About Get2Work. Get2Work builds and runs offshore teams for operators, not a marketplace and not a call center. You are hired by us, trained in our academy, and placed on a dedicated client account with real management, QA and a path to grow. We are the employer of record, so you get a real job, real benefits and a real floor.

Job Specifications
Department: Healthcare Support
Employment type: Full-time
Work setup: On-site at a Get2Work hub (Manila, Cebu or Yerevan)
Experience level: Junior to mid
Employer: Get2Work (we are your employer of record)

Job Summary: Denials, follow-up and appeals to lift clean-claim rates.

Key Responsibilities:

• Work denials, follow-up and appeals to lift clean-claim rates
• Call payers and document outcomes
• Prioritize accounts by likelihood to pay
• Escalate systemic denial trends

Working with AI: Healthcare back office runs on AI for coding suggestions, claim scrubbing and denial prediction. You supervise the models and own compliance.

• Use AI assisted coding and claim scrubbing to speed accurate submissions, then confirm against the chart
• Use denial prediction to prioritize the accounts most likely to pay
• Keep every AI assisted step inside HIPAA and audit rules

Competencies:

• Precision with clinical and claims data
• Strict adherence to HIPAA and privacy
• Persistence on denials and follow-up
• Empathy with patients and providers
• Comfort with audit and compliance

Skills:

• Knowledge of US healthcare revenue cycle
• Familiarity with payer portals and clearinghouses
• Understanding of medical terminology
• Careful, documented work

Tools you will use: The client EHR, payer portals and clearinghouses

Education: Associate or bachelor degree, or equivalent proven experience.

Work Experience: Two to three years in the function, with a track record you can show.

Key Performance Indicators:

• Clean claim rate and denial rate
• Days in AR
• Coding and documentation accuracy
• Turnaround time on eligibility and authorizations