A/R Follow-Up Specialist w/ EPIC software

3 days ago

San Fernando, Central Luzon, Philippines Connext Global Solutions Inc Full time ₱1,200,000 - ₱2,400,000 per year

Connext is a dedicated team of business process outsourcing experts and innovators, with experience in supporting world-class companies in Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance.

We are currently looking for an A/R Follow-Up Specialist who will be working with Connext's Client in the United States of America.

What's in it for you?

  • Competitive compensation
  • Perfect Attendance Bonus
  • Life insurance
  • HMO Insurance
  • Great company culture
  • 25% Night Differential
  • Annual Increase
  • Mid- Year Bonus

What is the job?

The A/R Follow-Up Specialist is responsible for billing, re-billing, post-payment, and account follow-up on assigned hospital accounts receivable.

Responsibilities:


• Verify eligibility, authorizations, and claim status via payer portals; update patient demographics/insurance

• Research and resolve unpaid/denied claims (missing info, auth, ICN/DCN); review EOBs and process corrections

• Contact payers (phone/written) to secure payment; respond to documentation requests; document all actions in the billing system

• Validate underpayments against contracts/claims; draft technical appeals and manage denials

• Prepare claims for clinical audits (authorization, coding, level of care, length of stay); collaborate with billing, coders, and posters

• Safeguard PHI per HIPAA; follow payer guidelines and AR leadership direction; perform related duties as assigned

Qualifications:


• Minimum of two (2) years of experience in medical collections or billing.

• Minimum of two (2) years of experience using EPIC healthcare software.

• Uses Microsoft Word/Excel and health information systems (EMR, claim scrubbers, patient accounting)

• Applies coding standards: ICD-10, CPT, HCPCS, and NCCI

• Processes claims using UB-04/CMS-1500; follows payer contracts and third-party billing guidelines

• Demonstrates strong organization/time management; maintains high accuracy in documentation and processing

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