Accounts Receivable Specialist

4 weeks ago


Ortigas Pasig, Philippines VISAYA Full time
The AR Specialist II is responsible for billing, re-billing, post-payment/account follow-up, and grievance preparation of assigned. Client Hospital Accounts Receivable. Working at a Client site or in a Centralized location, responsibilities may include account maintenance of specialized or multiple payers including state and federal government programs, managed care, commercial and other insurance groups. The AR Specialist may serve as a liaison to clinical auditors, other team members, hospital staff, government
agencies and health plans to facilitate the appropriate and prompt payment of claims.

Responsibilities:

- Verify/obtain eligibility and/or authorization utilizing payer web sites, client eligibility systems or via phone with the
insurance carrier/providers
- Update patient demographics/insurance information in appropriate systems
- Research/ Status unpaid or denied claims
- Monitor claims for missing information, authorization, and control numbers (ICN/DCN)
- Research EOBs for payments or adjustments to resolve claim
- Contacts payers via phone or written correspondence to secure payment of claims
- Access client systems for payment, patient, claim and data info
- Follows guidelines for prioritization, timely filing deadlines, and notation protocols within appropriate systems
- Secure needed medical documentation required or requested by third party insurance carriers
- Maintain and respect the confidentiality of patient information in accordance with insurance collection guidelines and
corporate policy and procedure
Utilize provider billing manuals to obtain billing guidelines and requirements
Write appeal letters for technical appeals
Verifies accuracy of underpayments utilizing contracts and claims data
Prepares claims for clinical audit processing in the case of authorization, coding, level of care and/or length of stay
denials
Complete special projects as required.

Qualifications:

2+ years of medical collections/billing experience
Intermediate knowledge of ICD-10, CPT, HCPCS and NCCI
Intermediate knowledge of third-party billing guidelines
Intermediate knowledge of billing claim forms (UB04/1500)
Intermediate knowledge of payor contracts
Working Knowledge of Microsoft Word and Excel
Intermediate working knowledge of health information systems (i.e., EMR, Claim Scrubbers, Patient Accounting
Systems, etc.)

Preferred Skills:

- Working knowledge of one or more of the following Patient accounting systems – EPIC, Cerner, STAR, Meditech, CPSI,
Invision, PBAR, All Scripts, or Paragon
- Working knowledge of DDE Medicare claim system
- Knowledge of government rules and regulations

  • Ortigas, Pasig, Philippines VISAYA Full time

    The AR Specialist II is responsible for billing, re-billing, post-payment/account follow-up, and grievance preparation of assigned. Client Hospital Accounts Receivable. Working at a Client site or in a Centralized location, responsibilities may include account maintenance of specialized or multiple payers including state and federal government programs,...


  • Ortigas, Pasig, Philippines VISAYA Full time

    The AR Specialist II is responsible for billing, re-billing, post-payment/account follow-up, and grievance preparation of assigned. Client Hospital Accounts Receivable. Working at a Client site or in a Centralized location, responsibilities may include account maintenance of specialized or multiple payers including state and federal government programs,...


  • Pasig, National Capital Region, Philippines Visaya Knowledge Process Outsourcing Corporation Full time

    Accounts Receivable Specialist for Healthcare Account (PIONEER) Full time Add expected salary to your profile for insights Verify/obtain eligibility and/or authorization utilizing payer web sites, client eligibility systems or via phone with the insurance carrier/providers Research/ Status unpaid or denied claims Monitor claims for missing information,...

  • Account Specialist

    6 days ago


    Pasig, Philippines Mida Food Specialist Full time

    An Account Specialist is responsible for the sales and distribution of both imported and locally sourced seafood products. Primary focus will be on selling to specific channels, which may include restaurants, distributors, or a combination thereof, as assigned by management. Building and nurturing strong, enduring relationships with clients in these channels...

  • Account Specialist

    2 days ago


    Pasig, Philippines Mida Food Specialist Full time

    An Account Specialist is responsible for the sales and distribution of both imported and locally sourced seafood products. Primary focus will be on selling to specific channels, which may include restaurants, distributors, or a combination thereof, as assigned by management. Building and nurturing strong, enduring relationships with clients in these channels...


  • Ortigas, Pasig, Philippines VISAYA Full time

    We are currently seeking skilled and detail-oriented Accounting Specialists to join our offshore client team. As an Accounting Specialist, you will be responsible for managing financial data and ensuring the accuracy of financial records for our US-based client. Key Responsibilities: - Ensure the accuracy and completeness of financial data by conducting...


  • Ortigas, Pasig, Philippines VISAYA Full time

    We are currently seeking skilled and detail-oriented Accounting Specialists to join our offshore client team. As an Accounting Specialist, you will be responsible for managing financial data and ensuring the accuracy of financial records for our US-based client. Key Responsibilities: - Ensure the accuracy and completeness of financial data by conducting...

  • Account Specialist

    5 days ago


    Pasig City, Philippines Mida Food Specialist Full time

    An Account Specialist is responsible for the sales and distribution of both imported and locally sourced seafood products. Primary focus will be on selling to specific channels, which may include restaurants, distributors, or a combination thereof, as assigned by management. Building and nurturing strong, enduring relationships with clients in these channels...

  • Account Receivable

    2 weeks ago


    Pasig, National Capital Region, Philippines RecruiterPH Full time

    This position is responsible for the supervisory oversight of the transaction processing team consisting of Refunds Specialists responsible for guest and travel agent refunds and commissions in POLAR and SIEBEL; and AR/Chargeback Clerks, responsible for raising A/R billings and clearing credit card chargebacks in Oracle and the various Merchant Credit Card...


  • Pasig, National Capital Region, Philippines Republic Biscuit Corporation (REBISCO) Full time

    The Accounts Receivable Clerk will reconcile selected Luzon Dist. Accounts in order to ensure compliance to Company remittance policy. To check, reconcile and perform Dist. ZBC for selected Luzon Dist. AccountsTo check and compute Monthly TDO Budget for non-traditional accountsIn-charge of Direct Accounts Transactions - Lazada, Snacks to Go, Cloud Logic and...


  • Pasig, National Capital Region, Philippines Orica Limited Full time

    Select how often (in days) to receive an alert: Lead - Accounts ReceivableDate: 8 May 2024Location: Pasig City, National Capital Region (NCR), PH, 1604 Company: Orica About OricaAbout the roleJoin our dynamic Manila team and take the helm as our Lead – Accounts Receivable. In this role, you'll spearhead the performance of our workstream within Orica's...


  • Pasig, National Capital Region, Philippines Primeline Products Philippines Inc. Full time

    Maintaining accounts receivable files and records.Produce Weekly and Monthly Sales.Generating daily invoices.Investigating and resolving any irregularities.Reporting any abnormal charges that take effect to the collections.Assisting in general financial management and analysisMaintaining settlement collections.Processing, verifying and posting receipts for...

  • Accounting Specialist

    4 weeks ago


    Pasig, Philippines Visaya Knowledge Process Outsourcing Full time

    Accouting specialist (Pasig) Visaya kPO compensation: employment type: full-time job title: Accounting Specialist Accounting Specialist (Pasig) Visaya knowledge process Outsourcing compensation: "Responsibilities: Responsible for a variety of accounting services provided by CPAs to clients that range from basic bookkeeping to advanced management reporting,...


  • Pasig, National Capital Region, Philippines Full Potential Solutions Full time

    Full Potential Solutions (FPS) is a performance-based analytically driven omnichannel solutions organization with operations in Kansas City, MO, Chennai, India, Bogota, Colombia, and Manila, Philippines that puts culture and employees first. We are a rapidly growing global company, employing the best people, processes and proprietary technology to deliver...

  • Accounting Specialist

    1 month ago


    Pasig, Philippines Visaya Knowledge Process Outsourcing Full time

    Accouting specialist (Pasig) Visaya kPO compensation: employment type: full-time job title: Accounting Specialist Accounting Specialist (Pasig) Visaya knowledge process Outsourcing compensation: "Responsibilities: Responsible for a variety of accounting services provided by CPAs to clients that range from basic bookkeeping to advanced management reporting,...

  • Accounting Specialist

    4 weeks ago


    Pasig, Philippines Visaya Knowledge Process Outsourcing Full time

    Accouting specialist (Pasig) Visaya kPO compensation: employment type: full-time job title: Accounting Specialist Accounting Specialist (Pasig) Visaya knowledge process Outsourcing compensation: "Responsibilities: Responsible for a variety of accounting services provided by CPAs to clients that range from basic bookkeeping to advanced management reporting,...


  • Ortigas, Pasig, Philippines Visaya KPO Full time

    The AR Specialist III is responsible for post-payment and account follow-up and/or grievance preparation of assigned client accounts receivable. Working at a client site or in a centralized location, responsibilities may include account maintenance of specialized or multiple payers including state and federal government programs, managed care, commercial and...


  • Ortigas, Pasig, Philippines Visaya KPO Full time

    The AR Specialist III is responsible for post-payment and account follow-up and/or grievance preparation of assigned client accounts receivable. Working at a client site or in a centralized location, responsibilities may include account maintenance of specialized or multiple payers including state and federal government programs, managed care, commercial and...

  • Accounting Specialist

    2 weeks ago


    Pasig, National Capital Region, Philippines Visaya Knowledge Process Outsourcing Full time

    Accouting specialist (Pasig)Visaya kPOcompensation:employment type: full-timejob title: Accounting SpecialistAccounting Specialist (Pasig)Visaya knowledge process Outsourcingcompensation:"Responsibilities: Responsible for a variety of accounting services provided by CPAs to clients that range from basic bookkeeping to advanced management reporting, advisory...


  • Pasig, National Capital Region, Philippines Seven Seven Global Services, Inc. Full time

    Senior Accounts Receivable Analyst (Collections and Order to Cash exp) - Hybrid Accounts Receivable/Credit Control (Accounting) Full time Add expected salary to your profile for insights The Sr. Accounts Receivable Analyst will play a dynamic role on the team as a key contributor in the Order-to-Cash function. In this position, he or she will oversee...