A/R Follow-Up Specialist - Healthcare | Onsite (Ortigas, Angeles, Davao)

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.