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A/R Follow-Up Specialist

4 weeks ago


Metro Manila Philippines Connext Full time

About the job:

The A/R Follow-Up Specialis t 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.

What’s in it for your:

  • Competitive compensation
  • Rice and internet allowance
  • Perfect attendance bonus
  • Overtime pay & holiday pay
  • 25%-night differential
  • 20 days paid time off per year (1.67 days accrued monthly)
  • HMO for employee and dependents
  • Group life insurance
  • Annual merit increase
  • 13th month pay & mid-year bonus
  • Great company culture
  • Great Place to Work certified (2022–2024)
  • Work onsite (Angeles/ Ortigas / Davao)

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 both 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 Cerner healthcare software is a plus.
  • Must have a stable employment history.
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