Medical Claims Analyst (End-to-End Revenue Cycle Management) - Hybrid Role

Join Eastvantage as a Medical Claims Analyst (End-to-End RCM) and play a pivotal role in optimizing revenue cycle management for healthcare providers. This hybrid position (2 days onsite, 3 days WFH) offers a fixed weekend off, while you help Eastvantage in Canggu, Bali, deliver exceptional service to clients across Indonesia.

As a Medical Claims Analyst, you'll be at the heart of our operations, ensuring that all medical claims are processed accurately and efficiently. You'll work with a variety of stakeholders, including healthcare providers, insurers, and patients, to resolve any issues that may arise. With your expertise in revenue cycle management, you'll help Eastvantage achieve its goal of improving the quality of care and reducing costs for healthcare providers.

This role is perfect for a professional with 3-5 years of experience in medical billing, coding, or revenue cycle management. You'll need to be proficient in using software like Epic, Allscripts, or similar systems, and have a strong understanding of healthcare regulations and compliance. If you're passionate about healthcare and want to make a real difference in the lives of patients, then we want to hear from you.

📋 Tanggung Jawab Pekerjaan

• Process and manage medical claims from inception to final disposition, ensuring accuracy and compliance with industry standards.
• Collaborate with healthcare providers, insurers, and other stakeholders to resolve any issues or discrepancies in claims.
• Utilize revenue cycle management software to track and analyze claims data, identifying trends and opportunities for improvement.
• Ensure all claims are processed in accordance with applicable regulations and guidelines, such as those set by the Centers for Medicare & Medicaid Services (CMS).
• Provide exceptional customer service to healthcare providers, addressing their queries and concerns in a timely and professional manner.
• Stay up-to-date with the latest developments in medical billing, coding, and revenue cycle management, attending relevant training and conferences as needed.
• Participate in quality improvement initiatives, working with cross-functional teams to identify and implement process improvements.
• Maintain accurate and up-to-date records of all claims processed, ensuring compliance with internal and external audit requirements.

🎓 Kualifikasi & Syarat

• Bachelor's degree in healthcare administration, medical billing, finance, or a related field.
• 3-5 years of experience in medical billing, coding, or revenue cycle management.
• Proficiency in using revenue cycle management software, such as Epic, Allscripts, or similar systems.
• Strong understanding of healthcare regulations and compliance, including those set by the Centers for Medicare & Medicaid Services (CMS).
• Excellent analytical and problem-solving skills, with the ability to identify trends and opportunities for improvement.
• Strong communication and interpersonal skills, with the ability to work effectively with a variety of stakeholders.
• Ability to work in a fast-paced, deadline-driven environment, with the flexibility to adapt to changing priorities.
• Certification in medical billing and coding (e.g., CPC, RRC) is a plus.

🛠️ Keahlian

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