Accounts Receivable (A/R) Laboratory Billing | Permanent WFH

We are seeking a detail-oriented and experienced Accounts Receivable (A/R) Specialist with strong hands-on experience in laboratory billing and insurance A/R follow-up. This role is responsible for managing outstanding claims, resolving unpaid and underpaid accounts, submitting medical records and supporting documentation, and following up with insurance payers to secure timely reimbursement.

The ideal candidate has a solid understanding of laboratory billing workflows, payer requirements, Modifier 25, E&M coding levels, and documentation-based claim resolution. This position requires someone who can work efficiently in a high-volume environment while maintaining accuracy and thorough documentation.

Key Responsibilities

• Perform A/R follow-up on outstanding insurance claims to ensure timely reimbursement
• Manage a daily production goal of 65+ accounts
• Review and resolve unpaid, denied, and underpaid claims
• Follow up on claims involving:
• Modifier 25 documentation
• E&M level validation
• Medical records requests
• Laboratory billing issues and payer documentation requirements
• Submit medical records and supporting documentation to insurance payers as needed
• Communicate with insurance companies through phone calls and payer portals
• Research claim status, identify payment issues, and determine appropriate resolution steps
• Accurately document all follow-up actions, payer communications, and claim resolutions in the billing system
• Identify recurring denial and reimbursement issues and escalate them when necessary
• Collaborate with coding, front-end, and other billing teams to help prevent recurring claim issues
• Maintain productivity and quality standards while managing a high volume of accounts
  

Qualifications

• 2+ years of experience in medical billing with a strong focus on A/R follow-up
• Required: Hands-on experience with laboratory billing and laboratory claim follow-up
• Proven ability to manage high-volume A/R workloads and meet a target of 65+ accounts per day
• Experience handling unpaid, denied, and underpaid insurance claims
• Strong understanding of:
• Modifier 25 usage
• E&M coding levels
• Medical necessity and documentation requirements
• Laboratory billing workflows
• Insurance claim resolution and follow-up processes
• Experience submitting medical records and supporting documentation to payers
• Familiarity with insurance payer portals and telephone follow-up
• Strong documentation and account management skills
• Multi-specialty medical billing experience is preferred
• Experience using AdvancedMD EMR
• Experience working with one or more of the following specialties:
• Laboratory / Diagnostic Billing
• Orthopedics
• Pain Management
• Podiatry
  

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
  
  

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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.