Senior AR Caller – Revenue Cycle Management

2 weeks ago

Manila, National Capital Region, Philippines Private Advertiser Full time ₱900,000 - ₱1,200,000 per year
Qualifications:
  • Senior High School graduate or completed at least 2 years of college.
  • Minimum of 3 years' experience in AR Calling, with a strong background in Denial Management.
  • Familiarity with Physician and/or Hospital Billing processes using UB-04 and CMS-1500 forms.
  • Prior experience in a healthcare BPO account is required.
  • Willing to work on-site in Taguig, Alabang, or Quezon City.

Key Skills:
  • Strong problem-solving and analytical skills.
  • Ability to perform root cause analysis for claim denials.
  • Knowledge of payer guidelines and capitation agreements.
  • Excellent communication skills for interacting with insurance providers.

Responsibilities:
  • Analyze and resolve denied claims to ensure timely reimbursement.
  • Contact insurance companies to follow up on outstanding claims.
  • Apply payer-specific guidelines and document actions accurately.
  • Collaborate with internal teams to resolve complex issues.
  • Stay updated on billing regulations and industry best practices.
  • Meet productivity and quality standards set by the operations team

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