Deskripsi Pekerjaan
Are you an experienced professional looking to advance your career in medical billing and revenue cycle management? Med-Metrix International is seeking a detail-oriented Medical Claims Analyst (AR Follow Up) to join our dynamic team in Pasig City. In this role, you will play a pivotal part in optimizing our financial health by managing accounts receivable, ensuring timely reimbursements, and resolving complex billing discrepancies.
As a Medical Claims Analyst, you will leverage your expertise in insurance guidelines and healthcare compliance to accelerate collections and reduce aging accounts. We are looking for a problem-solver who thrives in a fast-paced environment and is committed to maintaining the highest standards of accuracy in medical documentation and claim processing. If you are passionate about healthcare finance and eager to contribute to a global leader in medical solutions, we want to hear from you.
Tanggung Jawab
- Manage the end-to-end accounts receivable process, ensuring timely follow-up on unpaid or denied claims.
- Review and analyze patient accounts to identify billing errors, documentation gaps, and denial patterns.
- Communicate professionally with insurance carriers and healthcare providers to resolve claim issues and expedite payments.
- Perform accurate allowance posting and reconciliation of insurance payments.
- Maintain comprehensive documentation of all collection activities and follow-up efforts in the billing system.
- Ensure strict adherence to HIPAA compliance and medical billing regulations.
- Collaborate with internal departments to address billing disputes and improve overall revenue cycle performance.
Kualifikasi
- Bachelor’s degree in Healthcare Administration, Nursing, Finance, or a related field.
- Minimum of 2 years of experience in medical billing, AR follow-up, or revenue cycle management (US Healthcare experience preferred).
- Strong knowledge of medical terminology, ICD-10/CPT coding, and various insurance claim formats (CMS-1500, UB-04).
- Proficiency in using Practice Management (PM) systems and Electronic Health Records (EHR).
- Excellent analytical skills with a high level of attention to detail and data integrity.
- Strong verbal and written communication skills for effective provider/payer interaction.
- Ability to work independently and manage time effectively to meet collection targets.