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A/R Follow-Up Specialist
4 weeks ago
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.