US Medical Billing Analyst

Job Expectations:

• Position Type: Experienced - Individual Contributor
• Employment Type: Full-Time; Permanent (Direct Hire)
• Work Setup & Location: Onsite - Ortigas, Pasig (hybrid depends on performance after a few months)
• Work Schedule: Weekdays; Graveyard Shift (EST)
• Industry: Outsourcing and Offshoring Consulting (US Healthcare)

About the Job:

We are seeking a proactive and detail-oriented Research and Billing Analyst to join our client's team and support billing and collections for new third-party payer lines identified by the Research and Strategy department. In this role, you will ensure accurate and timely billing operations, maintain compliance with industry regulations, and collaborate closely with cross-functional teams to support the successful integration of new payer sources. This position reports directly to the Research and Strategy Manager.

Key Responsibilities:

• Prepare and submit accurate billing claims to new third-party payers in accordance with established billing cycles.
• Monitor and follow up on outstanding accounts receivable to ensure timely payments, including identifying and processing billing adjustments as needed.
• Collaborate cross-functionally with internal teams to ensure the smooth execution of billing and collections responsibilities.
• Maintain accurate and organized records and documentation related to billing and collections activities.
• Enter and manage authorization information within the Paradigms system to support accurate and seamless billing processes.
• Perform clerical and administrative tasks related to the management of new payer records and information.
• Ensure compliance with industry regulations, payer requirements, and internal billing procedures.
• Verify client eligibility for benefits with third-party payers prior to billing submission.
• Perform other related duties as assigned.

Qualifications:

• Bachelor's Degree in Finance, Nursing, or a related field.
• At least 2 years of experience in billing, collections, or working with third-party healthcare payers.
• Strong follow-up, time management, and communication skills with a high attention to detail.
• Experience using project management tools such as Monday, Asana, or Jira is preferred.
• Proficient in Microsoft Office applications, including Outlook, Word, and Excel.
• Ability to adapt to new processes and work effectively in a collaborative, fast-paced environment.
• Can start immediately, if possible.

Benefits:

• Day 1 HMO coverage for the principal
• Government-mandated benefits (SSS, Pag-IBIG, PhilHealth, etc.)
• Prorated 13th Month Pay
• Prorated Paid Time Off upon regularization (22 days combined vacation and sick leave; up to 5 unused days may be carried over)
• 10% Night Differential

Recruitment Process:

• Phone Screening
• Personality Test
• Operations Interview
• Client Interview
• Job Offer

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