Accounts Receivable Specialist

PSG Global Solutions Inc.; Makati; On-site; PHP 350,000 - 550,000; Full time

Benefits offered by this job

Competitive salary + incentives

Comprehensive HMO Coverage

Early Regularization eligibility

Job summary

PSG Global Solutions Inc. is seeking an Accounts Receivable Specialist in Makati to accelerate account recovery and optimize reimbursement for healthcare claims. The role focuses on insurance follow-up, denials management, and coordination with billing and clinical teams to ensure timely resolutions.

The ideal candidate has 2+ years in healthcare AR with both commercial and governmental payers, strong attention to detail, and excellent communication skills. Competitive salary and HMO are offered.

Qualifications

• At least 2 years of experience in healthcare accounts receivable, insurance follow-up, or denial management.
• Hands-on experience with both commercial and governmental payers.
• Knowledge of corrected claims, appeals, payer billing requirements, and timely filing limits.
• Strong attention to detail and organizational skills.
• Excellent written and verbal communication skills.
• Ability to investigate claim issues, prioritize outstanding accounts, and work toward timely resolution.

Responsibilities

• Examine accounts receivable aging reports and follow up on outstanding insurance claims.
• Prepare and submit corrected claims, ensuring accuracy and payer compliance.
• Contact insurance carriers to check claim status and address delays.
• Resolve denied and rejected claims by researching reasons and filing appeals.
• Gather supporting documentation with billing, coding, and clinical teams to address discrepancies.
• Resolve claims held in pre-submission queues.
• Identify recurring denial patterns and recommend process improvements.
• Keep accurate records of follow-ups, payer communications, and outcomes.
• Adhere to insurance regulations, payer guidelines, and internal policies.

Skills

Attention to detail

Communication skills

Analytical thinking

Organization

Problem solving

Job description

About the Role

We are seeking a detail-oriented and results-driven Accounts Receivable Specialist to accelerate account recovery, address payment denials and rejections, and maximize revenue through effective reimbursement strategies. The ideal candidate has hands-on experience in healthcare accounts receivable, payment follow-up, and denial management, along with a solid understanding of healthcare billing processes.

Key Responsibilities

• Examine accounts receivable aging reports and follow up on outstanding insurance claims.

• Prepare and submit corrected claims, ensuring accuracy and compliance with payer requirements and timely filing deadlines.

• Contact insurance carriers to check claim status, investigate payment delays, and address underpayments.

• Resolve denied and rejected claims by researching denial reasons, preparing appeals, and following through on outstanding cases.

• Gather supporting documentation and work with billing, coding, and clinical teams to address claim discrepancies.

• Resolve claims held in pre-submission queues.

• Identify recurring denial patterns and recommend process improvements to minimize future claim rejections.

• Keep accurate records of claim follow-ups, payer communications, and resolution outcomes.

• Adhere to applicable insurance regulations, payer guidelines, and organizational policies.

Qualifications

• At least 2 years of experience in healthcare accounts receivable, insurance follow-up, or denial management.

• Hands-on experience working with both commercial and governmental payers.

• Knowledge of corrected claims, appeals, payer billing requirements, and timely filing limits.

• Strong attention to detail and organizational skills.

• Excellent written and verbal communication skills.

• Ability to investigate claim issues, prioritize outstanding accounts, and work toward timely resolution.

What We Offer

• Competitive salary package and performance incentives

• Comprehensive HMO Coverage

• Early Regularization eligibility