AR Billing Specialist | PHRN with Hospital Experience BPO

Omega Healthcare Management Services, Inc.; Pasig; On-site; PHP 334,800 - 446,400; Full time

Job summary

A leading healthcare BPO provider in Metro Manila seeks an Accounts Receivable Executive. The role requires a registered nurse with hospital experience, focusing on medical documentation, insurance coordination, and claims management. Ideal candidates should possess a strong understanding of medical terminology and excellent customer service skills. This position offers an opportunity to work in a dynamic environment while ensuring compliance with billing regulations.

Qualifications

• Active PH Registered Nurse (PHRN) license required.
• At least 1–2 years of hospital experience, preferably in acute care settings.

Responsibilities

• Review and process authorization requests from healthcare providers.
• Assess patient records for compliance.
• Communicate with payers for approvals.
• Assist in resolving denied claims.
• Handle inquiries from providers and insurers.
• Ensure adherence to medical billing regulations.

Skills

Medical terminology

Anatomy and physiology

Prior authorization

Insurance claims processing

Communication skills

Customer service

Multi-tasking

Proficiency in computer applications

Education

Bachelor of Science in Nursing (BSN)

Tools

Medical billing software

Word

Outlook

PDF

Job description

A leading healthcare BPO provider in Metro Manila seeks an Accounts Receivable Executive. The role requires a registered nurse with hospital experience, focusing on medical documentation, insurance coordination, and claims management. Ideal candidates should possess a strong understanding of medical terminology and excellent customer service skills. This position offers an opportunity to work in a dynamic environment while ensuring compliance with billing regulations.