A/R Specialist | Permanent WFH

BizForce; Metro Manila; Remote; PHP 360,000 - 720,000; Full time

Benefits offered by this job

Permanent Work From Home

Leave Credits

Monetary Allowance

Annual Bonus

Weekly Paychecks

Fixed Weekends Off

Thriving Company Culture with Complete

Autonomy

Exclusive Specialized TrainingPrograms

Competitive Salary

Job summary

BizForce is seeking an experienced A/R Specialist to support a dermatology practice’s revenue cycle from a remote location. You will manage outstanding accounts, address denials, submit appeals, and ensure timely charging and follow-up with payers and patients.

The ideal candidate has ModMed experience and strong ICD-10/CPT knowledge, with the ability to work during US hours and collaborate with third-party billing partners to drive timely reimbursement.

Qualifications

• Experience in medical billing and healthcare revenue cycle management.
• Strong knowledge of ICD-10 and CPT coding.
• Ability to read medical charts and clinical documentation.

Responsibilities

• Review and analyze medical claims before submission to identify errors.
• Submit claims electronically or by paper when required.
• Monitor and resolve claim rejections within 24 hours.
• Prepare CMS-1500 forms and supporting documentation when needed.
• Coordinate with Billing Specialist team on COB-related resubmissions.
• Follow up on unpaid and delinquent claims and document outcomes.

Skills

Medical Billing

ICD-10 & CPT

A/R Follow-up

COB Knowledge

Claims Denials & Appeals

Tools

ModMed

Job description

We are seeking an experienced A/R Specialist to support the revenue cycle operations of a dermatology practice. This role is responsible for managing outstanding accounts receivable, resolving claim rejections and denials, submitting appeals, and ensuring claims are accurately processed and followed up within payer requirements and timely filing guidelines.

The A/R Specialist will work closely with the Billing Specialist team, third-party billing partners, insurance companies, and patients to resolve billing issues, obtain required documentation, and facilitate timely reimbursement. The ideal candidate has strong knowledge of medical billing, insurance claims, ModMed, ICD-10 and CPT coding, and is comfortable working with both insurance carriers and patients on sensitive financial matters.

Key Responsibilities

• Review and analyze medical claims prior to electronic submission to identify errors, missing information, and potential claim holds.


• Submit medical claims electronically and by paper when required, ensuring accurate and timely submission to the appropriate payer.


• Monitor and resolve clearinghouse and insurance claim rejections within 24 hours of receipt.


• Generate CMS-1500 forms and supporting documentation when necessary.


• Process secondary claims within 48 hours of primary insurance payment posting.


• Review A/R aging reports and prioritize outstanding accounts for timely follow-up and resolution.


• Investigate and resolve denied, rejected, and unpaid claims, including identifying root causes and taking appropriate corrective action.


• Prepare and submit insurance appeals, reconsiderations, and supporting documentation according to payer requirements and deadlines.


• Coordinate with the Billing Specialist team on claim resubmissions, particularly claims affected by Coordination of Benefits (COB) issues.


• Work closely with third-party billing partners to gather information and documentation needed to resolve claim denials and insurance inquiries.


• Follow up on unpaid and delinquent claims through payer portals, phone calls, correspondence, and other appropriate channels.


• Review delinquent A/R reports and ensure all payer and patient correspondence is accurately documented before follow-up.


• Monitor payer requests for medical records, additional documentation, and other information to ensure responses are submitted within timely filing and payer deadlines.


• Review and update patient insurance information to support accurate billing and claim submission.


• Assist patients and their families with questions regarding account balances, insurance coverage, Explanation of Benefits (EOBs), and billing statements.


• Communicate professionally and effectively with patients, insurance companies, and internal teams regarding sensitive financial and insurance matters.


• Send invoices, medical records, patient notes, and other required documentation to insurance companies by mail or fax when needed.


• Assist with incoming calls and payment collection activities as assigned.


• Process end-of-day reports, including internal deposits and clearing of financial queues.


• Maintain accurate and complete documentation of claim activity, payer communications, follow-up actions, and account resolutions.


• Perform other revenue cycle and accounts receivable duties as assigned.

Qualifications

• Previous experience in medical billing, accounts receivable, or healthcare revenue cycle management.


• Hands-on experience with ModMed is required.


• Strong working knowledge of ICD-10 and CPT coding.


• Ability to read and interpret medical charts and clinical documentation.


• Knowledge of insurance claims processing, denials, appeals, resubmissions, and A/R follow-up.


• Familiarity with Coordination of Benefits (COB) and primary/secondary insurance billing.


• Understanding of payer requirements, timely filing guidelines, and claims documentation.


• Strong attention to detail and accuracy when reviewing claims and patient accounts.


• Excellent written and verbal communication skills.


• Ability to communicate professionally with patients, insurance carriers, and third-party billing partners.


• Strong organizational and time-management skills with the ability to manage high-volume A/R workloads.


• Ability to work independently while collaborating effectively with billing and revenue cycle teams.


• AHIMA or AAPC-approved medical billing certification/program completion.


• Experience supporting dermatology or specialty medical practices.


• Experience handling insurance denials, appeals, and complex A/R accounts.


• Experience working with third-party billing companies or clearinghouses.


• Familiarity with CMS-1500 claim forms and electronic claim submission workflows.


• Amenable to work during US hours


• Must be willing to undergo a background check as part of the hiring process.

Perks

• Permanent Work From Home


• Leave Credits


• Monetary Allowance


• Annual Bonus


• Weekly Paychecks


• Fixed Weekends Off


• Thriving Company Culture with Complete Autonomy


• Exclusive Specialized Training Programs


• Unlock Your Potential with a Highly Competitive Salary

Who are we?

BizForce is one of the fastest-growing global outsourcing companies in the world, founded in the US in Tucson, Arizona and is now operational in PH!

Our Commitment to delivering high-quality results for our clients and the only way to do that is ensuring a rewarding, respectful and productive experience for our employees. We hold the same values for both our customers and our employees.