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Med Claims Analyst AR

Company

HCM Nexus Consulting

Location

Manila, Metro Manila

Type

Full-time

Job Description

We are looking for a Medical Claims Analyst (AR) to join our growing US Healthcare team. This role involves handling both inbound and outbound calls (30% outbound) to ensure accurate and timely resolution of accounts receivable and medical claims. Youll collaborate with healthcare providers and insurance representatives to process claims efficiently and ensure client satisfaction.


Qualifications:


  • At least 1st year undergraduate or High School graduate
  • Minimum of 1 year experience in US Healthcare provider or billing (hospital or physician billing) and AR collections
  • Strong knowledge of US healthcare and insurance terminologies (copay, coinsurance, deductibles)
  • Familiar with CMS-1500 and UB-04 claim forms
  • Proficient in interpreting Explanation of Benefits (EOB)
  • Excellent communication and ...
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