A/R Follow-Up Specialist | Work from home

Connext; Philippines; On-site; PHP 240,000 - 420,000; Full time

Job summary

Connext is seeking an A/R Follow-Up Specialist to join our healthcare support team in the Philippines. You will follow up on insurance claims, resolve denials and underpayments, submit appeals, and work with carriers to secure timely reimbursement.

Ideal candidates have at least 1 year in Insurance Follow-Up, Medical Billing, A/R, or RCM, and are proficient with EMR/EHR and payer portals. Strong English communication and HIPAA compliance are required.

Qualifications

• At least 1 year of experience in Insurance Follow-Up.
• At least 1 year of Medical Billing.
• At least 1 year of Accounts Receivable (A/R) / Revenue Cycle Management (RCM).
• Knowledge of HIPAA and healthcare compliance.

Responsibilities

• Review and follow up on outstanding insurance claims to secure timely payment.
• Investigate denied, rejected, and underpaid claims and determine resolutions.
• Contact insurance companies through phone calls, payer portals, and written correspondence.
• Submit corrected claims, appeals, and supporting documentation.
• Review EOBs and ERAs and document follow-up activities.
• Monitor aging accounts receivable and prioritize based on filing deadlines.
• Collaborate with billing, coding, credentialing and healthcare teams to resolve issues.
• Respond professionally to billing and claim-related inquiries.
• Maintain HIPAA compliance and protect patient information.
• Meet productivity, quality, and turnaround time goals.

Skills

Insurance follow-up

Medical billing

Accounts receivable

Revenue cycle management

Tools

EMR/EHR systems

Practice Management Systems

Insurance payer portals

Job description

A/R Follow-Up Specialist (Insurance Follow-Up Representative)

Are you experienced in medical billing, insurance follow-up, and accounts receivable management? We are looking for a detail-oriented A/R Follow-Up Specialist to join our healthcare support team.

In this role, you will be responsible for following up on outstanding insurance claims, resolving denials and underpayments, submitting appeals, and working with insurance carriers to ensure timely reimbursement. This is an excellent opportunity for professionals with experience in revenue cycle management (RCM) and insurance claims processing.

What You'll Do

• Review and follow up on outstanding insurance claims to secure timely payment
• Investigate denied, rejected, and underpaid claims and determine appropriate resolutions
• Contact insurance companies through phone calls, payer portals, and written correspondence
• Submit corrected claims, appeals, and supporting documentation
• Review and interpret EOBs (Explanation of Benefits) and ERAs (Electronic Remittance Advice)
• Accurately document follow-up activities and account updates
• Monitor aging accounts receivable and prioritize accounts based on filing deadlines
• Collaborate with billing, coding, credentialing, and healthcare teams to resolve claim issues
• Respond professionally to billing and claim-related inquiries
• Maintain HIPAA compliance and protect patient information
• Meet productivity, quality, and turnaround time goals

What We're Looking For

Required Qualifications

At least 1 year of experience in:

• Insurance Follow-Up
• Medical Billing
• Accounts Receivable (A/R)
• Revenue Cycle Management (RCM)

Experience using:

• EMR/EHR systems
• Practice Management Systems
• Insurance payer portals

Knowledge of:

• Medical billing and claims processing
• Claim denials and appeals
• EOBs and ERAs
• Medicare, Medicaid, and commercial insurance payers
• HIPAA and healthcare compliance requirements
• Analytical and problem-solving skills
• Organizational and multitasking abilities
• Verbal and written English communication skills

Preferred Qualifications

Experience in behavioral health or multi-specialty medical practices

Experience working in a healthcare revenue cycle environment with productivity and quality metrics

Why Join Us?

• Work with a growing healthcare support team
• Gain exposure to diverse payer systems and healthcare specialties
• Opportunities for professional growth and development
• Collaborative and supportive work environment