AR Specialist - Ortigas, Metro Manila

Para lamang sa mga rehistradong miyembro Ortigas, Metro Manila, Pilipinas

9 oras ang nakalipas

₱300,000 - ₱650,000 (PHP) bawat taon *

* Ang saklaw ng suweldo na ito ay isang pagtatantya na ginawa ng beBee

About Visaya KPO · Visaya Knowledge Process Outsourcing Corporation is a proudly Filipino organization recognized globally for service excellence, innovation, and a culture of malasakit. We are committed to building long-term partnerships through quality, reliability, and a peopl ...

Paglalarawan ng trabaho

About Visaya KPO

Visaya Knowledge Process Outsourcing Corporation is a proudly Filipino organization recognized globally for service excellence, innovation, and a culture of malasakit. We are committed to building long-term partnerships through quality, reliability, and a people-first approach.

Role Overview

We are seeking a detail-oriented and experienced Accounts Receivable (AR) Specialist to support US Healthcare Revenue Cycle Management operations. This role is responsible for managing insurance accounts receivable, resolving denied or underpaid claims, and ensuring timely reimbursement from government and commercial payers. The ideal candidate has strong knowledge of payer regulations, appeals processes, and healthcare billing systems, particularly EPIC.

Key Responsibilities

Manage accounts receivable for Medicare, Medi-Cal, TPL, managed care, and commercial payers
Follow up on unpaid, denied, and underpaid claims within timely filing limits
Review EOBs and UB-04 forms to reconcile payments and evaluate underpayments
Prepare and submit technical appeals and payer correspondence
Communicate with insurance representatives to resolve billing discrepancies
Process credit balance adjustments and refunds
Review eligibility, authorizations, and coordination of benefits (COB)
Ensure compliance with payer guidelines and regulatory requirements
Track claim activity and document follow-ups in EPIC and related systems
Collaborate with internal and external stakeholders to ensure accurate reimbursement
Maintain HIPAA compliance and recommend process improvements

Key Qualifications

At least SHS graduate
Minimum 2 years of U.S. healthcare accounts receivable experience
Experience handling Medicare, Medi-Cal, TPL, and commercial payers
Strong knowledge of EOB interpretation, UB-04 forms, COB, and denial management
Experience processing credit balance adjustments and refunds
Proficient in payer portals for claims follow-up and appeals
EPIC Systems experience required (other EHR systems like Meditech are a plus)
Strong analytical skills with the ability to manage multiple priorities
Amenable to onsite (Ortigas) and night shift work

Perks and Benefits

HMO coverage after 30 days (with option to add up to 2 dependents)
15% Night Differential Retirement Benefits
24 Leave Credits per year (convertible to cash)
Wholistic Employee Wellness Program
Career advancement opportunities within a growing claims operations team

Why Join Visaya KPO?

Be part of a multi-awarded, 100% Filipino-owned company known for innovation and excellence in outsourcing
Work in a culture that values professionalism, growth, and long-term success
Grow your healthcare RCM career in a culture that values professionalism, collaboration, and long-term success.

Visaya KPO is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.