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 ResponsibilitiesManage assigned insurance A/R to maximize collections and reduce outstanding balancesPerform timely and consistent follow-up on unpaid, denied, rejected, and aging claimsContact insurance companies to verify claim status, identify payment issues, and determine next stepsResearch and resolve claim denials, rejections, underpayments, and billing discrepanciesIdentify root causes and recurring issues contributing to outstanding A/RSubmit corrected claims, appeals, reconsiderations, and supporting documentation as neededFollow up on outstanding claims according to payer-specific requirements and timelinesReview A/R aging reports and prioritize accounts based on balance, age, and collectabilityNavigate payer portals and communicate directly with insurance representatives to resolve claimsAccurately document all collection activity, claim updates, follow-up actions, and account notesEscalate complex or unresolved accounts when appropriateMeet established productivity, quality, and collection goalsCollaborate with billing and revenue cycle teams to identify trends and improve A/R workflowsQualifications2+ years of experience in healthcare medical billing, A/R, or insurance collectionsStrong understanding of medical claims and the insurance reimbursement processHands-on experience with insurance follow-up and collectionsAbility to independently manage aging A/R and prioritize high-value or time-sensitive accountsStrong knowledge of claim denials, rejections, appeals, reconsiderations, and corrected claimsComfortable making frequent calls to insurance payers and navigating payer websitesStrong attention to detail and accurate documentation skillsAbility to manage a high-volume A/R workload while maintaining quality and accuracyStrong communication, analytical, and problem-solving skillsModMed experienceAdvancedMD experienceExperience supporting physician practices or specialty medical groupsExperience handling high-dollar or complex A/RExperience working with multiple commercial and government payersBackground in denial management and appealsFamiliarity with electronic payer portals and clearinghousesPerksPermanent 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.