As an RCM (AR Collections) Specialist, you will manage outstanding healthcare claims on the Provider (Hospital) side to ensure timely reimbursement. This is a primarily back-office role (70% non-voice) with occasional outbound calls (30% voice) to insurance companies for claim verification and payment resolution.
Salary Range: ₱26,000 – ₱34,000 basic salary
Additional Perks: ₱40,000 Sign-On Bonus (PHP 20,000 on your first payroll + PHP 20,000 upon tenure completion; 1-year employment bond applies)
Work Setup:
Onsite - Muntinlupa | Makati City | Quezon City
Resposibilities:
- Review contracts and analyze payment disputes.
- Work on the Provider/Hospital side of Revenue Cycle Management.
- Contact insurance companies (Payers) to verify claim status and collect unpaid claims.
- Process claims payments and update account records accurately.
- Resolve denied, rejected, and underpaid claims.
- Handle Accounts Receivable (AR) follow-ups to maximize collections.
- Ensure compliance with client policies and healthcare billing guidelines.
- Maintain accurate documentation of all claim activities.
Qualifications:
- At least 12 months of Healthcare AR Collections experience in an International Healthcare BPO.
- At least 2nd Year College Undergraduate.
- Experience handling Accounts Receivable (AR), Denials, and Claims.
- Familiar with UB Claims and knowledgeable in UB-04 Forms.
- Experience working on the Provider/Hospital side.
- Background in calling insurance companies (Payers) to verify claim status and resolve payment disputes.
- Strong communication, analytical, and problem-solving skills.
