The Medical Claims Analyst is responsible for collections, account follow up, billing and allowance posting for the accounts assigned to them.
Duties and Responsibilities
• Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites • Meets and maintains daily productivity/quality standards established in departmental policies • Uses the workflow system, client host system and other tools available to them to collect payments and resolve accounts • Adheres to the policies and procedures established for the client/team • Knowledge of timely filing
Work Setup:
Onsite - Pasig
Qualifications:
•At least 1st college undergraduate or High School Graduate.
•Must have at least 1 YEAR of US healthcare provider (hospital or physician billing) experience and AR collections experience.
•Must have knowledge in interpreting Explanation of Benefits (EOB)
•Must be familiar with medical claim forms CMS-1500 and UB-04
