Accounts Receivables Associate

3 days ago

Makati City, National Capital Region, Philippines InLife Health Care Full time ₱900,000 - ₱1,200,000 per year

I.  Job Summary

The Provider Payment Management Specialist (AR) is responsible for facilitating all reconciliation requests from accredited providers and address/resolves the concerns raised by the providers regarding unsettled claims reflected in the facility's records.  This role is also responsible for addressing reconciliation issues with providers to prevent iCare suspension and be able to secure Certificate of Good Credit Standing from the facility/institution.

II. Duties and Responsibilities

1.     Prevents suspension of I Care credit line with providers.

2.     Settles and clears up reconciliation claims with providers. Coordinates with providers in getting the reconciliation lists to be able to reconcile claims with MAS records.

3.     Coordinates with concerned units (claims' analyst/audit/ap prep team) to ensure all the bills included in reconciliation will be endorsed to Accounting for payment.

4.     Provides the accounting department with a list of providers with reconciliation requests, follow-up notices or threats for suspension for their immediate facilitation of payment process and release either through fund transfer or cheques.

5.     Assists providers in getting the payment reference details from the Accounting Department to ensure posting of all payments made to update their records.

6.     Secures a Certificate of Good Credit Standing and our Clearances from providers.

7.     Maintains reconciliation records, files, and documents and makes it readily available for future retrieval.

8.     Assists in making inquiries with providers to settle claims' concerns.

9.     Assists Claims' Head in formulating guidelines and policies and recommends system enhancements and process improvements to improve the claims operations.

  1. Performs other tasks/duties to be assigned by the immediate superior from time to time.

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