AR Collector - Orthopedic | Permanent WFH

BizForce; Metro Manila; Remote; PHP 446,000 - 781,000; Full time

Benefits offered by this job

Permanent Work From Home

Leave Credits

Monetary Allowance

Annual Bonus

Weekly Paychecks

Fixed Weekends Off

Autonomy

Specialized Training Programs

Competitive Salary

Job summary

BizForce is seeking an experienced AR Collector - Orthopedic to manage outstanding insurance accounts and drive timely reimbursement for orthopedic physician and ASC services. The role emphasizes insurance follow-up, denial resolution, appeals, and claims research across Medicare, Medicaid, WC and commercial payers.

Ideal candidates have at least 2 years of medical billing experience, strong A/R and denial resolution skills, and familiarity with athenaNet or similar EHR systems.

Qualifications

• Minimum 2 years of medical billing experience.
• Experience with insurance A/R and denial resolution.
• Familiarity with Medicare, Medicaid, WC and commercial claims.

Responsibilities

• Follow up on outstanding insurance claims for orthopedic services.
• Research denials, underpayments and delays and resolve them.
• Prepare appeals and supporting docs for carriers.
• Respond to carrier inquiries and information requests.
• Manage A/R across Medicare, Medicaid, WC and commercial payers.
• Use athenaNet to identify and resolve accounts via dashboards and reports.
• Review claim history and status to determine next actions.
• Identify trends and recurring issues impacting revenue.
• Investigate root causes and communicate findings.
• Collaborate with CFO and other departments to resolve denied claims.
• Maintain documentation of collection activities and follow-ups.
• Prioritize accounts and meet deadlines; support billing process improvements.

Skills

Insurance A/R

Denial resolution

Claims follow-up

Analytics

Communication

Time management

Independent work

Tools

athenaNet

Job description

We are seeking an experienced AR Collector - Orthopedic to manage outstanding insurance accounts and drive timely reimbursement for orthopedic physician and ambulatory surgery center services. This role will focus on insurance follow-up, denial resolution, appeals, and claims research across Medicare, Medicaid, Workers’ Compensation, and commercial payers.

Key Responsibilities

• Perform timely and consistent follow-up on outstanding insurance claims for both orthopedic office and ambulatory surgery center services.
• Research and resolve insurance claim denials, underpayments, and payment delays.
• Prepare and submit appeals and supporting documentation to insurance carriers as needed.
• Respond to insurance carrier correspondence, inquiries, and requests for additional information.
• Manage A/R follow-up across Medicare, Medicaid, Workers’ Compensation, and commercial insurance payers.
• Utilize athenaNet to identify, research, and resolve accounts through appropriate dashboards, reports, and worklists.
• Review account history, claim status, payer responses, and billing information to determine the appropriate next action.
• Identify trends and recurring issues that negatively impact revenue, collections, or established billing workflows.
• Investigate root causes of A/R issues and communicate findings to appropriate stakeholders.
• Collaborate with the CFO and other internal departments to obtain documentation or information needed to resolve denied and outstanding claims.
• Maintain accurate and timely documentation of collection activities, claim status, appeals, and follow-up actions.
• Prioritize accounts effectively and manage assigned work within established deadlines and productivity expectations.
• Support continuous improvement efforts related to billing, collections, denial management, and revenue cycle processes.

Qualifications

• Minimum 2 years of medical practice and physician billing experience required.
• Strong experience with insurance A/R, claims follow-up, and denial resolution.
• Experience handling Medicare, Medicaid, Workers’ Compensation, and commercial insurance claims.
• Knowledge of ICD-10 coding, medical terminology, and healthcare reimbursement guidelines.
• Experience with athenaNet or a similar healthcare billing/EHR system preferred.
• Strong analytical and problem-solving skills with the ability to research complex account issues.
• Ability to identify trends, investigate root causes, and recommend appropriate solutions.
• Excellent verbal and written communication skills, with the ability to communicate effectively across different levels of staff and with external customers or payers.
• Ability to prioritize competing demands and manage multiple accounts and deadlines effectively.
• Strong attention to detail and follow-through.
• Ability to work independently in a fast-paced, deadline-driven environment.
• Confident, articulate, and professional communication style.
• Strong facilitation, collaboration, and influencing skills.
• 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.