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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 knowledge of medical terminology.
    • Accurate and timely claims submission.
    • Submit and monitor U.S. healthcare insurance claims.
    • Bill primary and secondary claims.
    • Un-billable claims are sent back to FD with notes (regarding what is needed and that once received back, corrected claims are…
    • Proven experience in U.S. medical coding, medical billing, claims processing, or revenue cycle management (RCM).
    • Schedule: 8 HRS plus 1 HR non-paid break.
    • Strong understanding of medical billing workflows, claim submission, and coding fundamentals.
    • Maintain accurate billing records and claim documentation.
    • Communicate claim decline decisions professionally and sensitively.
    • HMO with 2 free dependents and medical reimbursements.
    • Strong understanding of the medical billing revenue cycle.
    • Communicate with insurance representatives regarding claim status and reimbursement.
    • Knowledgeable in EOB interpretation and claims processing.
    • Perform outbound calls to insurance companies for claim status and resolution.
    • The claims analyst will process and reconcile claims advice and claims payment-related transactions with a strong focus on accuracy, timeliness, customer…
    • Submit medical claims accurately and efficiently to insurance payers.
    • You will spend the majority of your day submitting medical claims, following up with…
    • Maintain clear, complete, and audit-ready claim notes to support all claim decisions.
    • Medicare and Medi-Cal claims processing.
    • Experience with claims processing, denial management, claims follow-up and collections.
    • OBGYN medical billing experience strongly preferred.
    • You will primarily handle US medical billing accounts receivable, claim follow-ups, denial resolution, and payer communication.
    • 2+ years of experience working closely with US healthcare claims or in a claims processing/adjudication environment.
    • Work Setup: In‑Office Training Required.
    • You will primarily handle US medical billing accounts receivable, claim follow-ups, denial resolution, and payer communication.
Medical Claims Analyst
PHP 30,000 - PHP 33,000 a month
Full-time

Job details

Here’s how the job details align with your profile.

Pay

PHP 30,000 - PHP 33,000 a month

Job type

Full-time

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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