AR Specialist – Family Practice Billing | Permanent WFH

BizForce; Metro Manila; Remote; PHP 3,318,000 - 4,786,000; 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

Unlock Your Potential with a Highly

Competitive Salary

Job summary

BizForce is seeking a highly skilled AR Specialist – Family Practice Billing to join our US-based healthcare billing team. This full-time remote role focuses on managing outstanding insurance claims, resolving denials, and ensuring timely reimbursements for multiple family practice clients.

You will work with AdvancedMD and Practice Suite EMR/PM systems, perform denial management, and collaborate with client success to improve billing performance.

Qualifications

• 5+ years of medical billing experience with AR follow-up.
• Experience in family practice billing including vaccinations and labs.
• Proficient with EMR/PM systems (AdvancedMD, Practice Suite).

Responsibilities

• Manage AR for multiple family practice clients, ensuring timely reimbursement.
• Review and follow up on unpaid, underpaid, denied, and aged claims.
• Handle inquiries for vaccinations, wellness visits, preventive care, labs, and routine visits.
• Investigate claim statuses with payer portals and follow up on delays.
• Prepare corrected claims, reconsiderations, and appeals to carriers.
• Follow SOPs and ensure HIPAA compliance during billing processes.
• Monitor KPIs like AR aging, denial resolution, and collections.

Skills

AR follow-up

denial management

family practice billing

HIPAA compliance

communication with payers

Tools

AdvancedMD

Practice Suite

Job description

We are seeking a highly skilled and detail-oriented Accounts Receivable (AR) Specialist – Family Practice Billing to join our growing U.S.-based healthcare billing team. This is a full-time, remote position responsible for managing outstanding insurance claims, resolving denials, and ensuring timely reimbursement for multiple family practice clients. The ideal candidate has extensive experience in family practice medical billing, AR follow-up, and denial management, with strong knowledge of vaccinations, preventive care, wellness visits, and laboratory billing. We are looking for a proactive problem-solver who can independently investigate complex claims, identify reimbursement issues, and drive effective resolutions.

Key Responsibilities

Accounts Receivable Management & Claims Follow-Up

• Manage outstanding accounts receivable for multiple family practice clients, ensuring timely and accurate reimbursement.
• Review and follow up on unpaid, underpaid, denied, and aged insurance claims.
• Handle billing inquiries and claims related to vaccinations, wellness visits, preventive care, laboratory services, and routine family practice consultations.
• Contact insurance carriers through payer portals, phone calls, and other communication channels to investigate claim statuses and payment delays.
• Prioritize outstanding claims based on aging, reimbursement value, and timely filing requirements.

Denial Management & Appeals

• Investigate claim denials, identify root causes, and implement appropriate corrective actions.
• Prepare and submit corrected claims, reconsiderations, and appeals to insurance carriers.
• Analyze denial trends and recommend solutions to prevent recurring billing issues.
• Resolve complex claims independently by reviewing billing records, coding information, payer policies, and supporting documentation.

Billing Systems & Compliance

• Utilize AdvancedMD and/or Practice Suite to manage claims, review patient accounts, and track AR activities.
• Maintain accurate documentation of claim follow-ups, payer communications, and resolution actions.
• Follow client-specific standard operating procedures (SOPs), billing guidelines, and payer requirements.
• Ensure compliance with HIPAA regulations and healthcare billing standards.

Performance Monitoring & Collaboration

• Meet established productivity, collection, and accounts receivable performance targets.
• Monitor key performance indicators (KPIs), including AR aging, denial resolution, and collection efficiency.
• Collaborate with the Client Success team to address billing concerns and improve operational performance.
• Participate in regular performance reviews and provide updates on outstanding claims and reimbursement challenges.

Qualificaitons

• At least 5 years of medical billing experience, with extensive hands-on experience in AR follow-up, denial management, and insurance collections.
• Strong background in family practice billing, including vaccinations, wellness visits, preventive services, and laboratory billing.
• Hands-on experience with AdvancedMD and/or Practice Suite EMR/Practice Management systems.
• Comprehensive understanding of medical billing processes, insurance claim adjudication, payer guidelines, and reimbursement procedures.
• Proven ability to investigate and resolve unpaid, denied, and aged claims independently.
• Experience navigating insurance payer portals and communicating directly with commercial insurance carriers, Medicare, and Medicaid.
• Highly organized, detail-oriented, and capable of managing multiple client accounts and competing priorities.
• Additional billing experience in Gastroenterology (GI), Pain Management, OB/GYN, or Sleep Medicine.
• Familiarity with multiple insurance payer types and specialty-specific billing requirements.
• Proven track record of improving AR collections, reducing outstanding balances, and resolving complex denials.

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.