AR Follow-up Representative

2 weeks ago

Quezon City, National Capital Region, Philippines Tenet Global Business Center, Inc. Full time ₱1,200,000 - ₱2,400,000 per year

Reporting to the Client Operations Manager, the Revenue Cycle Specialist - Collector must have a strong knowledge of medical collections, accounts receivables, insurance billing and verification, denial processing, appeal submission and EOB review. This position is responsible to resolve outstanding surgical claims resulting in maximum reimbursement.

Responsibilities:

  • Timely follow-up and resolution on all outstanding A/R including unpaid/underpaid/denied claims for all payers including self-pay to obtain maximum reimbursement.

  • Manage daily work queue to prioritize high dollar claim balances.

  • Review & work incoming insurance and patient correspondence including refund requests.

  • Send appeals when appropriate or provide the requested medical documentation.

  • Ability to review medical documentation to justify medical necessity.

  • Review patient balances to ensure accuracy and follow up with patients to obtain payments.

  • Take incoming patient phone calls to resolve inquiries, billing issues, or outstanding balances.

  • Review insurance payments and determine accuracy of reimbursement based on contracts, fee schedules or summary plan documents.

  • Leverage knowledge of Medicare, state Medicaid, and local coverage determinations (LCD's) for claim resolution.

  • Negotiate payment amounts for procedures with Third Party Administrators for out of network providers.

  • Recommend an adjustment when applicable or recommend a refund for overpayments to insurance carriers or patients, providing the appropriate documentation.

Requirements:

  • 2+ years of ASC revenue cycle OR orthopedic collections experience.

  • Ability to read and interpret insurance explanations of benefits and managed care contracts.

  • Must communicate effectively, both verbally and in writing, with internal and external clients.

  • Must be able to multi-task and handle competing priorities while meeting or exceeding deadlines

  • Knowledge or experience working with a variety of health care insurance payers is preferred

  • Intermediate computer proficiency in Microsoft Office including Excel and Outlook

  • Advantx, Vision, HST, Waystar experience preferred.

  • High School Diploma or equivalent.

  • Healthcare AR Follow-Up Rep

    2 hours ago

    Quezon City, National Capital Region, Philippines Optum, a UnitedHealth Group Company Full time ₱600,000 - ₱1,200,000 per year

    Job Qualifications:Completed at least 2 years of college.Minimum 12 months experience in Healthcare Account Receivable/Collections in a BPO setting.Familiarity with UB Claims and UB04 forms.Experience in medical billing/AR collections.Background in calling insurance (Payer) for claim status and payment disputes.Familiar with EPIC SYSTEM.Willing to work...

  • AR Collection Specialist

    2 hours ago

    Quezon City, National Capital Region, Philippines J-K International Language Center Full time ₱250,000 - ₱400,000 per year

    Client Profile: The leading IT BPO Company that focus on different AI systems and provide serviceswith AI-driven solutions and environmental sustainability through technology that helps differentindustries and businesses globally that was established year 1937 in the Philippines.Position: AR Collection SpecialistIndustry: IT BPO CompanySalary: Php25,000 –...

  • AR - Collection

    6 days ago

    Quezon City, National Capital Region, Philippines JK Network Services Full time ₱300,000 - ₱420,000 per year

    Company: This company is one of the most largest IT company not only here in the Philippines but also in other country. They also focus on specializing It software, Hardware and AI tools.Position: AR - CollectionCompany Industry: IT CompanyOffice Address: UP Ayala Techohub, Quezon CityWork Schedule: NightshiftSalary: Php 25,000 - Php 35,000Work Set Up: Work...

  • AR Supervisor

    3 hours ago

    Quezon City, National Capital Region, Philippines Conifer Health Solutions Full time ₱1,200,000 - ₱2,400,000 per year

    Position SummarySupervises and leads the day-today activities of staff; both onsite and telecommuters, Hires, trains, schedules, monitors staff including the performance evaluation process. Effectively maintains a work environment which stimulates and motivates the growth of subordinates. Interacts with internal and external resources at multiple...

  • Collections Representative

    47 minutes ago

    Makati City, National Capital Region, Philippines Pride Global Full time ₱400,000 - ₱600,000 per year

    We're Hiring: US-based Collections Representative – Accounts Receivable Location: Onsite at Ayala Avenue, Makati Full-Time | Finance / AccountingAre you detail-oriented, persuasive, and skilled at navigating complex client communications?We're looking for a proactive and drivenUS-based Collections Representative – Accounts Receivableto join our teamIn...

  • US B2B Collections Representative

    6 days ago

    Makati City, National Capital Region, Philippines Pride Global Full time ₱1,200,000 - ₱2,400,000 per year

    We're Hiring: US-based Collections Representative/AR (B2B) Location: Onsite at Ayala Avenue, Makati Full-Time | Finance/AccountingAre you detail-oriented, persuasive, and skilled at navigating complex client communications?We're looking for a proactive and drivenUS-based Collections Representative – Accounts Receivableto join our teamIn this role, you'll...

  • ON-SITE Sourcing Assistant

    3 hours ago

    Quezon City, National Capital Region, Philippines HMP Phil Representative Full time ₱36,000 - ₱72,000 per year

    THIS IS AN ON-SITE WORK. IT IS NOT REMOTE. CAN WORK ASAPLocation: CITYLAND NORTH RESIDENCES TOWER, QUEZON CITYBe part of our GROWING Manila Team for our reputable company operating in California for over 20 years in the Wholesale or Retail Industry.You will have our support and you will achieve your objectives with the skills you gained with us. You will...

  • AR & Collections Analyst/Senior Analyst

    4 days ago

    Quezon City, National Capital Region, Philippines Whitecrow Research Sdn Bhd Full time ₱1,200,000 - ₱3,600,000 per year

    Designation- AR & Collections Analyst/ Senior AnalystLocation : Quezon city, Manila, PhilippinesHybrid- 3 days' work from OfficeJob DescriptionAbout UsWe are a global climate technologies company engineered for sustainability. We create sustainable and efficient residential, commercial and industrial spaces through HVACR technologies. We protect...

  • Billing and AR Specialist

    59 minutes ago

    Quezon City, National Capital Region, Philippines JK Network Services Full time

    COMPANY PROFILE: The firm has been in the Philippines for more than 88 years theyoffer computer systems and Technical-support business services. The company aim toprovide consulting services to help businesses with strategy, technologyimplementations, and operational optimization.POSITION: Billing and AR SpecialistINDUSTRY: IT CompanyWORK LOCATION: Quezon...

  • AR Medical Biller

    3 hours ago

    Quezon City, National Capital Region, Philippines BizForce Full time ₱40,000 - ₱80,000 per year

    MedCore Solution, Bizforce's medical division, is seeking a skilled WFH Medical Biller/Accounts Receivable Specialist (US Healthcare) to join our team. As a Medical Biller/Accounts Receivable Specialist (US Healthcare), you will manage accounts receivables, coordinate with insurance companies and healthcare providers, handle denied claims, and ensure timely...