job description
Join Med-Metrix International as a Medical Claims Analyst (AR Follow-Up) and play a pivotal role in optimizing revenue cycle management for our global healthcare clients. Based in the vibrant and culturally rich locations of Bali, Indonesia, you will ensure timely and accurate collections, account follow-ups, and billing processes to maximize financial performance for assigned accounts.
This position offers a unique opportunity to work in a dynamic, international environment while contributing to the efficiency and integrity of healthcare financial operations. Ideal for detail-oriented professionals with a passion for problem-solving and a commitment to excellence in medical billing and accounts receivable management.
At Med-Metrix International, we value precision, collaboration, and continuous improvement. If you thrive in a fast-paced setting and are eager to make a tangible impact in the healthcare industry, we invite you to apply and grow with us.
Responsibility
- Perform accounts receivable (AR) follow-ups with insurance companies, patients, and third-party payers to resolve outstanding claims and ensure timely payments.
- Investigate and resolve denied, rejected, or underpaid claims by analyzing remittance advice (RA) and explanation of benefits (EOB) documents.
- Accurately post payments, adjustments, and allowances in the billing system to maintain up-to-date financial records.
- Collaborate with billing teams, providers, and payers to clarify discrepancies and facilitate claim resolutions.
- Generate and analyze aging reports to prioritize follow-ups and reduce accounts receivable days.
- Prepare and submit appeals and corrected claims with supporting documentation to recover unpaid balances.
- Maintain compliance with HIPAA, GDPR, and other regulatory requirements to protect patient confidentiality and data integrity.
- Provide regular reports and insights to management on AR performance, trends, and areas for improvement.
Qualifications
- Bachelor’s degree in Healthcare Administration, Finance, Accounting, or a related field; equivalent experience may be considered.
- Minimum 2 years of experience in medical billing, AR follow-up, or revenue cycle management, preferably in an international or outsourced setting.
- Strong knowledge of medical terminology, CPT, ICD-10, and HCPCS coding systems.
- Proficiency in using billing software (e.g., Epic, Cerner, Meditech) and Microsoft Office Suite, particularly Excel.
- Excellent communication, negotiation, and problem-solving skills to interact with payers and internal stakeholders.
- Ability to analyze complex data and generate actionable insights to improve collection rates.
- Familiarity with healthcare compliance regulations (e.g., HIPAA, GDPR) and industry best practices.
- High attention to detail and ability to work independently or in a team under tight deadlines.