A/R Follow-Up Specialist | Work from home

Connext; Philippinen; Remote; PHP 300.000 - 540.000; Vollzeit

Zusammenfassung

Connext is seeking an A/R Follow-Up Specialist to join our healthcare support team. This remote, full-time role focuses on following up on insurance claims, resolving denials, and ensuring timely reimbursement, leveraging RCM knowledge and strong attention to detail.

You'll work with billing, coding, and payer teams, use EMR/EHR and payer portals, and uphold HIPAA compliance while meeting productivity and quality targets.

Qualifikationen

• 1+ year of experience in Insurance Follow-Up, Medical Billing, A/R or RCM.
• Experience with EMR/EHR and Practice Management Systems.
• Familiarity with payer portals and claim processing.
• Knowledge of HIPAA and healthcare compliance requirements.
• Strong analytical and organizational skills, attention to detail.

Aufgaben

• Review and follow up on outstanding insurance claims to secure timely payment.
• Investigate denials and underpayments and determine resolutions.
• Contact insurance companies via calls, portals, and written correspondence.
• Submit corrected claims, appeals, and supporting documentation.
• Review EOBs and ERAs and document follow-up activities.

Kenntnisse

Insurance Follow-Up

Medical Billing

Accounts Receivable (A/R)

Revenue Cycle Management (RCM)

Tools

EMR/EHR systems

Practice Management Systems

Insurance payer portals

Jobbeschreibung

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

Remote | Full-Time

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

Strong:

• Analytical and problem-solving skills
• Attention to detail
• 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