Deskripsi Pekerjaan
Welcome to Med-Metrix International, a leader in healthcare revenue cycle management. We are currently seeking a highly motivated Medical Claims Analyst (AR Follow Up) to join our team in Pasig City. In this critical role, you will be responsible for end-to-end management of accounts receivable, including claims follow-up, denial resolution, billing, and payment posting. Your efforts will directly impact our clients' revenue streams and operational efficiency.
At Med-Metrix, we understand the complexities of medical billing. We empower our employees with the latest tools and training to excel. As a Medical Claims Analyst, you will analyze claim data, identify trends, and implement strategies to reduce denials. You will work closely with insurance carriers to ensure accurate and prompt payment. This position requires strong analytical skills, attention to detail, and a thorough understanding of healthcare billing practices.
We offer a supportive and collaborative work environment where your contributions are recognized. With a focus on continuous improvement, you will have opportunities to enhance your skills and grow within the organization. Med-Metrix is dedicated to providing top-notch services to our clients, and you will be an integral part of that mission.
If you have experience in medical claims analysis and a passion for revenue cycle management, we invite you to apply. Join us and contribute to a team that values your expertise and offers a competitive compensation package, including health benefits, performance bonuses, and career development programs. Take the next step in your professional journey with Med-Metrix International.
Tanggung Jawab
- Follow up on aged accounts receivable to ensure timely payment of claims.
- Review and resolve claim denials and rejections from insurance payers.
- Post payments and adjustments accurately to patient accounts.
- Communicate with insurance companies to verify claim status and rectify discrepancies.
- Analyze billing data to identify and resolve issues affecting revenue cycle.
- Prepare reports on collection activities and account status.
- Collaborate with team members to optimize reimbursement processes.
Kualifikasi
- At least 1-2 years of experience in medical billing or claims analysis.
- Knowledge of medical terminology, coding (ICD-10, CPT) and payer guidelines.
- Strong analytical and problem-solving skills.
- Excellent attention to detail and accuracy.
- Proficient in using billing software and Microsoft Office applications.
- Ability to communicate effectively with payers and internal teams.
- Associate or Bachelor's degree in healthcare administration or related field preferred.
- Certified Professional Coder (CPC) or equivalent certification is a plus.