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risewave consulting, inc.

US Healthcare AR & Medical Claims Analyst

1-3 Years
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  • Posted 11 hours ago
  • Be among the first 10 applicants
Early Applicant

Job Description

Are you experienced in US healthcare provider-side billing and AR collections Join our growing team and take your career to the next level in a dynamic and supportive environment!

Key Responsibilities:

  • Manage Accounts Receivable (AR) and follow up on unpaid or denied claims
  • Perform outbound calls to insurance companies for claim status and resolution
  • Analyze and interpret Explanation of Benefits (EOB)
  • Ensure accurate billing using CMS-1500 and UB-04 claim forms
  • Identify and resolve claim issues including denials, underpayments, and rejections
  • Maintain productivity and quality targets in a fast-paced environment

Qualifications:

  • At least 1 year of experience in US Healthcare Provider Services (hospital or physician billing)
  • Strong background in AR Collections / Revenue Cycle Management
  • Knowledgeable in EOB interpretation and claims processing
  • Familiar with healthcare terminologies such as copay, coinsurance, and deductibles
  • Experience handling outbound calls to insurance payers
  • Above-average communication skills (verbal & written)
  • Willing to work onsite in Ortigas

Why Join Us

  • Daily FREE Lunch Save more while you work
  • HMO on Day 1 + 2 FREE dependents
  • Career growth in the US Healthcare
  • Supportive team and stable work environment

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Job ID: 145208891