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    • Ensure patient accounts are complete, accurate, and billing-ready throughout the pre-AR process.
    • Review and select the correct insurance payer and billing…
    • View all Uplift Healthcare Solutions jobs - National Capital Region jobs - Accounts Receivable Clerk jobs in National Capital Region
    • Salary Search: Pre-AR Specialist (Permanent WFH) salaries in National Capital Region
    • This includes billing for invoiced orders, supporting collection efforts, and reviewing account discrepancies.
    • Previous work experience in ERP systems.
    • Ensure timely responses to all internal and external billing inquiries with a fanatical customer service approach.
    • Proficiency with Excel (Quickbooks a plus).
    • Everyday responsibilities include processing data from medical coders, ensuring claims get processed and paid, verifying insurance coverage, reviewing denied…
    • Serve as the primary point of contact for patients, families, and caregivers, offering guidance throughout the healthcare journey.
    • 5.1.24 Familiarizes herself/ himself with the ongoing conferences and corresponding billing arrangement.
    • 5.1.1 Sells, registers and assigns room to incoming…
    • Experience supervising billing or AR staff is a strong advantage.
    • Validate billing documentation and ensure proper posting into the AR ledger.
    • Data Entry and Accuracy: Fast and precise input of billing data.
    • The Billing Staff primary responsibility is to process bills accurately and in a timely manner.
    • Determine any erroneous mailing address setups and notify billing manager to correct.
    • Random mail-related tasks as needed, or billing and credentialing support.
    • Assist guest with inquiries related to billing and payments.
    • Reports To:* Front Office Supervisor/Front Office Manager.
    • Issue receipts and invoices to guests.
    • Document all claim activities accurately within the billing system.
    • Knowledge of medical billing, EOBs, ERA, and payer guidelines specifically BCBS.
    • GENERAL DESCRIPTION:* Provides information to customers regarding inquiries and maintains an up-todate file of all patients and doctors in the hospital.
    • Coordinate billing, invoicing, and payment tracking with Finance and Procurement teams.
    • The Administration Specialist for Set-Up and Operations is responsible…
    • The position ensures that dialysis claims, patient accounts, billing documents, and supporting records are complete, accurate, and processed within established…
    • Generate precise monthly financial reports, review profit-and-loss statements, and identify billing discrepancies before they impact operations.

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Pre-AR Specialist (Permanent WFH)
Uplift Healthcare Solutions
National Capital Region
PHP 45,000 - PHP 50,000 a month
Full-time
Apply now

Job details

PHP 45,000 - PHP 50,000 a month
Full-time
National Capital Region

Full job description

Position Overview

The Pre-AR Specialist is responsible for managing the end-to-end pre-AR process, ensuring patient accounts are accurately prepared and ready for billing. This includes patient registration, charge entry, reviewing and validating patient and insurance information, identifying and resolving account discrepancies, and ensuring all required documentation and charges are complete and accurate prior to billing.The role requires strong attention to detail and a solid understanding of medical terminology, healthcare revenue cycle processes, insurance information, and billing requirements to help prevent claim errors, delays, and downstream AR issues.

Key Responsibilities

  • Resolve charge entry errors and discrepancies to ensure charges are accurately processed and submitted to the appropriate insurance payer for reimbursement.
  • Update and maintain patient registration and insurance information, ensuring accurate and complete coverage details.
  • Review and select the correct insurance payer and billing information to support accurate claim submission, maximize reimbursement, and prevent denials.
  • Review patient accounts and verify insurance eligibility and benefits through payer portals, OneSource, Availity, and direct calls to insurance payers when necessary.
  • Review and resolve Coordination of Benefits (COB) issues to ensure claims are billed to the appropriate primary and secondary payers.
  • Review and address claim edits and billing-related discrepancies prior to claim submission to minimize errors, rejections, and payment delays.
  • Ensure patient accounts are complete, accurate, and billing-ready throughout the pre-AR process.

Qualifications:

  • At least 2 years of experience in the US healthcare industry, preferably in Revenue Cycle Management (RCM), with working knowledge of insurance and benefits.
  • Prior experience using EPIC is required.
  • Knowledge of medical terminology
  • Proficient in Microsoft Office applications.

Technical Requirements:

  • Own desktop or laptop (Core i5 or higher to serve as a backup device)
  • Primary internet connection with a minimum speed of 50 Mbps.
  • Secondary internet connection to serve as a backup.

Other Details:

  • Independent Contract
  • Permanent WFH
  • Graveyard shift (Central Time)
  • Equipment provided (Desktop computer)

Pay: Php45,000.00 - Php50,000.00 per month

Application Question(s):

  • Have you worked in Revenue Cycle Management (RCM)?
  • Do you have experience with Epic?

Experience:

  • US Healthcare: 2 years (Required)

Work Location: Remote

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