Reveue Cycle Management (Accounts Receivable Collections)

Description Job Summary: The RCM AR Collections Specialist is responsible for managing accounts receivable activities within the healthcare revenue cycle process. This role focuses on insurance follow-up, claims resolution, denial management, and ensuring timely collection of outstanding payments from insurance companies and payers. Responsibilities Perform insurance follow-up on unpaid, denied, or underpaid claims Review accounts receivable aging reports and prioritize accounts for resolution Contact insurance companies to verify claim status and payment details Investigate and resolve claim denials, rejections, and discrepancies Submit corrected claims and appeals with appropriate documentation Ensure timely reimbursement and minimize outstanding AR balances Document all collection activities and account updates accurately Collaborate with billing, coding, and payment posting teams to resolve issues Maintain productivity and quality standards based on client KPIs Ensure compliance with HIPAA and healthcare regulations Salary & Benefits PHP 26,000 - PHP 34,000 Basic Salary + PHP 3,600 Optum Allowance (+ PHP 900 Transportation Allowance for Taguig Hire)

40K SOB

• At least 12 months of Healthcare AR Collections experience (Healthcare BPO International)
• Educational attainment - at least 2nd year college undergrad
• Familiar with UB Claims and has knowledge in UB04 forms
• Has experience working on a Provider side (hospital)
• Background in calling insurance (Payer) to verify claims status and payment dispute