Accounts Receivable Specialist – Urology | Permanent WFH

BizForce; Metro Manila; A distancia; PHP 1.910.000 - 3.038.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Permanent Work From Home

Leave Credits

Monetary Allowance

Annual Bonus

Weekly Paychecks

Fixed Weekends Off

Exclusive Training Programs

Competitive Salary

Descripción de la vacante

BizForce is seeking an AR Specialist with strong medical billing and urology experience. You will manage aging receivables, follow up with payers, and ensure timely reimbursements across inpatient, outpatient, and ambulatory settings.

Ideal candidates will handle CPT/ICD-10-CM coding, review EOBs, and coordinate documentation for claims. This is a Permanent Remote role with weekly pay and competitive compensation.

Formación

• 1–2 years of medical AR or billing experience.
• Experience with urology billing is required.
• Familiarity with CPT/ICD-10-CM and modifiers.
• Ability to follow up on denials and appeals.
• Strong communication and documentation skills.

Responsabilidades

• Manage aged AR and follow up on 60/90/120+ day balances.
• Resolve unpaid or denied claims with accurate documentation.
• Submit corrected claims, appeals, and supporting docs.
• Handle urology-related professional and surgical claims.
• Coordinate with payers, patients, and clinical staff.

Conocimientos

Accounts Receivable

Medical Billing

Urology Billing

Insurance Follow-up

HIPAA Compliance

Analytical Skills

Communication

Documentation

Herramientas

Microsoft Office

Payer Portals

EHR Systems

Descripción del empleo

BizForce Healthcare is seeking an experienced Accounts Receivable (AR) Specialist with a strong background in medical billing and urology to manage aged accounts receivable, resolve outstanding insurance claims, and ensure timely reimbursement.

The ideal candidate has hands‑on experience handling professional and surgical claims across inpatient, outpatient, physician office, and ambulatory surgery settings. This role requires strong analytical skills, proactive payer follow‑up, and the ability to independently investigate and resolve complex billing issues while maintaining accurate documentation and compliance with healthcare regulations.

Key Responsibilities

Accounts Receivable & Insurance Follow‑Up

• Manage aged accounts receivable, including outstanding balances over 60, 90, and 120 days.
• Review AR aging reports and prioritize accounts based on balance, payer, denial reason, and timely filing requirements.
• Contact commercial insurance carriers, Medicare, and Medicaid to resolve unpaid, underpaid, delayed, and denied claims.
• Investigate claim discrepancies, payment issues, rejections, and billing errors through final resolution.
• Submit corrected claims, reconsiderations, appeals, and supporting documentation as needed.
• Review EOBs, ERAs, remittance advice, and payer correspondence to determine appropriate follow‑up actions.

Urology & Surgical Billing

• Handle professional and surgical claims for urology services across inpatient, outpatient, office, and ambulatory surgery settings.
• Review claims involving urologic procedures, including cystoscopy, prostate, bladder, kidney, ureter, and stone management procedures.
• Investigate billing issues related to diagnostic services, surgical procedures, postoperative care, and other urology‑related treatments.
• Review CPT codes, ICD-10-CM codes, and modifiers to identify and resolve claim discrepancies.
• Coordinate the submission of medical records, operative reports, prior authorizations, and other payer‑required documentation.

Patient Billing & Payment Management

• Communicate with patients regarding outstanding balances, insurance processing, billing inquiries, and payment arrangements.
• Assist with insurance and patient payment posting, adjustments, and account reconciliation when necessary.
• Coordinate with clinical staff, coding teams, insurance representatives, and internal departments to resolve billing concerns.
• Maintain accurate account notes, payer reference numbers, follow‑up dates, and resolution details.
• Identify recurring denial patterns and recommend opportunities to improve collections and revenue cycle efficiency.
• Ensure compliance with HIPAA, payer guidelines, and applicable healthcare billing regulations.
• Amenable to work during US hours
• Must be willing to undergo a background check as part of the hiring process.

Qualifications

• Minimum of 1–2 years of experience in medical accounts receivable, insurance follow‑up, or medical billing.
• Experience in urology billing and accounts receivable is required.
• Proven experience managing aged AR accounts, particularly balances exceeding 60, 90, and 120 days.
• Experience handling insurance denials, appeals, corrected claims, underpayments, and payment discrepancies.
• Familiarity with professional and surgical billing, including inpatient and outpatient claims.
• Working knowledge of CPT, ICD-10-CM codes, modifiers, and medical billing procedures.
• Ability to interpret EOBs, ERAs, payer correspondence, and insurance claim information.
• Experience communicating directly with commercial insurance carriers, Medicare, Medicaid, and patients.
• Strong understanding of insurance follow‑up processes, payer requirements, and timely filing guidelines.
• Excellent communication, documentation, analytical, and problem‑solving skills.
• Ability to independently manage high‑volume accounts and follow claims through final resolution.
• Proficiency in Microsoft Office, insurance payer portals, and healthcare billing systems.

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.