Accounts Receivables Specialist

Posted 6 Hours Ago
Be an Early Applicant
Hiring Remotely in Philippines
Remote
Senior level
Healthtech
The Role
Manage accounts receivable for healthcare payers: follow up on unpaid, denied, or partially paid claims via calls/emails/portals; resolve denials and under/overpayments; perform denial root-cause analysis; initiate appeals; use workflow and payer systems; support process improvements; ensure HIPAA compliance; mentor junior staff and assist with AR projects and reporting.
Summary Generated by Built In

Job Description – AR Analyst / Senior AR Analyst

Department: Revenue Cycle Management (RCM)
Location: Eastwood City Libis

Role Overview

The AR Analyst / Senior AR Analyst is responsible for managing accounts receivable, ensuring timely follow-ups on outstanding claims, resolving denials, and maximizing collections from insurance payers. The role involves handling both routine and complex AR scenarios, with senior-level expectations including denial analysis, escalations, and mentoring support.

Key Responsibilities

AR Follow-up & Collections

  • Follow up with payers via calls, emails, fax, and portals to resolve outstanding claims.

  • Work and prioritize accounts based on value, TAT, and payer guidelines.

  • Ensure timely resolution of unpaid, denied, or partially paid claims.

Denial Management & Issue Resolution

  • Analyze and resolve denials, rejections, underpayments, and overpayments.

  • Initiate and manage appeals with proper documentation and supporting information.

  • Identify and correct medical billing errors impacting claim payment.

  • Handle complex denial scenarios and escalations.

Analysis & Process Improvement

  • Perform analysis to identify trends in denials and payment delays.

  • Conduct root cause analysis (RCA) for recurring issues.

  • Recommend and support process improvements to reduce denials and increase collections.

System Utilization & Documentation

  • Use workflow systems, client systems, and payer portals to manage accounts.

  • Maintain accurate and complete documentation of all follow-ups and actions.

  • Work independently on assigned work queues and ensure completion within TAT.

Compliance & Guidelines

  • Adhere to payer guidelines, timely filing limits, and billing protocols.

  • Ensure compliance with HIPAA and Information Security policies.

  • Protect and use PHI appropriately, limiting access to minimum necessary.

Team Support & Collaboration (Senior Level)

  • Provide guidance and support to junior team members.

  • Collaborate with coding, billing, and quality teams for issue resolution.

  • Communicate trends, risks, and escalations to management and stakeholders.

Additional Responsibilities

  • Assist with special AR projects, reporting, and process initiatives.

  • Maintain professionalism in interactions with patients, clients, and internal teams.

  • Perform other duties as assigned by management.

Required Skills

  • Strong knowledge of US Healthcare RCM (AR, denials, billing workflows)

  • Understanding of EOB/ERA, CPT/ICD basics, and payer guidelines

  • Analytical and problem-solving ability

  • Effective communication and payer handling skills

  • Ability to work independently and manage workload

  • Strong expertise in denial management and complex AR scenarios

Skills Required

  • Strong knowledge of US Healthcare RCM (AR, denials, billing workflows)
  • Understanding of EOB/ERA, CPT/ICD basics, and payer guidelines
  • Experience using workflow systems, client systems, and payer portals
  • Analytical and problem-solving ability, including root cause analysis for denials
  • Effective communication and payer handling skills (calls, emails, fax, portals)
  • Ability to work independently, manage workload, and meet TAT
  • Expertise in denial management, appeals, and handling complex AR scenarios
Am I A Good Fit?
beta
Get Personalized Job Insights.
Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.

The Company
HQ: Chicago, Illinois
103 Employees
Year Founded: 2012

What We Do

Optimizing Healthcare Organizations through Revenue & Cost Transformation Neolytix is a Management Service Organization (MSO) serving independent healthcare providers. Neolytix has been working with healthcare practices for the last 11 years and providing a helping hand for busy medical practitioners. Our services have helped increase monthly collections, create efficient processes for office administration, improved patient experience and free up physician time for providing better care. We provide shared services solutions for Medical Offices supporting Revenue Cycle Management, Credentialing, Virtual Assistants, IT Support, Practice Marketing with guaranteed impact on the overall bottom line. That means better service for a lower cost. #MedicalBilling #RPM #MSO #medicalbilling #remotepatientmonitoring #valuebasedcare #revenuecyclemanagement #Healthcareproviders #digitalhealth

Similar Jobs

Dennemeyer Logo Dennemeyer

Accounts Receivable Specialist

Information Technology • Legal Tech
Remote
Metro Manila, PHL
730 Employees

Optum Logo Optum

Senior Telecommunication Analyst - Avaya

Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Remote
City of Muntinlupa, Rizal, Calabarzon, PHL
160000 Employees

Optum Logo Optum

Technical Support

Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Remote
City of Muntinlupa, Rizal, Calabarzon, PHL
160000 Employees

Optum Logo Optum

Senior Software Engineer

Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Remote
City of Muntinlupa, Rizal, Calabarzon, PHL
160000 Employees

Similar Companies Hiring

Camber Thumbnail
Fintech • Healthtech • Social Impact
New York, New York
90 Employees
Sailor Health Thumbnail
Healthtech • Social Impact • Telehealth
New York City, NY
20 Employees
Granted Thumbnail
Mobile • Insurance • Healthtech • Financial Services • Artificial Intelligence
New York, New York
23 Employees

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account