Accounts Receivable Specialist (Modmed/AdvancedMD) | Permanent WFH

We are seeking an experienced Accounts Receivable (A/R) Specialist to join our healthcare revenue cycle team. This role is focused on insurance collections, A/R follow-up, denial resolution, and maximizing reimbursement.

The ideal candidate has strong hands-on experience working medical A/R and understands the full claims lifecycle, from submission and payer processing through payment and resolution. You should be comfortable investigating unpaid claims, communicating directly with insurance companies, and taking the necessary steps to move outstanding balances toward payment.

Experience with ModMed or AdvancedMD is preferred, but strong medical A/R and insurance collections experience is the primary qualification.

Key Responsibilities

• Manage assigned insurance A/R to maximize collections and reduce outstanding balances
• Perform timely and consistent follow-up on unpaid, denied, rejected, and aging claims
• Contact insurance companies to verify claim status, identify payment issues, and determine next steps
• Research and resolve claim denials, rejections, underpayments, and billing discrepancies
• Identify root causes and recurring issues contributing to outstanding A/R
• Submit corrected claims, appeals, reconsiderations, and supporting documentation as needed
• Follow up on outstanding claims according to payer-specific requirements and timelines
• Review A/R aging reports and prioritize accounts based on balance, age, and collectability
• Navigate payer portals and communicate directly with insurance representatives to resolve claims
• Accurately document all collection activity, claim updates, follow-up actions, and account notes
• Escalate complex or unresolved accounts when appropriate
• Meet established productivity, quality, and collection goals
• Collaborate with billing and revenue cycle teams to identify trends and improve A/R workflows
  
  

Qualifications

• 2+ years of experience in healthcare medical billing, A/R, or insurance collections
• Strong understanding of medical claims and the insurance reimbursement process
• Hands-on experience with insurance follow-up and collections
• Ability to independently manage aging A/R and prioritize high-value or time-sensitive accounts
• Strong knowledge of claim denials, rejections, appeals, reconsiderations, and corrected claims
• Comfortable making frequent calls to insurance payers and navigating payer websites
• Strong attention to detail and accurate documentation skills
• Ability to manage a high-volume A/R workload while maintaining quality and accuracy
• Strong communication, analytical, and problem-solving skills
• ModMed experience
• AdvancedMD experience
• Experience supporting physician practices or specialty medical groups
• Experience handling high-dollar or complex A/R
• Experience working with multiple commercial and government payers
• Background in denial management and appeals
• Familiarity with electronic payer portals and clearinghouses
  
  

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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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.