A/R Follow-Up Specialist

3 days ago

Pasig, National Capital Region, Philippines Connext Full time ₱900,000 - ₱1,200,000 per year

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.

Benefits


• Annual Merit Increase


• Health Insurance


• Life Insurance

Supplemental Pay


• 13th Month Sala


• Mid-Year Bonus

Responsibilities


• Verify patient eligibility, authorizations, and claim status through payer portals; update demographics and insurance details.


• Research and resolve denied or unpaid claims, including EOB review, underpayment verification, and appeals preparation


• Communicate with insurance payers to secure payments and respond to documentation requests


• Prepare claims for audits and ensure accurate processing through collaboration with billing, coding, and payment teams


• Maintain HIPAA compliance, document all activities, and follow payer guidelines and submission requirements

Qualifications


• Experience using Microsoft Word and Excel


• Familiar with ICD-10, CPT, HCPCS, and NCCI


• Familiar with billing claim forms (UB04/1500).


• Hands-on experience with health information systems (EMR, Claim Scrubbers, Patient Accounting Systems, etc.).


• Knowledge in third-party billing guidelines and payor contracts.


• Demonstrates strong organizational and time management skills with the ability to prioritize tasks effectively.


• Clear and coherent both written and verbal communication skills in English

Screening Criteria


• High school diploma or equivalent required.


• Minimum of two (2) years of experience in medical collections or billing.


• Experience using EPIC and/or Cerner healthcare software is a plus.


• Must have a stable employment history.

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