
Medical AR/Follow-up Specialist-Onsite
1 week ago
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
Identifies, analyzes and understands the reason for claim denials
Coordinates with the other medical billing departments to make sure that each
claim is submitted to the correct insurance company to avoid denials
- 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
- Reviews unpaid and denied claims by looking at payment history and helping the
biller close the claims
Submits a daily report of hard denials to the biller for follow- up purposes
Runs the OCR Report and checking the status of all outstanding claims
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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