Job Summary:

The RCM AR Collections Specialist is responsible for managing accounts receivable activities within the healthcare revenue cycle process. This role focuses on insurance follow-up, claims resolution, denial management, and ensuring timely collection of outstanding payments from insurance companies and payers.

Responsibilities

• Perform insurance follow-up on unpaid, denied, or underpaid claims
• Review accounts receivable aging reports and prioritize accounts for resolution
• Contact insurance companies to verify claim status and payment details
• Investigate and resolve claim denials, rejections, and discrepancies
• Submit corrected claims and appeals with appropriate documentation
• Ensure timely reimbursement and minimize outstanding AR balances
• Document all collection activities and account updates accurately
• Collaborate with billing, coding, and payment posting teams to resolve issues
• Maintain productivity and quality standards based on client KPIs
• Ensure compliance with HIPAA and healthcare regulations

Salary & Benefits

PHP 26,000 - PHP 34,000 Basic Salary + PHP 3,600 Optum Allowance (+ PHP 900 Transportation Allowance for Taguig Hire)

40K SOB

20K = 1st salary or on the 30th (first salary)

then 20k on their 6th month or after 1 year.

1 year bond

Job Requirements

> At least 12 months of Healthcare AR Collections experience (Healthcare BPO International)

> Educational attainment - at least 2nd year college undergrad

> Familiar with UB Claims and has knowledge in UB04 forms

> Has experience working on a Provider side (hospital)

> Background in calling insurance (Payer) to verify claims status and payment dispute