job description
Join Med-Metrix International as a Medical Claims Analyst (AR Follow-Up) in beautiful Bali, Indonesia! In this pivotal role, you will ensure the financial health of our healthcare clients by managing collections, account follow-ups, billing, and allowance postings with precision and professionalism.
As part of our dynamic team, you will collaborate with cross-functional departments to resolve discrepancies, optimize revenue cycles, and maintain accurate financial records. Your expertise will directly contribute to improving cash flow and reducing outstanding accounts receivable (AR) for our global healthcare partners.
This is an exceptional opportunity for detail-oriented professionals with a passion for healthcare finance to thrive in a fast-paced, international environment. Enjoy the work-life balance Bali offers while advancing your career with a leading name in medical claims management.
Responsibility
- Perform daily follow-ups on outstanding medical claims and accounts receivable (AR) to ensure timely payments.
- Investigate and resolve billing discrepancies, denials, and underpayments by liaising with insurance companies, patients, and internal teams.
- Post payments, adjustments, and allowances accurately in the billing system while maintaining meticulous documentation.
- Generate and analyze AR aging reports to identify trends, prioritize collections, and recommend process improvements.
- Collaborate with healthcare providers and payers to clarify claim details, verify eligibility, and secure necessary authorizations.
- Prepare and submit appeals for denied or rejected claims with supporting documentation to maximize reimbursement.
- Maintain compliance with healthcare regulations (e.g., HIPAA) and company policies in all financial transactions.
- Provide regular updates to management on collection performance, challenges, and action plans.
Qualifications
- Bachelor’s degree in Accounting, Finance, Healthcare Administration, or a related field. Relevant certifications (e.g., CMAS, CPC) are a plus.
- Minimum 2 years of experience in medical billing, AR follow-up, or healthcare revenue cycle management.
- Proficiency in medical billing software (e.g., Epic, Cerner, Meditech) and Microsoft Office Suite (Excel, Word).
- Strong understanding of ICD-10, CPT, HCPCS coding, and insurance claim processes (e.g., Medicare, Medicaid, commercial payers).
- Excellent analytical, communication, and negotiation skills to resolve complex billing issues.
- Ability to work independently, meet deadlines, and manage multiple priorities in a high-volume environment.
- Familiarity with international healthcare billing standards is advantageous.
- Fluency in English (written and verbal); knowledge of Indonesian is a bonus.