Accounts Receivable (A/R) Specialist & Payment Posting Specialist – Orthopedics | Permanent WFH

We're looking for an experienced Accounts Receivable (A/R) Specialist & Payment Posting Specialist to join our growing orthopedic revenue cycle team. In this role, you'll play a vital part in ensuring timely reimbursements by managing insurance follow-up, resolving claim issues, and accurately posting payments. If you have strong orthopedic medical billing experience, are proficient with Modernizing Medicine (ModMed) EMR/Practice Management, and enjoy solving complex reimbursement challenges, we'd love to hear from you.Key ResponsibilitiesAccounts Receivable ManagementPerform insurance follow-up on outstanding claims for commercial, Medicare, Medicaid, Workers' Compensation, and managed care payers.Investigate, analyze, and resolve denied, rejected, and underpaid claims.Prepare and submit claim appeals with supporting documentation based on payer guidelines.Review Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs) to identify payment discrepancies.Monitor aging reports and prioritize accounts to maximize collections and reduce A/R days.Document all payer communications accurately within ModMed.Ensure timely reimbursement while maintaining clean and accurate patient accounts.Payment PostingAccurately post insurance and patient payments received through ERAs, EOBs, lockboxes, and manual deposits.Reconcile posted payments with daily deposits and balancing reports.Apply contractual adjustments, denials, refunds, and payment variances appropriately.Process credit balances and assist with refund requests in accordance with company policies.Identify and escalate payment discrepancies requiring additional review.Revenue Cycle SupportCollaborate with billing, coding, and front office teams to resolve claim and billing issues.Identify denial trends and recommend process improvements to increase reimbursement efficiency.Maintain compliance with HIPAA regulations, payer policies, and organizational standards.Meet daily productivity and quality expectations while maintaining exceptional accuracy.QualificationsMinimum 3 years of medical Accounts Receivable (A/R) experience.Minimum 2 years of medical payment posting experience.Recent experience working in an orthopedic practice.Hands-on experience using Modernizing Medicine (ModMed) EMR/Practice Management.Strong knowledge of medical billing, insurance follow-up, denial management, and payment reconciliation.Experience working with commercial insurance, Medicare, Medicaid, and Workers' Compensation claims.Ability to interpret EOBs, ERAs, contractual adjustments, and payer reimbursement methodologies.Excellent analytical, organizational, and problem-solving skills.Strong written and verbal communication skills.High level of accuracy with the ability to manage multiple priorities in a fast-paced environment.Experience supporting multi-provider orthopedic practices.Experience billing for orthopedic surgery, fracture care, sports medicine, spine, or pain management.Knowledge of orthopedic modifiers and specialty-specific billing requirements.CPC, CPB, or other AAPC/AHIMA certification is an advantage.PerksPermanent Work From HomeLeave CreditsMonetary AllowanceAnnual BonusWeekly PaychecksFixed Weekends OffThriving Company Culture with Complete AutonomyExclusive Specialized Training ProgramsUnlock 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.