical Claims Analyst jobs

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    • Identify and correct medical billing errors.
    • Track and report claim trends to minimize denials.
    • Analyze and resolve claim discrepancies to prevent payment…
    • View all Lennor Group jobs - Pasig jobs - Claims Analyst jobs in Pasig
    • Salary Search: Medical Claims Analyst salaries in Pasig
    • Strong understanding of the medical billing revenue cycle.
    • Communicate with insurance representatives regarding claim status and reimbursement.
    • Advantage:* third-party liability, recovery, repair estimates, salvage or related claims documentation.
    • 1–3 years' experience in insurance claims, subrogation,…
    • 2+ years of experience working closely with US healthcare claims or in a claims processing/adjudication environment.
    • Work Setup: In‑Office Training Required.
    • Maintain clear, complete, and audit-ready claim notes to support all claim decisions.
    • Medicare and Medi-Cal claims processing.
    • Medical Plan (HMO) from Day 1 of employment with free dependents.
    • Familiarity with medical claim forms:
    • Manage and follow up on outstanding medical claims and accounts receivable.
    • At least 1 year of AR collections experience.
    • Experienced on medical billing/ AR Collections.
    • Ability to identify and correct medical billing errors.
    • Proficient in processing health and medical insurance…
    • The role is responsible to provide claims expertise support by reviewing, researching, investigating, negotiating and resolving all types of claims as well as…
    • Practical experience with medical billing, claims payment processing, claims status tracking, A/R follow-up, denials, and appeals.
    • Conducts audit and submits claims for patient visits, diagnoses, and medical procedures to insurance companies, patients, and other payers.
    • Monitor submitted claims and perform claims tracing and follow-ups.
    • The ideal candidate has hands-on experience working with U.S. healthcare insurance,…
    • Strong understanding of medical billing workflows, claim submission, and coding fundamentals.
    • Maintain accurate billing records and claim documentation.
    • Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
    • Prepare, review, and transmit claims using billing…
    • Experience with medical chart reviews (minimum 1–2 years preferred).
    • Review patient medical charts for completeness, accuracy, and compliance with CMS Risk…

Job Post Details

Medical Claims Analyst - job post

Lennor Group
Pasig
PHP 30,000 - PHP 33,000 a month

Job details

Pay

  • PHP 30,000 - PHP 33,000 a month

Job type

  • Full-time

Location

Pasig

Full job description

Our brand, Lennor Metier Consulting , a DOLE-licensed headhunting and recruitment agency in the Philippines, is proud to partner with a global RCM Company in their search for a Medical Claims Analyst based in Ortigas .

Industry: Healthcare

Salary Range: ₱33,000 Package

Work Setup: Onsite

Work Schedule: Night Shift

Location: Ortigas

Job Overview

We are looking for a Medical Claims Analyst to manage claim processing, billing, collections, and account reconciliation. This role involves ensuring timely resolution of outstanding claims, identifying billing discrepancies, and maintaining compliance with healthcare regulations. You will work closely with payers, clients, and internal teams to drive efficiency and accuracy in claim management.

Your 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.

What our Client is Looking For:

  • 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.

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