Medical AR/Follow-up Specialist-Onsite

4 days ago

Angeles City, Central Luzon, Philippines Physicians Billing Solutions PI Full time ₱200,000 - ₱300,000 per year

The Medical AR / Follow-Up Specialist is responsible for managing and following up on outstanding insurance claims to ensure timely reimbursement. This role requires strong knowledge of healthcare billing and insurance processes, as well as the ability to resolve claim denials and payment discrepancies efficiently.

Qualifications & experience

  • Good English communication skills both verbal and written
  • Must have at least 1 year of AR/Follow-up/BPO working experience

Tasks & responsibilities

  1. Identifies, analyzes and understands the reason for claim denials

  2. Coordinates with the other medical billing departments to make sure that each

claim is submitted to the correct insurance company to avoid denials

  1. Posts, fixes and resubmits all claim denials encountered in the Explanation of

Benefits (EOBs) (ex. checking and verifying patient's plan if still active or termed

through websites or through calling the insurance companies; updating patient's

insurance and identifying correct insurance to pay for the doctor visits or procedures

  1. Reviews unpaid and denied claims by looking at payment history and helping the

biller close the claims

  1. Submits a daily report of hard denials to the biller for follow- up purposes

  2. Runs the OCR Report and checking the status of all outstanding claims

  3. Follows- up denied claims before end of turn- over time on a daily basis

Job Types: Full-time, Permanent, Fresh graduate

Pay: Php20, Php30,000.00 per month

Benefits:

  • Opportunities for promotion
  • Paid training
  • Promotion to permanent employee

Work Location: In person

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