Job description
Join Adec Innovations as an AR Follow Up Specialist in our Healthcare BPO in Muntinlupa City, Metro Manila. This on-site role focuses on ensuring timely recovery of medical claims through strong analytics, clear payer communications, and deep knowledge of insurance claim processes. You’ll be part of a dynamic team that supports healthcare providers and patients by driving efficient revenue cycle operations and improving cash flow for medical services.
As an AR follow-up expert, you will monitor aging accounts, review claim statuses, and take decisive action to resolve outstanding items. You’ll work with payers, providers, and patients to obtain missing information, correct errors, and pursue resubmissions or appeals when necessary. Your daily tasks include analyzing aging dashboards, identifying denial patterns, and implementing process improvements to reduce future denials. You’ll document all interactions accurately in our claim management system and maintain HIPAA-compliant data handling at all times.
At Adec Innovations, we offer comprehensive training, competitive compensation, and a clear path for professional growth in the healthcare revenue cycle. Expect a collaborative environment, performance-based incentives, and opportunities to advance within a leading BPO that serves healthcare clients nationwide. If you are detail-driven, communicative, and motivated to help healthcare organizations optimize their financial performance, this is the role for you.
Responsibility
- Follow up on aged AR claims for medical services and ensure timely resolution
- Review claim denials and payer rejections; identify root causes and communicate resolution paths
- Coordinate with healthcare providers, patients, and payers to obtain necessary information
- Submit resubmissions, appeals, and corrections accurately within established SLAs
- Monitor aging dashboards, analyze trends, and escalate high-risk items
- Document all interactions in the claim management system and ensure data integrity
- Collaborate with the Revenue Cycle and Compliance teams to improve processes and reduce denials
- Maintain compliance with HIPAA, privacy policies, and data security standards
Qualification
- Bachelor’s degree or equivalent in Healthcare Administration, Finance, or related field
- Experience in medical claims AR follow-up or healthcare BPO
- Solid understanding of insurance claim processes, payer portals, and denial management
- Strong analytical, documentation, and negotiation skills
- Proficiency in Microsoft Office and claim management systems; experience with EMR/Practice Management systems
- Excellent written and verbal communication; ability to interact professionally with providers and patients
- Detail-oriented with strong time-management and SLA adherence; able to work on-site in Muntinlupa