A/R Follow-Up Specialist

3 days ago

Angeles City, Central Luzon, Philippines Connext Global Solutions Inc Full time ₱900,000 - ₱1,200,000 per year

Join Our Team as an A/R Follow-Up Specialist

The A/R Follow-Up Specialist is responsible for billing, re-billing, post-payment, and account follow-up on assigned hospital accounts receivable. The role manages claim status checks, denials, appeals, and payer communication to ensure accurate reimbursement and timely resolution.

Key Responsibilities:

  • Access and navigate payer portals to verify eligibility, authorization, and claim status.
  • Update patient demographics and insurance details in the system.
  • Research and resolve unpaid or denied claims by addressing missing information or authorization issues.
  • Review EOBs, process corrections, and resolve claim discrepancies.
  • Contact insurance payers via phone or correspondence to secure claim payments.
  • Respond to payer requests for additional documentation.
  • Verify underpayments using contracts and claims data.
  • Draft appeal letters for denials and manage denial resolutions.
  • Prepare claims for clinical audits (authorization, coding, level of care, length of stay).
  • Maintain confidentiality of patient information per HIPAA and company policy.
  • Collaborate with billing teams, coders, and payment posters for accurate claim processing.
  • Document all claim activity, follow-ups, and resolutions in the billing system.
  • Adhere to payer policies, guidelines, and submission requirements.
  • Perform other duties as assigned by the AR Manager or Supervisor.

Qualifications:

  • Proficient in Microsoft Word and Excel.
  • Knowledgeable in ICD-10, CPT, HCPCS, and NCCI.
  • Experienced with billing claim forms (UB04/1500).
  • Hands-on experience with health information systems (EMR, claim scrubbers, patient accounting systems).
  • Strong understanding of third-party billing guidelines and payor contracts.
  • Excellent organizational and time management skills with ability to prioritize tasks.
  • Detail-oriented with high accuracy in claim documentation and processing.
  • Strong written and verbal communication skills in English.

Why Connext?

  • Competitive Compensation
  • Perfect Attendance Bonus
  • Company-Provided Equipment
  • 25% Night Differential Pay
  • Life and HMO Insurance Coverage
  • 20 Leave Credits
  • Good Company Culture

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