Accounts Receivable Specialist with PDGM experience in Home Health

5 days ago

Philippines Portiva Full time ₱720,000 - ₱780,000 per year

We are seeking a detail-oriented and experienced Accounts Receivable Specialist with expertise in home health billing under PDGM (Patient-Driven Groupings Model). The AR Specialist will be responsible for managing collections, payment posting, denial resolution, and maintaining accurate accounts receivable records to ensure timely reimbursement from Medicare, Medicaid, and commercial payers.

Key Responsibilities:

  • Claims Follow-Up: Monitor submitted PDGM claims to ensure timely processing and payment.
  • Collections: Contact payers for unpaid or underpaid claims, resolve discrepancies, and escalate issues when necessary.
  • Payment Posting: Accurately post ERA/EOB payments into the billing system and reconcile deposits.
  • Denial Management: Analyze denials (clinical, coding, OASIS-related, LUPA, NOA/NOE errors), correct and resubmit claims.
  • Reconciliation: Compare payments received against expected PDGM reimbursement rates and correct variances.
  • Reporting: Maintain AR aging reports, track collection metrics, and provide regular updates to management.
  • Collaboration: Work with billing, intake, and clinical teams to resolve documentation or coding issues affecting payments.
  • Compliance: Ensure adherence to Medicare, Medicaid, and commercial payer billing regulations.

Qualifications:

  • Minimum 2 years of experience in home health billing/collections, preferably with PDGM knowledge.
  • Strong understanding of Medicare and Medicaid billing regulations, NOA/NOE, and PDGM reimbursement.
  • Proficiency with billing software, EMR systems, and clearinghouses.
  • Knowledge of EOBs, ERAs, denial codes, and appeal processes.
  • Strong analytical, organizational, and problem-solving skills.
  • Excellent communication and follow-up abilities.

Preferred Skills:

  • Experience with Home Health EMRs (e.g., Homecare Homebase, MatrixCare, Axxess, Alora, WellSky).
  • Familiarity with LUPA management and PDGM-specific adjustments.
  • Ability to manage high claim volume and maintain accuracy under

If this sounds like you, please complete this form: h t t p s

We will ONLY accept applications via the Google form above.

We will contact you within 3-5 days if you fit the requirements.

*Important Note*: Please make sure to check your spam or junk folders for the initial assessment invite. Sometimes, our emails may get filtered, and we wouldn't want you to miss this important step in the hiring process If you find our email there, be sure to move it to your inbox and mark it as "Not Spam" to ensure you receive all future emails from us directly in your inbox

Good luck

Job Type: Full-time

Pay: Php60, Php65,000.00 per month

Benefits:

  • Paid training
  • Work from home

Experience:

  • PDGM Claims: 1 year (Required)
  • Home Health: 1 year (Required)
  • Medical Account Receivable: 1 year (Required)
  • Medical Virtual Assistant: 1 year (Required)

Work Location: Remote

  • Home Health Medical Coder

    5 days ago

    Philippines Shearwater Health Full time ₱900,000 - ₱1,200,000 per year

    Let your Passion Lead You at the Home of Clinicians with over 5000+ employees who have trusted us with their careersOur Clinicians & Associates advocates for better patient care while enjoying these benefits:Work From Home Setup*HMO on Day 1 with 2 Dependents upon regularization.Group Life InsuranceHighly Competitive SalaryComplexity AllowanceOnsite...

  • Accounts Receivable Staff

    4 days ago

    , , Philippines Health Maintenance, Inc. Full time

    2 weeks ago Be among the first 25 applicants A graduate of a four (4) year college course. Computer literate with proficiency in MS Office, using MS Word, and MS Excel. With good communication and negotiation skills. Driving skills (advantage but not a basic qualification) Job Description: Collect and issue official receipt. Do field work to collect payments...

  • Certified Home Health Medical Coder

    2 weeks ago

    Philippines Shearwater Health Full time ₱900,000 - ₱1,200,000 per year

    Let your Passion Lead You at the Home of Clinicians with over 5000+ employees who have trusted us with their careersOur Clinicians & Associates advocates for better patient care while enjoying these benefits:Work From Home SetupHMO on Day 1 with 2 Dependents upon regularization.Group Life InsuranceHighly Competitive SalaryComplexity AllowanceOnsite...

  • RN HOME HEALTH

    3 weeks ago

    , Zamboanga del Sur, Philippines Covenant Health Full time

    Overview Registered Nurse, Home Health $1,500 Sign-on Bonus for Candidates with Relevant HomeCare Homebase Experience Full Time, 72 or 80 Hours Pay Per Period Excellent differentials, Flexible hours and Days, No call or weekends required. Covenant HomeCare is East Tennessee’s largest non-profit homecare and hospice provider. Since 1978, we have...

  • Home Care Senior Living Advisor

    1 week ago

    Philippines Tender Home Health Full time ₱11,400 - ₱60,000 per year

    Is Tender for you?Are you looking for a challenging position where your charisma will open up possibilities? If you are interested in a competitive salary, overall growth and working with a supportive team, then apply to Tender Home Health.Tender Home Health is a young and forward thinking company with a huge potential for upward mobility. We focus on career...

  • Billing & Accounts Receivable Specialist

    3 weeks ago

    , Ilocos Sur, Philippines Buscojobs Full time

    We're Hiring: Accounts Receivable Specialist We are seeking a detail-oriented and experienced Accounts Receivable Specialist to manage and optimize our receivables processes. The ideal candidate will have strong analytical skills, excellent communication abilities, and a proven track record in credit management and collections to ensure timely payments and...

  • Accounts Receivable Specialist

    3 weeks ago

    , , Philippines Buscojobs Full time

    Accounts Receivable Specialist (Philippines) – Overview Explore accounts receivable specialist positions where expertise in financial transactions, invoicing, payment processing, and debt resolution helps maintain a company’s financial health. Roles involve working with accounting teams and clients to resolve discrepancies and ensure timely payments....

  • Senior Accounts Receivable Associate

    7 days ago

    Philippines Signant Health Full time ₱900,000 - ₱1,200,000 per year

    About Signant HealthAt Signant Health, we are on a mission to help bring life-changing treatments to patients faster. As a global leader in clinical trial technology and services, we work at the intersection of science and innovation—partnering with biopharmaceutical companies to simplify trial execution and improve the patient experience. With a...

  • Accounts Receivable Accountant

    3 weeks ago

    , Metro Manila, Philippines Buscojobs Full time

    Accounts Receivable Accountant – Pasig Accounts Receivable Accountant jobs in Pasig Perks: Earn above industry compensation package; HMO coverage on day 1; Annual Commutation of unused leave; Group Life Insurance; Fun Collaborative Culture; Career Advancement Job Details Job Types: Full-time, Permanent Salary: Php35,000.00 - Php40,000.00 per month...

  • Accounts Receivable Specialist

    3 weeks ago

    , Ilocos Norte, Philippines Buscojobs Full time

    Accounts Receivable Specialist (Philippines) – Consolidated Posting Explore accounts receivable specialist roles in the Philippines. These positions focus on accurate invoicing, timely collections, cash allocations, and maintaining clean AR records. Responsibilities and requirements vary by employer but generally center on end-to-end AR processes,...