A/R Claims Follow-Up Specialist

Connext Global Solutions Inc; Central Luzon; Remote; PHP 279,000 - 446,000; Full time

Benefits offered by this job

Competitive compensation

Perfect Attendance Bonus

Life insurance

HMO Insurance

Great company culture

25% Night Differential

Job summary

Connext is seeking an A/R Follow-up Specialist to support a United States client. You will manage outstanding insurance claims to secure timely reimbursement.

Responsibilities include reviewing claims, contacting carriers through phone, portals, and written correspondence, submitting corrected claims, reviewing EOBs/ERAs, posting payments, and documenting activities. The role requires HIPAA compliance, collaboration with billing and coding teams, and meeting productivity/quality targets.

Qualifications

• Minimum of one year of experience in insurance follow-up, medical billing, accounts receivable, or revenue cycle management.
• Experience using EMR/EHR and payer portals.

Responsibilities

• Review and follow up on outstanding insurance claims to secure timely payment.
• Investigate denied, rejected, and underpaid claims, identify root causes, and determine appropriate resolutions.
• Contact insurance carriers through phone, payer portals, and written correspondence to resolve claim issues.
• Submit corrected claims, appeals, and required supporting documentation.
• Review EOBs and ERAs to reconcile payments and adjustments.
• Ensure payments, adjustments, and contractual write-offs are accurately posted and documented.
• Maintain complete and accurate documentation of claim follow-up activities in the billing system.
• Monitor accounts receivable aging and prioritize accounts based on timely filing limits and payer requirements.
• Collaborate with billing, coding, credentialing, and other internal teams to resolve claim issues.
• Respond professionally to patient and insurance inquiries regarding billing and claim status.
• Maintain the confidentiality of PHI and comply with HIPAA requirements.
• Meet established productivity, quality, and turnaround time expectations.
• Support process improvement initiatives and departmental goals.

Skills

Insurance follow-up

Medical billing

Accounts receivable

Revenue cycle management

HIPAA compliance

Tools

EMR/EHR systems

Payer portals

Job description

Connext is seeking an A/R Follow-up Specialist to support a United States client. You will manage outstanding insurance claims to secure timely reimbursement.

Responsibilities include reviewing claims, contacting carriers through phone, portals, and written correspondence, submitting corrected claims, reviewing EOBs/ERAs, posting payments, and documenting activities. The role requires HIPAA compliance, collaboration with billing and coding teams, and meeting productivity/quality targets.