Home Health AR & Denials Specialist

Taio Connect; Metro Manila; Remote; PHP 335,000 - 469,000; Full time

Job summary

Taio Connect is seeking an Accounts Receivable (AR) Specialist to manage and resolve outstanding balances for a home health agency. You will focus on insurance follow-up, payment posting, denial management, and collections to ensure timely reimbursement from Medicare, Medicaid, commercial payers, and patients.

The role requires knowledge of home health billing regulations and US reimbursement processes, including PDGM and CMS guidelines.

Qualifications

• 2+ years AR experience in Home Health or Healthcare

Responsibilities

• Monitor, analyze, and follow up on outstanding AR balances for home health claims
• Perform payer follow-up via portals, phone calls, and written correspondence
• Resolve unpaid, underpaid, or denied claims in a timely manner
• Work aging reports (30/60/90+ days) to reduce days in AR
• Review EOBs/ERAs and identify denial causes
• Submit corrected claims, appeals, and supporting documentation
• Ensure compliance with Medicare home health billing guidelines, including PDGM
• Post insurance and patient payments accurately
• Reconcile accounts and identify payment discrepancies
• Process adjustments, refunds, and write-offs per company policy
• Maintain accurate notes and documentation in the billing system
• Collaborate with intake, coding, and clinical teams to resolve billing issues
• Prepare AR status reports and collection summaries
• Communicate trends, denial issues, and payer concerns to leadership
• Respond to patient and payer inquiries regarding balances and payments

Skills

Accounts Receivable

Healthcare AR

Analytical skills

Organizational skills

Problem-solving

Communication

Education

High school diploma

Associate degree preferred

Tools

Homecare Homebase

WellSky

Job description

Taio Connect is seeking an Accounts Receivable (AR) Specialist to manage and resolve outstanding balances for a home health agency. You will focus on insurance follow-up, payment posting, denial management, and collections to ensure timely reimbursement from Medicare, Medicaid, commercial payers, and patients.

The role requires knowledge of home health billing regulations and US reimbursement processes, including PDGM and CMS guidelines.