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