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Access Healthcare is hiring Accounts Receivable (AR) Claims Tracking specialists with 1 to 4 years of experience to join our team in the Philippines. Fluent verbal communication skills are essential for this role, since it involves outbound calling and stakeholder communications. This is a work from office, night shift position, based in McKinley Hill, Taguig.
Job Responsibility:
Follow up with insurance companies on denied claims through internal/client workflows
Inspect patient documentation including authorization, nursing notes, medical documentation on client's systems, etc. and interpret the explanation of benefits ahead of conducting follow up
Work towards optimizing key metrics such as days in A/R and collections rate, while keeping accurate records of all actions taken, insurance documentation and call notes to maintain a clear audit trail
Analyze accounts receivable data to understand reasons for underpayment, denials and excessive days in A/R and document these using appropriate codes
Requirements:
Fluent verbal communication skills for outbound calling
Strong knowledge of denials management and A/R fundamentals
Willingness to work continuously in night shifts
Basic working knowledge of computers
1-4 years of experience in AR follow-up/denial management for US healthcare
Knowledge of healthcare terminology and ICD/CPT codes
Nice to have:
Familiarity with popular medical billing software packages will be considered a plus