A/R Follow-Up Specialist

4 days ago


Pasig, Philippines Connext Full time

A/R Follow-Up Specialist - Healthcare (Epic) | Onsite (Ortigas, Angeles, Davao) Connext Pasig, National Capital Region, Philippines The A/R Follow-Up Specialist is responsible for billing, re-billing, post-payment, and account follow-up on assigned hospital accounts receivable. The role manages claim status checks, denials, appeals, and payer communication to ensure accurate reimbursement and timely resolution. Annual Merit Increase Supplemental Pay Responsibilities Verify patient eligibility, authorizations, and claim status through payer portals; update demographics and insurance details. Research and resolve denied or unpaid claims, including EOB review, underpayment verification, and appeals preparation. Communicate with insurance payers to secure payments and respond to documentation requests. Prepare claims for audits and ensure accurate processing through collaboration with billing, coding, and payment teams. Maintain HIPAA compliance, document all activities, and follow payer guidelines and submission requirements. Qualifications Experience using Microsoft Word and Excel. Familiar with ICD‑10, CPT, HCPCS, and NCCI. Familiar with billing claim forms (UB04/1500). Hands‑on experience with health information systems (EMR, Claim Scrubbers, Patient Accounting Systems, etc.). Knowledge in third‑party billing guidelines and payor contracts. Demonstrates strong organizational and time‑management skills with the ability to prioritize tasks effectively. Clear and coherent written and verbal communication skills in English. Screening Criteria High school diploma or equivalent required. Minimum of two (2) years of experience in medical collections or billing. Experience using EPIC and/or Cerner healthcare software is a plus. Must have a stable employment history. #J-18808-Ljbffr



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