AR Executive

2 days ago

Pasig, National Capital Region, Philippines Omega Healthcare Management Services Inc. Full time $40,000 - $80,000 per year

Work with the No. 1 Healthcare BPO

An Accounts Receivable (AR) Executive with a PH Registered Nurse (PHRN) license and hospital experience typically works in healthcare-related financial operations, often within business process outsourcing (BPO) or medical billing roles. Here's a general job description:

Job Responsibilities
  • Prior Authorization Processing: Review and process authorization requests from healthcare providers.
  • Medical Documentation Review: Assess patient records to ensure compliance with insurance requirements.
  • Insurance Coordination: Communicate with payers to obtain approvals for medical procedures.
  • Claims Management: Assist in resolving denied claims and ensuring timely reimbursements.
  • Customer Service: Handle inquiries from healthcare providers and insurance companies.
  • Compliance & Accuracy: Ensure adherence to medical billing regulations and maintain accurate records.
Qualifications
  • Education: Bachelor of Science in Nursing (BSN) with an active PHRN license.
  • Experience: At least 1–2 years of hospital experience, preferably in acute care settings (must be 2019 onwards)

  • Skills:

  • Strong understanding of medical terminology, anatomy, and physiology.

  • Experience in prior authorization and insurance claims processing.
  • Proficiency in computer applications (Word, Outlook, PDF, and medical billing software).
  • Excellent communication and customer service skills.
  • Ability to multi-task, prioritize, and work in a fast-paced environment.

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