Accounts Receivable Specialist at PSG Global Solutions, PH PSG
Accounts Receivable Specialist at PSG Global Solutions in PH PSG. Full-time. Apply with swipeandhired.
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Job Description:
About the Role
We are seeking a detail-oriented and results-driven Accounts Receivable Specialist to accelerate account recovery, address payment denials and rejections, and maximize revenue through effective reimbursement strategies.
The ideal candidate has hands-on experience in healthcare accounts receivable, payment follow-up, and denial management, along with a solid understanding of healthcare billing processes.
Key Responsibilities
- Examine accounts receivable aging reports and follow up on outstanding insurance claims.
- Prepare and submit corrected claims, ensuring accuracy and compliance with payer requirements and timely filing deadlines.
- Contact insurance carriers to check claim status, investigate payment delays, and address underpayments.
- Resolve denied and rejected claims by researching denial reasons, preparing appeals, and following through on outstanding cases.
- Gather supporting documentation and work with billing, coding, and clinical teams to address claim discrepancies.
- Resolve claims held in pre-submission queues.
- Identify recurring denial patterns and recommend process improvements to minimize future claim rejections.
- Keep accurate records of claim follow-ups, payer communications, and resolution outcomes.
- Adhere to applicable insurance regulations, payer guidelines, and organizational policies.
Qualifications
- At least 2 years of experience in healthcare accounts receivable, insurance follow-up, or denial management.
- Hands-on experience working with both commercial and governmental payers.
- Knowledge of corrected claims, appeals, payer billing requirements, and timely filing limits.
- Strong attention to detail and organizational skills.
- Excellent written and verbal communication skills.
- Ability to investigate claim issues, prioritize outstanding accounts, and work toward timely resolution.
What We Offer
- Competitive salary package and performance incentives
- Comprehensive HMO Coverage
- Early Regularization eligibility
Ready to take your healthcare billing expertise to the next level? Join a dynamic team, make an impact, and grow your career!
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