AR Follow-Up Specialist: Fast Claims Resolution

Connext; Metro Manila; On-site; PHP 300,000 - 420,000; Full time

Benefits offered by this job

Life and HMO Insurance

20 Leave Credits

Job summary

Connext Global Solutions is hiring an A/R Follow-Up Specialist to support a US-based client from our Philippines location. The role focuses on managing U.S. healthcare receivables by following up on denied, unpaid, and underpaid claims, supporting appeals and corrections, and ensuring timely claim resolution for behavioral health facilities.

You will handle EOBs/ERAs, communicate with U.S. insurers via calls and portals, and work toward meeting AR KPIs with cross-functional billing and clinical

Qualifications

• Demonstrates strong experience in insurance follow-up and claims resolution.
• Knowledge of EOBs, ERAs, denial codes, and payer processes.
• Comfortable performing daily outbound calls to U.S. insurance companies.
• Proven ability to work U.S. Eastern Time schedule.
• Clear and coherent written and verbal English communication.

Responsibilities

• Manage AR, prioritizing denied, unpaid, underpaid, and aging claims.
• Contact U.S. insurance companies via phone and payer portals for claim status, denials, and payment details.
• Investigate claim issues and support appeals, corrected claims, and reconsiderations.
• Review EOBs, ERAs, medical records, and authorization documents to resolve claims.
• Maintain accurate claim notes, follow-up dates, reference numbers, and payer communications.
• Meet AR and collections KPIs while collaborating with billing, payment posting, and clinical teams to ensure timely claim resolution.

Skills

Insurance follow-up

Claims resolution

EOBs/ERAs/denials

Outbound calls

English communication

Job description

Connext Global Solutions is hiring an A/R Follow-Up Specialist to support a US-based client from our Philippines location. The role focuses on managing U.S. healthcare receivables by following up on denied, unpaid, and underpaid claims, supporting appeals and corrections, and ensuring timely claim resolution for behavioral health facilities.

You will handle EOBs/ERAs, communicate with U.S. insurers via calls and portals, and work toward meeting AR KPIs with cross-functional billing and clinical