A/R Collections Expert – Medical Billing
2 days ago
**A/R Collections Expert – Medical Billing (Speech, Physical, and Occupational Therapy)
Location: Remote – Philippines
Employment Type: Full-Time (Mid Shift)**
Role Summary
The A/R Collections Expert will be responsible for ensuring timely recovery of outstanding claims in U.S. medical billing, with a focus on Speech, Occupational, and Physical Therapy services. This position requires in-depth knowledge of payer policies, denial management, and collections best practices to support revenue cycle goals.
Key Responsibilities
• Manage insurance collections for major commercial carriers (Aetna, Cigna, Florida Blue, UHC).
• Investigate denials, underpayments, and rejections to determine corrective actions or appeals.
• Apply therapy billing expertise including CPT codes, modifiers, and medical necessity requirements.
• Coordinate with billing and posting teams for payment reconciliation and ledger accuracy.
• Maintain clean aging reports, ensuring accurate documentation within EHR/billing platforms.
• Understand and process third-party liability claims efficiently.
Required Qualifications
• 2–4 years of U.S. medical billing experience, preferably in therapy billing.
• Proven success in collections and payer recovery.
• Familiarity with EHR/billing software (e.g., WebFusion, Practice Perfect, Clinic Source).
• Strong written and spoken English communication skills.
• Ability to work independently with minimal supervision.
• High attention to detail, persistence, and strong organizational discipline.
Preferred Qualifications
• Previous experience in a therapy-focused billing firm or U.S. therapy practice.
• Familiarity with clearinghouses (Availity, Office Ally, etc.).
• Denial code interpretation and escalation expertise.
Work Environment
• Remote setup with stable internet and dedicated workspace.
• Direct reporting to client-side billing leads or A/R supervisors.
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