AR Specialist

This is a fully remote position, open to applicants in Philippines.

📋 Description

• Engage with payers to ensure prompt resolution of any outstanding claims through telephone or online platforms.

• Achieve and uphold daily productivity and quality benchmarks set forth in departmental guidelines.

• Utilize the workflow system, client host system, and other resources to collect payments and manage accounts effectively.

• Comply with the policies and procedures outlined for the client/team.

• Have a clear understanding of timely filing deadlines for each assigned payer.

• Conduct research on payer-specific billing guidelines as required.

• Demonstrate the ability to proactively analyze, identify, and track claims issues to minimize denials.

• Report any identified issues and trends to management.

• Initiate appeals when necessary.

• Understand the processes related to under or over-payments and credit balances.

• Handle, protect, and disclose patients' protected health information (PHI) strictly in accordance with Health Insurance Portability and Accountability Act (HIPAA) regulations.

⛳️ Requirements

• At least 2 years of experience in accounts receivable or healthcare billing, preferably in skilled nursing or long-term care environments.

• Familiarity with Medicare, Medicaid, and private insurance billing processes.

• Strong attention to detail.

• Proficient in Microsoft Excel.

• Excellent verbal and written communication skills in English.

🏝️ Benefits

• Flexible work arrangements.