AR Billing Specialist
On-site · Taguig, Metro Manila, Philippines
Job Summary
AR Billing Specialist responsible for accurate review and posting of claims, EOB/ERA analysis, payor verification, denials resolution, patient billing updates, and communication with payers and patients. Requires strong knowledge of CPT/DX/NPI/Revenue codes, Medicare/Medicaid claims handling, VOB/COB procedures, EHR/billing software proficiency, and excellence in accuracy, customer service, and problem solving. Role emphasizes HIPAA compliance, detailed project instruction adherence, and maintaining organized billing records while managing high-volume claims and provider-specific requirements.
Required Qualifications
- Minimum 3-year solid experience with US Healthcare Insurance
- 3 years experience of professional claim billing preferred but not required
- 3 years experience AR experience in a healthcare setting required
- Knowledge of billing processes, insurance guidelines, and healthcare terminology (Medical Terminology, Basic Anatomy, and Physiology)
- Advanced proficiency in EOB analysis for claim denial management and payment posting
- Experience with billing software and electronic health records (EHR) systems
- High attention to detail and documentation accuracy
- Excellent Customer service skills, including phone and interpersonal skills
- Excellent communication and problem-solving skills
- Understanding and validation of patient eligibility, knowledge of CPT codes, DX codes, NPI numbers, Revenue codes, and Provider Tax IDs
- Proficient in Denial and Rejection handling
- Experience to handle Multiple Providers’ Claims
- Experience handling Medicare and Medicaid Claims – Establishing patient eligibility, Coordination of Benefits (COB), knowledge of Primary Rules and Determinations, knowledge of Independent Practice Associate (IPA)
- Knowledge of all Provider types – such as, Billing Provider, Referring Provider, Rendering Provider etc.
- Ability to manage high volume workloads and meet performance targets
- Proficiency in MS Word, Excel, and Outlook
- Experience with medical Insurance/Benefits investigation and Authorizations
- Thrive in challenging situations with a focused and calm approach
- Possess strong organizational skills and prioritization
- Ability to work independently and meet deadlines
- High comfort level working with culturally diverse team members and clients.
Apply with one swipe on Sorce. We auto-fill applications and apply on your behalf — no cover letters, no 40-minute forms.
Hiring someone like this?
Get your role in front of qualified candidates on Sorce.