HCM Nexus

Med Claims Analyst AR

HCM Nexus  •  Manila, PH (Onsite)  •  15 days ago
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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 problem-solving skills
  • Willing to handle outbound calls (30%)

Perks & Benefits:

8-Hour Shifts, Fixed Weekends Off
Day 1 HMO (covers employee + 2 dependents for FREE)
Medical Cash Allowance
Rice and Clothing Allowance
Free Daily Lunch (for onsite employees)
Paid Time Off: 2.5 leave credits every quarter (upon regularization)
Training and Staff Development Programs
Employee Engagement Activities
Opportunities for Internal Mobility and Career Growth

HCM Nexus

About HCM Nexus

HCM Nexus Consulting Inc. has been providing quality staffing and effective solutions to our clients since 2012. We aim to build strong human relationships by providing HR solutions that fit your talent and process needs.

> Recruitment Solutions (Outsourced Staffing, Executive Search, RPO for volume requirements)

>L&D Services - Bespoke Services based on your companies needs, timeline and budget

>Outsourced HR Services - Transactional and Strategic HR Services

Interested? Please send an email to partnerships@hcmnexus.com or Topher.Astraquillo@hcmnexus.com

Looking for a job or the right career? We help you get the Next Big Thing (send your CV to jobs@hcmnexus.com).

Industry
Unknown
Company Size
11-50 employees
Headquarters
Makati, PH
Year Founded
2012
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