AR FOLLOW UP SPECIALIST
3 days ago
JOB SUMMARY We are seeking a detail-oriented and results-driven professional to support the financial integrity of our organization through the accurate and timely recovery of outstanding medical claims. The ideal candidate will bring strong analytical capabilities, exceptional communication skills, and in-depth knowledge of insurance claims processes. This role is instrumental in optimizing revenue cycle performance and ensuring compliance with payer requirements. JOB RESPONSIBILITIES Review and resolve outstanding claim accounts from worklists or management direction, focusing on denied claims across various payers and regions. Analyze account history and conduct in-depth research, including review of patient charts and encounter documentation, to support resolution. Investigate and follow up on denied claims, identifying causes related to coding discrepancies or contract issues. Prepare and attach appropriate documentation, gather additional information, and submit corrected claims to facilitate accurate and timely adjudication. Initiate and manage appeals for denied claims by researching root causes, collecting necessary documentation, making necessary account adjustments, and resubmitting claims. Maintain follow-up activities to ensure final resolution. Communicate claim issues and denial trends to leadership and contribute to continuous process improvement. Identifies, researches, and ensures timely processing of payments and error corrections, ensuring appropriate documentation of payments, allowances, denial, rejections, are recorded on individual accounts Review remittance advice and investigate underpayments or overpayments. Perform additional A/R tasks and support other departmental responsibilities as assigned. Reports security incidents and/or any identified security weaknesses. Performs other tasks that may be assigned from time to time. JOB REQUIREMENTS Graduate of any 4-year college degree Must have 2+ years in a Healthcare BPO setting Knowledge of commercial, HMO, Medicare/Medicaid, and other payer requirements. Working knowledge on the use of insurance payer websites i.e.: Availity, Optum, Medicare, Evicore portals. Working knowledge with Practice Management systems, preferably KAREO a plus. Effective communication abilities with and not limited to team members outside clients and patients. Proven problem-solving skills. The ability to research and resolve complex insurance denials while obtaining a clear understanding to present actionable solutions. Proficient knowledge of medical terminology is likely to be encountered in medical claims denials. Denial management experience is a plus PERKS OF JOINING US Competitive Salary Hybrid arrangement (Training and nesting period is ONSITE-Alabang) HMO on Day1 with FREE ONE DEPENDENT*** 15% Night Differential US Shifts Free Shuttle Employee referral bonus Employee engagements Healthy working environment Free webinars and internal trainings/events and more Office Location: Alabang Corporate Center #J-18808-Ljbffr
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Accounts Receivable Follow up Specialist
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Muntinlupa, Philippines HR TechX Corp. Full timeJob Overview Join to apply for the Accounts Receivable Follow up Specialist role at HR TechX Corp. Responsibilities and Qualifications The successful candidate will have: 2+ years experience in a Healthcare BPO setting Knowledge of commercial, HMO, Medicare/Medicaid, and other payer requirements Working knowledge of insurance payer websites (e.g. Availity,...
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Principal AR Specialist, Human Resources
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Muntinlupa, Philippines Capital One Full timePrincipal AR Specialist, Human Resources page is loaded## Principal AR Specialist, Human Resourceslocations: Alabang, Muntinlupa Citytime type: Full timeposted on: Posted Todayjob requisition id: R Alabang (96050), Philippines, Muntinlupa City, National Capital Region (Manila)Principal AR Specialist, Human Resources**Summary**:* To assist the...
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Junior Medical AR
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Muntinlupa, Philippines Gear Inc Full timeJunior Medical AR & Denial Management Specialist Job Openings Junior Medical AR & Denial Management Specialist About the job Junior Medical AR & Denial Management Specialist Job Location: Muntinlupa, Metro Manila, PhilippinesJob Name: Junior Medical AR & Denial Management Specialist Job Description : Sign-On Bonus Offered! Join us and receive a...
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Accounts Receivable Collections Specialist
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Muntinlupa, Philippines New Era Technology Full timeAccounts Receivable Collections Specialist Manila Join New Era Technology, where People First is at the heart of everything we do. With a global team of over 4,500 professionals, we’re committed to creating a workplace where everyone feels valued, empowered, and inspired to grow. Our mission is to securely connect people, places, and information with...
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Accounts Receivable Specialist
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Muntinlupa, Philippines Tap Growth ai Full timeAccounts Receivable Specialist - Mid Shift Tap Growth ai — Muntinlupa City, National Capital Region, Philippines Overview Location: Muntinlupa, Philippines Work Mode: Hybrid (3 days onsite, 2 days WFH) Job Summary The Specialist supports the Process Senior Specialist/Team Leader. The role will support the Finance function and is responsible for undertaking...
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Senior Team Lead, Medical AR
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Muntinlupa, Philippines Gear Inc Full timeSenior Team Lead, Medical AR & Denial Management Job Openings Senior Team Lead, Medical AR & Denial Management About the job Senior Team Lead, Medical AR & Denial Management The STL is expected to mentor team leaders, manage escalations, guide productivity, and help improve operational workflows based on data insights and volume trends. They serve as a key...
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Accounts Receivable Follow up Specialist
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Muntinlupa, Philippines HRTX Full timeJob Requirements Graduate of any college degree. Must have 2+ years in a Healthcare BPO setting Knowledge of commercial, HMO, Medicare/Medicaid, and other payer requirements. Working knowledge on the use of insurance payer websites i.e.: Availity, Optum, Medicare, Evicore portals. Working knowledge with Practice Management systems, preferably KAREO a...
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Sales Development Specialist
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Muntinlupa, Philippines Snatch UP Full timeOverview Remote position • 40 hours/week • Compensation: $2,000 USD/month Join a dynamic startup environment. If you're passionate about media sales and eager to make an impact, apply for the Lead Generation Specialist role to thrive in a fast-paced setting and showcase your skills. We’re looking for a curious, driven, client-focused professional...
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Senior Team Lead, Medical AR
3 weeks ago
Muntinlupa, Philippines Gear Inc. Full timeSenior Team Lead, Medical AR & Denial Management Gear Inc. Muntinlupa City, National Capital Region, Philippines Senior Team Lead, Medical AR & Denial Management Gear Inc. Muntinlupa City, National Capital Region, Philippines 1 day ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Direct message the job...
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Finance Specialist
3 weeks ago
Muntinlupa, Philippines SGS Full timeSGS Muntinlupa City, National Capital Region, Philippines Finance Specialist (P2P, R2R, B2C) SGS is the world’s leading Testing, Inspection and Certification company. We operate a network of over 2,500 laboratories and business facilities across 115 countries, supported by a team of 99,500 dedicated professionals. With over 145 years of service excellence,...
