A/R Follow-Up Specialist
4 days 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 yo**
- u?Competitive compensati
- onRice and internet allowan
- cePerfect attendance bon
- usOvertime pay & holiday p
- ay25% night differenti
- al20 days paid time off per year (1.67 days accrued monthl
- y)HMO for employee and dependen
- tsGroup life insuran
- ceAnnual merit increa
- se13th month pay & mid-year bon
- usGreat company cultu
- reGreat Place to Work certified (2022–202
- 4)Work onsite (Angeles/ Ortigas / Dava
**o)
Responsibilit**
ies
• Verify patient eligibility, authorizations, and claim status through payer portals; update demographics and insurance detai
ls.
• Research and resolve denied or unpaid claims, including EOB review, underpayment verification, and appeals preparati
on.
• Communicate with insurance payers to secure payments and respond to documentation reques
ts.
• Prepare claims for audits and ensure accurate processing through collaboration with billing, coding, and payment tea
ms.
• Maintain HIPAA compliance, document all activities, and follow payer guidelines and submission requiremen
**ts.
Qualificat**
ions
• Experience using Microsoft Word and Ex
cel.
• Familiar with ICD-10, CPT, HCPCS, and N
CCI.
• Familiar with billing claim forms (UB04/15
00).
• Hands-on experience with health information systems (EMR, Claim Scrubbers, Patient Accounting Systems, et
c.).
• Knowledge in third-party billing guidelines and payor contra
cts.
• Demonstrates strong organizational and time management skills with the ability to prioritize tasks effectiv
ely.
• Clear and coherent both written and verbal communication skills in Engl
**ish.
Screening Cri**
teria
• High school diploma or equivalent requ
ired.
• Minimum of two (2) years of experience in medical collections or bil
ling.
• Experience using Cerner healthcare software is a
plus.
• Must have a stable employment his
tory.
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