Dermatology Accounts Receivable (AR) Specialist | Permanent WFH

BizForce; Philippines; Remote; PHP 420,000 - 660,000; 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 Training

Competitive Salary

Job summary

BizForce is seeking a Dermatology Accounts Receivable (AR) Specialist in a fully remote role based in the Philippines. You will manage AR aging, follow up on 60+ claims daily, resolve denials, and work with insurer portals (Availity, UnitedHealthcare, Cigna) to maximize reimbursements.

Requirements include 2+ years in medical AR, ModMed experience, CPT/ICD-10 proficiency, and CPB certification. US hours are expected; background check may be required.

Qualifications

• Minimum of 2 years in medical accounts receivable, insurance follow-up, or denial management, preferably in dermatology.
• Hands-on experience using ModMed (Modernizing Medicine) for medical billing and AR management.
• Proven ability to manage aging AR reports, resolve denied claims, and process insurance appeals.
• Strong knowledge of medical billing, CPT codes, ICD-10 codes, modifiers, and EOB/ERA interpretation.
• Proficiency in insurance payer portals, particularly Availity, UnitedHealthcare, and Cigna.
• Experience handling high-volume insurance follow-ups, ideally 60 or more claims per day.
• Comfortable communicating extensively with insurance representatives over the phone.
• Certified Professional Biller (CPB) or equivalent medical billing certification.
• Previous experience supporting a US-based dermatology practice or specialty healthcare provider.
• Familiarity with dermatology-specific procedures, billing codes, and common insurance denial reasons.
• Experience working in a fast-paced, high-volume revenue cycle management environment.
• Demonstrated success in reducing AR aging, improving collections, and resolving complex insurance denials.
• Amenable to work during US hours
• Must be willing to undergo a background check as part of the hiring process.

Responsibilities

• Review and manage daily AR aging reports, prioritizing outstanding claims based on age, balance, and payer requirements.
• Conduct follow-ups on 60+ unpaid or underpaid claims daily to ensure timely resolution and reimbursement.
• Investigate outstanding balances, payment discrepancies, and delayed claims.
• Monitor aging accounts and implement effective strategies to reduce outstanding receivables.
• Contact insurance companies through phone calls and payer portals to verify claim status and resolve payment issues.
• Research, correct, and resubmit denied, rejected, or incorrectly processed claims.
• Prepare and submit appeals and reconsideration requests with complete supporting documentation.
• Navigate insurance portals, including Availity, UnitedHealthcare, and Cigna, for claims inquiries, eligibility verification, and appeals.
• Interpret Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs) to identify payment discrepancies and denial reasons.
• Identify recurring denial patterns, investigate root causes, and recommend corrective actions.
• Collaborate with billing teams, coders, and healthcare providers to resolve coding and documentation discrepancies.
• Apply knowledge of CPT codes, ICD-10 codes, modifiers, and payer-specific billing requirements.
• Support initiatives to improve collections, minimize claim denials, and optimize revenue cycle performance.
• Maintain accurate and detailed records of claim follow-ups, payer communications, appeals, and resolutions in ModMed.
• Track outstanding claims and ensure timely follow-up within payer filing and appeal deadlines.
• Provide regular updates on AR performance, unresolved claims, and denial trends.
• Ensure compliance with HIPAA regulations, payer guidelines, and established billing procedures.

Skills

Medical billing

AR management

Denial management

Insurance follow-up

CPB certification

ModMed experience

US payer portals

HIPAA knowledge

Education

CPB certification

Tools

ModMed (Modernizing Medicine)

Availity

UnitedHealthcare portal

Cigna portal

Job description

We are seeking a highly skilled and detail-oriented Dermatology Accounts Receivable (AR) Specialist to join our growing healthcare team. The ideal candidate will have extensive experience in medical accounts receivable, insurance follow-ups, denial management, and claims resolution, preferably within a dermatology practice.

This role requires a proactive professional who can efficiently manage aging accounts, resolve unpaid and underpaid claims, navigate insurance payer portals, and maximize reimbursement. The successful candidate must have hands-on experience with ModMed (Modernizing Medicine) and a strong understanding of medical billing processes, insurance guidelines, and revenue cycle management.

Key Responsibilities

Accounts Receivable Management

• Review and manage daily AR aging reports, prioritizing outstanding claims based on age, balance, and payer requirements.
• Conduct follow-ups on 60+ unpaid or underpaid claims daily to ensure timely resolution and reimbursement.
• Investigate outstanding balances, payment discrepancies, and delayed claims.
• Monitor aging accounts and implement effective strategies to reduce outstanding receivables.

Insurance Follow-Up & Claims Resolution

• Contact insurance companies through phone calls and payer portals to verify claim status and resolve payment issues.
• Research, correct, and resubmit denied, rejected, or incorrectly processed claims.
• Prepare and submit appeals and reconsideration requests with complete supporting documentation.
• Navigate insurance portals, including Availity, UnitedHealthcare, and Cigna, for claims inquiries, eligibility verification, and appeals.
• Interpret Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs) to identify payment discrepancies and denial reasons.

Denial Management & Revenue Cycle Support

• Identify recurring denial patterns, investigate root causes, and recommend corrective actions.
• Collaborate with billing teams, coders, and healthcare providers to resolve coding and documentation discrepancies.
• Apply knowledge of CPT codes, ICD-10 codes, modifiers, and payer-specific billing requirements.
• Support initiatives to improve collections, minimize claim denials, and optimize revenue cycle performance.

Documentation & Reporting

• Maintain accurate and detailed records of claim follow-ups, payer communications, appeals, and resolutions in ModMed.
• Track outstanding claims and ensure timely follow-up within payer filing and appeal deadlines.
• Provide regular updates on AR performance, unresolved claims, and denial trends.
• Ensure compliance with HIPAA regulations, payer guidelines, and established billing procedures.

Qualifications

• Minimum of 2 years of experience in medical accounts receivable, insurance follow-up, or denial management, preferably in dermatology.
• Hands-on experience using ModMed (Modernizing Medicine) for medical billing and AR management.
• Proven ability to manage aging AR reports, resolve denied claims, and process insurance appeals.
• Strong knowledge of medical billing, CPT codes, ICD-10 codes, modifiers, and EOB/ERA interpretation.
• Proficiency in insurance payer portals, particularly Availity, UnitedHealthcare, and Cigna.
• Experience handling high-volume insurance follow-ups, ideally 60 or more claims per day.
• Comfortable communicating extensively with insurance representatives over the phone.
• Strong analytical, organizational, and problem-solving abilities.
• Excellent verbal and written communication skills.
• Ability to work independently, manage competing priorities, and consistently meet productivity targets.
• High level of accuracy, attention to detail, and commitment to timely claims resolution.
• Certified Professional Biller (CPB) or equivalent medical billing certification.
• Previous experience supporting a US-based dermatology practice or specialty healthcare provider.
• Familiarity with dermatology-specific procedures, billing codes, and common insurance denial reasons.
• Experience working in a fast-paced, high-volume revenue cycle management environment.
• Demonstrated success in reducing AR aging, improving collections, and resolving complex insurance denials.
• 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.