Healthcare Billing & AR Specialist: Claims, Denials, Appeals

UnifyCX; Quezon City; On-site; PHP 250,000 - 360,000; Full time

Job summary

unifyCX is seeking a detail-oriented Healthcare Billing and AR Follow-up Representative to support accurate billing and accounts receivable operations. You will manage claim processing, denial resolution, and payer follow-up to ensure timely payments while maintaining compliance with payer requirements.

Responsibilities include preparing claims (CMS-1500/UB-04), reviewing claim details, resolving denials, and coordinating with payers.

Qualifications

• > Minimum 1 year and 6 months of healthcare billing, accounts receivable, insurance collections, or denial management experience.
• > Experience with CMS-1500 (HCFA) and/or UB-04 (CMS-1450) claims.
• > Strong knowledge of ICD-10, CPT/HCPCS codes, revenue codes, and modifiers.
• > Experience handling claim processing, denial management, appeals, and payer follow-up.
• > Strong analytical, organizational, problem-solving, and communication skills.

Responsibilities

• Prepare, review, and submit medical claims (electronic and paper), including CMS-1500 and UB-04 forms.
• Ensure accurate claim details: ICD-10, CPT/HCPCS, revenue codes, modifiers, and provider info.
• Review and resolve denied/rejected/unpaid claims via corrections, resubmissions, appeals, and follow-up.
• Manage accounts receivable activities, researching outstanding balances and recovering reimbursements.
• Prepare and submit appeals with documentation to maximize reimbursement.
• Review EOBs and ERAs to reconcile payments and identify discrepancies.
• Monitor payer filing requirements and ensure timely submissions.
• Communicate with insurers and internal teams to resolve billing issues.
• Document claim status, collection efforts, and payer communications.
• Meet productivity, quality, and collection goals while complying with guidelines.

Skills

Healthcare billing

Accounts receivable

Denial management

Payer follow-up

ICD-10 knowledge

CPT/HCPCS coding

EOBs/ERAs review

Communication skills

Tools

EMR/EHR systems

Medical billing platforms

Job description

unifyCX is seeking a detail-oriented Healthcare Billing and AR Follow-up Representative to support accurate billing and accounts receivable operations. You will manage claim processing, denial resolution, and payer follow-up to ensure timely payments while maintaining compliance with payer requirements.

Responsibilities include preparing claims (CMS-1500/UB-04), reviewing claim details, resolving denials, and coordinating with payers.