Account Receivable Follow up Specialist - 40K - Onsite - Alabang
Full-time
AddForce Human Resources Solution Inc.
Position : Accounts Receivable Follow up Specialist
Location: Alabang Corporate Center, Alabang, Muntinlupa City
Work Set Up & Schedule:
- Onsite
- Permanent Night shift
Salary: 40,000 Salary Package
Start date: January 2026
- Review and resolve outstanding claim accounts from worklists or management direction, focusing on denied claims across various payers and regions.
- Analyze account history and conduct in-depth research, including review of patient charts and encounter documentation, to support resolution.
- Investigate and follow up on denied claims, identifying causes related to coding discrepancies or contract issues.
- Prepare and attach appropriate documentation, gather additional information, and submit corrected claims to facilitate accurate and timely adjudication.
- Initiate and manage appeals for denied claims by researching root causes, collecting necessary documentation, making necessary account adjustments, and resubmitting claims.
- Maintain follow-up activities to ensure final resolution.
- Communicate claim issues and denial trends to leadership and contribute to continuous process improvement.
- Identifies, researches, and ensures timely processing of payments and error corrections, ensuring appropriate documentation of payments, allowances, denial, rejections, are recorded on individual accounts
- Review remittance advice and investigate underpayments or overpayments.
- Perform additional A/R tasks and support other departmental responsibilities as assigned.
Qualifications:
- Graduate of any college degree.
- Must have 2+ years in a Healthcare BPO setting
- Knowledgeable in Revenue Cycle Management
- Knowledge of commercial, HMO, Medicare/Medicaid, and other payer requirements.
- Working knowledge on the use of insurance payer websites ie: Availity, Optum, Medicare, Evicore portals.
- Working knowledge with Practice Management systems, preferably KAREO a plus.
- Effective communication abilities
- Proven problem-solving skills
- Proficient knowledge of medical terminology is likely to be encountered in medical claims denials.
- Amenable to work onsite during training and nesting period in Alabang, Muntinlupa City and US shifts
- Amenable to start ASAP on January 2026
Salary Offer and Benefits:
- 15% Night Differential pay for work performed within 10pm to 6am
- FREE Shuttle
- HMO Day 1 with FREE dependent
- Free Uniform on the first issue
- Training and nesting period for 3 months and so
- Enrolment of two (2) max dependents shouldered by the employee to the same health insurance provider following the existing hierarchy for HMO dependents.
- Medical reimbursement of PHP2,000/year for principal and enrolled dependent.
- Life Insurance coverage of P100,000 for principal and enrolled dependent.
- Family Assistance coverage of P10,000 for principal and enrolled dependent, in case of death
Recruitment Process: Online / Virtual
- Final Interview via MS Teams
- Job Offer
Vacancy posted 15 hours ago
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