A/R Follow-up Representative

AE - BUSINESS PROCESS OUTSOURCING INC; Quezon City; Remote; PHP 300,000 - 540,000; Full time

Job summary

AE - BUSINESS PROCESS OUTSOURCING INC is seeking an AR Follow-Up Representative to manage and resolve outstanding insurance and patient balances for timely reimbursements. This role requires strong knowledge of U.S.

healthcare insurance, payer guidelines, and claims resolution processes, with effective communication with insurers and internal teams. The position supports U.S.-based DME operations, working closely with onshore billing and RCM teams, and offers remote/offshore work in a

Qualifications

• 2+ years of experience in U.S. healthcare AR follow-up, medical billing, or collections.

Responsibilities

• Review AR work queues by aging, payer, and claim value.
• Perform outbound follow-up calls to insurance companies to obtain claim status and payment.
• Follow up via payer portals and communication channels.
• Resolve unpaid, underpaid, denied, or rejected claims promptly.
• Submit corrected claims, reopen requests, and appeals as needed.
• Follow up on DME-related claims (rentals, capped rentals, purchased equipment).
• Document all follow-up activities and resolutions accurately in the billing system.
• Communicate professionally with insurance representatives to resolve claim issues.
• Meet or exceed productivity and quality benchmarks.

Skills

AR follow-up

Medical billing

English communication

Job description

About the role

The Accounts Receivable (AR) Follow-Up Representative is responsible for managing and resolving outstanding insurance and patient balances to ensure timely reimbursement. This role involves reviewing unpaid or underpaid claims, following up with insurance companies, and resolving billing issues to support optimal cash flow. The AR Follow-Up Representative must have strong knowledge of U.S. healthcare insurance, payer guidelines, and claims resolution processes, with the ability to effectively communicate with insurance representatives and internal stakeholders to reduce AR aging and improve collections. This role supports U.S.-based Durable Medical Equipment (DME) operations and works closely with the onshore billing and RCM teams.

Key responsibilities

• Review assigned AR work queues and prioritize accounts based on aging, payer, and claim value
• Perform outbound follow-up calls to insurance companies to obtain claim status and secure payment
• Follow up via payer portals, clearinghouses, and other payer communication channels
• Resolve unpaid, underpaid, denied, or rejected claims promptly
• Submit corrected claims, reopen requests, and appeals as appropriate
• Follow up on claims related to DME equipment including rentals, capped rentals, and purchased equipment
• Review and analyze denial reasons and determine appropriate corrective actions
• Accurately document all follow-up activities, claim status updates, and resolutions in the billing system
• Communicate professionally with insurance representatives to resolve claim issues
• Meet or exceed established productivity and quality benchmarks

About you

• 2+ years of experience in U.S. healthcare AR follow-up, medical billing, or collections
• Strong knowledge of U.S. healthcare insurance including Medicare, Medicaid, and commercial payers
• Experience performing insurance follow-up calls and resolving denied or unpaid claims
• Excellent English verbal and written communication skills
• Strong analytical, problem-solving, and critical thinking skills
• Ability to work independently in a remote or offshore environment
• Ability to meet productivity and quality expectations
• Maintain compliance with HIPAA and company policies

About us

Our Client is a rapidly expanding company in the healthcare industry (sleep medicine) dedicated to empowering individuals to prioritize their health and well-being. They're redefining the future of healthcare by combining cutting-edge technology with compassionate care. A fast-growing and mission-driven company, they're looking for talented individuals who are passionate about making a difference.