Accounts Receivable Specialist

PSG Global Solutions; Metro Manila; On-site; PHP 420,000 - 640,000; Full time

Benefits offered by this job

Competitive salary package and  incent

Early Regularization eligibility

Job summary

PSG Global Solutions, LLC is seeking a detail-oriented Accounts Receivable Specialist in Metro Manila to accelerate account recovery, address payment denials, and maximize revenue through effective reimbursement strategies. The ideal candidate has hands-on experience in healthcare AR, payer follow-up, and denial management, with knowledge of corrected claims and appeals.

Join a team focused on accuracy, compliance, and timely resolutions while supporting collaboration across billing and coding

Qualifications

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

Skills

Healthcare AR experience

Insurance follow-up

Denial management

Attention to detail

Communication skills

Investigation of claim issues

Job description

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
• Early Regularization eligibility