AR Specialist

Job Responsibilities:

• Review provider claims that have not been paid by insurance companies.

• Follow up with insurance companies to determine the status of claims by initiating phone calls verifying through payer websites or requesting necessary information.

• Contact insurance companies for explanations of denials or underpayments and prepare appeal packets for submission when required.

• Make necessary corrections to claims based on responses/findings and resubmit or refile them as needed.

• Document all actions taken in the claims billing system.

• Consistently meet established performance standards on a daily basis.

• Continuously improve knowledge of CPT and DX codes and apply a persuasive approach to collections.

Job Requirements:

• Bachelors degree in any field.

• Strong communication skills with a good command of the English language.

• Minimum of 1 year of experience in AR Followup and Denials Management.

• Candidates with at least 1 year of BPO experience in US Healthcare Insurance will also be considered.

• Solid understanding of the US Healthcare revenue cycle and its complexities.

• Excellent analytical and comprehension abilities.

• Willingness to work onsite in Pasig.

Remote Work :

No