Healthcare Billing & AR Follow-Up Expert

UnifyCX; Quezon City; On-site; PHP 360,000 - 600,000; Full time

Job summary

UnifyCX is seeking a detail-oriented Healthcare Billing and AR Follow Up Specialist to support accurate billing and receivable operations. You will process claims, resolve denials, file appeals, and follow up with payers to maximize reimbursements, while ensuring compliance with payer requirements.

The role requires CMS-1500 claim experience, proficiency in ICD-10, CPT/HCPCS, and codes, and strong analytical and communication skills.

Qualifications

• Minimum 1 year and 6 months of healthcare billing or AR experience.
• Experience with CMS-1500 (HCFA) claims.
• Strong knowledge of ICD-10, CPT/HCPCS codes and revenue codes.
• Experience handling denial management, appeals, follow-up, and corrections.
• Experience managing accounts receivable and resolving underpaid claims.
• Understanding payer requirements and timely filing guidelines.
• Experience reviewing EOBs/ERAs and resolving discrepancies.
• Excellent written and verbal communication skills.
• Amenable to work Full onsite at ETON Centris, Quezon City.

Responsibilities

• Prepare, review, and submit medical claims (CMS-1500/UB-04) accurately.
• Ensure correct claim details: ICD-10, CPT/HCPCS, revenue codes, modifiers.
• Resolve denials through corrections, resubmissions, and appeals.
• Manage AR activities and recover reimbursements from insurers.
• Submit appeals with supporting documentation to maximize reimbursement.
• Review EOBs/ERAs and reconcile payments.
• Adhere to payer filing timeframes and guidelines.
• Communicate with insurers and internal stakeholders to resolve issues.
• Maintain thorough claim status and collection documentation.
• Meet productivity, quality, and collection targets.

Skills

Healthcare billing

Denial management

Claims processing

Communication skills

Analytical thinking

Organization

Problem-solving

Time management

Tools

EMR/EHR systems

Medical billing platforms

CMS-1500 processing

Job description

UnifyCX is seeking a detail-oriented Healthcare Billing and AR Follow Up Specialist to support accurate billing and receivable operations. You will process claims, resolve denials, file appeals, and follow up with payers to maximize reimbursements, while ensuring compliance with payer requirements.

The role requires CMS-1500 claim experience, proficiency in ICD-10, CPT/HCPCS, and codes, and strong analytical and communication skills.