Account Receivable Follow up Specialist - 40K - Onsite - Alabang

AddForce Human Resources Solution Inc.; Quezon City; On-site; PHP 406,224 - 486,576; Full time

Benefits offered by this job

15% night differential pay

FREE shuttle

HMO Day 1 with FREE dependent

Free uniform on first issue

Medical reimbursement of PHP 2,000/year

Life insurance coverage of PHP 100,000

Family assistance coverage of PHP 10,000

Job summary

A staffing and recruitment agency is looking for an Accounts Receivable Follow-up Specialist to handle medical claims and denials in Metro Manila. The ideal candidate should have at least 2 years of Healthcare BPO experience and a college degree. Responsibilities include reviewing claims, investigating denials, and managing appeals. This position offers a PHP 40,000 salary and benefits like night differential pay, free shuttle, and HMO on Day 1 with dependents covered.

Qualifications

• At least 2 years of experience in a Healthcare BPO setting.
• Proficient in medical terminology likely in claims denials.
• Amenable to work onsite during training and shifts.

Responsibilities

• Review and resolve outstanding claim accounts and denied claims.
• Analyze account history and conduct research for claim resolutions.
• Manage appeals for denied claims by collecting necessary documentation.

Skills

Healthcare BPO experience

Knowledgeable in Revenue Cycle Management

Effective communication abilities

Proven problem-solving skills

Working knowledge of insurance payer websites

Education

Graduate of any college degree

Tools

Practice Management systems (preferably KAREO)

Job description

Position: Accounts Receivable Follow up Specialist

Location: Alabang Corporate Center, Alabang, Muntinlupa City

Work Set Up & Schedule:

• Onsite
• Permanent Night shift

Salary: 40,000 Salary Package

Start date: January 2026

Responsibilities

• Review and resolve outstanding claim accounts from worklists or management direction, focusing on denied claims across various payers and regions.
• Analyze account history and conduct in-depth research, including review of patient charts and encounter documentation, to support resolution.
• Investigate and follow up on denied claims, identifying causes related to coding discrepancies or contract issues. Prepare and attach appropriate documentation, gather additional information, and submit corrected claims to facilitate accurate and timely adjudication.
• Initiate and manage appeals for denied claims by researching root causes, collecting necessary documentation, making necessary account adjustments, and resubmitting claims. Maintain follow-up activities to ensure final resolution.
• Communicate claim issues and denial trends to leadership and contribute to continuous process improvement.
• Identify, research, and ensure timely processing of payments and error corrections, ensuring appropriate documentation of payments, allowances, denials, rejections, are recorded on individual accounts.
• Review remittance advice and investigate underpayments or overpayments.
• Perform additional A/R tasks and support other departmental responsibilities as assigned.

Qualifications

• Graduate of any college degree.
• Must have 2+ years in a Healthcare BPO setting.
• Knowledgeable in Revenue Cycle Management.
• Knowledge of commercial, HMO, Medicare/Medicaid, and other payer requirements.
• Working knowledge on the use of insurance payer websites (e.g., Availity, Optum, Medicare, Evicore portals).
• Working knowledge with Practice Management systems, preferably KAREO a plus.
• Effective communication abilities.
• Proven problem‑solving skills.
• Proficient knowledge of medical terminology is likely to be encountered in medical claims denials.
• Amenable to work onsite during training and nesting period in Alabang, Muntinlupa City and US shifts.
• Amenable to start ASAP on January 2026.

Salary Offer and Benefits

• 15% night differential pay for work performed within 10 pm to 6 am.
• FREE shuttle.
• HMO Day 1 with FREE dependent.
• Free uniform on first issue.
• Training and nesting period for 3 months and so.
• Enrollment of up to two (2) max dependents shouldered by the employee to the same health insurance provider following the existing hierarchy for HMO dependents.
• Medical reimbursement of PHP 2,000/year for principal and enrolled dependent.
• Life insurance coverage of PHP 100,000 for principal and enrolled dependent.
• Family assistance coverage of PHP 10,000 for principal and enrolled dependent, in case of death.

Recruitment Process: Online / Virtual

• Final interview via MS Teams.
• Job offer.