Accounts Receivable Specialist (Healthcare - US Based Client)
Intelassist
Date: 8 hours ago
City: Quezon City
Contract type: Full time

Employment Type: Full-time
Work Setup: 100% Onsite
Salary: PHP 40,00 to 50,000/month
Working Hours: 40 hours per week
Position Overview
Resolves outstanding, unpaid, unprocessed, and denied claims submitted to third-party payers on behalf of client, to ensure compensation is received fully, and in a timely manner. Accesses third-party websites, places outbound phone calls, accepts inbound phone calls, sends and receives facsimiles and sends and receives correspondence with third-party payers and various government agencies for follow-up on non-responsive claims and denials for payments.
Duties And Responsibilities
We grow together. We value your effort. We aim to empower you.
Work Setup: 100% Onsite
Salary: PHP 40,00 to 50,000/month
Working Hours: 40 hours per week
Position Overview
Resolves outstanding, unpaid, unprocessed, and denied claims submitted to third-party payers on behalf of client, to ensure compensation is received fully, and in a timely manner. Accesses third-party websites, places outbound phone calls, accepts inbound phone calls, sends and receives facsimiles and sends and receives correspondence with third-party payers and various government agencies for follow-up on non-responsive claims and denials for payments.
Duties And Responsibilities
- Reviews, researches and resolves insurance claims, unprocessed third-party claims, denials, underpayments and overpayments.
- Verifies accuracy of billing data and corrects errors; resubmits clean claims to payers electronically or via paper claim.
- Works, monitors and manages his/her respective work queues in the practice management and claims processing systems, including, but not limited to, denials, 30, 60, 90, and 120+ Day aging on assigned insurance carrier(s) to get claims paid in a timely manner.
- Works incoming mail and EOBs (Explanation of Benefits) from the insurance carriers and processes claims related correspondence to resolve issues.
- Works EDI transactions, ERA files and rejection reports.
- Contacts payers via phone to help expedite the resolution of claims and payments.
- Accesses web-based applications and internet for claim status and eligibility of services.
- Identifies and resolves patient billing complaints and inquires. Assists the overflow customer service line when volume of incoming calls warrants assistance.
- Complies with Patient Accounting quality and productivity standards.
- Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
- Other duties and responsibilities as assigned by supervisor.
- Associate’s or Bachelor’s Degree in Business or related field
- Medical billing, revenue cycle, and/or coding certification (CRCR, CPC) is a must.
- Cerner PM experience is a must.
- Three (3) years medical billing experience in a physician practice or hospital setting.
- Strong knowledge of Medicare claims processing regulations and other payer specific guidelines
- Strong written and verbal communication skills
- Ability to establish and maintain cooperative working relationships and the ability to work in teams
- Proficiency in Microsoft Office programs such as Word, Excel, and Outlook
We grow together. We value your effort. We aim to empower you.
How to apply
To apply for this job you need to authorize on our website. If you don't have an account yet, please register.
Post a resumeSimilar jobs
Civil Drafter
GHD,
Quezon City
1 day ago
Job DescriptionAt GHD, we don’t just believe in the power of commitment, we live and breathe it every day.We are looking for a Civil Drafter to join our Civil Infrastructure business group. This role will support civil engineering and design projects by creating detailed technical drawings and plans based on specifications provided by engineers and designers. The work will primarily...

Accountant
Frontline Accounting,
Quezon City
1 day ago
GeneralOutstanding reading comprehensionMeticulous attention to DetailResponsibilitiesBookkeeping: Prepare or review client bookkeeping. Record transactions, reconcile accounts, run reports.Document management: Request, receive and organize client documentation. Read and understand a wide variety of documents and know where to file them.Managing the entire client GL, resolving discrepancies;Verifying financial statements, ledgers and accounts and making corrections where appropriatePreparation of income tax returns for individuals,...

Accounting Supervisor - Payables
A Hotels and Resorts International,
Quezon City
2 days ago
We are seeking a detail-oriented and experienced Accounting Supervisor to join our team in the hospitality industry. In this role, you will be responsible for supervising and coordinating the daily activities of the accounting department, ensuring the accuracy and timeliness of financial records, and supporting key financial processes. The ideal candidate will have strong leadership skills, a solid understanding of...
