Accounts Receivable and Denial Management Specialist

. Review pending and unbilled claim buckets in the practice management system for accuracy before submission .

Posted 10/24/2026full-timeRemote • PhilippinesJuniorMid-LevelWebsite

Key responsibilities & impact

Review pending and unbilled claim buckets in the practice management system for accuracy before submission
Correct eligibility, wrong-payer, demographic, and coding-related errors so claims are paid on the first submission
Verify patient eligibility and confirm the correct primary and secondary insurance
Follow up on unpaid, underpaid, and aged claims through payer portals and phone calls
Research denials, identify root causes, and submit corrected claims, reconsiderations, or appeals
Check claim status and resolve issues using Medicare, Availity, and UnitedHealthcare portals
Document all follow-up activity and next steps in the practice management system
Report recurring denial trends and payer issues to the billing manager
Work alongside the practice’s in-house A/R team and meet daily productivity targets
Protect patient information and follow HIPAA requirements
Support a multi-specialty physician group based in Florida

What you’ll need

At least 2 years of experience with U.S. healthcare A/R follow-up and denial management
Experience reviewing claims for accuracy and resolving eligibility and payer errors
Familiarity with commercial insurance and government health plans, including Medicare
Experience using payer portals and insurance websites
Strong written and spoken English
Excellent attention to detail and follow-up skills
Ability to work independently and manage multiple patient accounts
Reliable internet connection and a suitable remote workspace
Must be available during Eastern Time business hours
Experience using AdvancedMD preferred
Experience using First Coast SPOT (Florida Medicare), Availity, and the UnitedHealthcare provider portal preferred
Experience supporting internal medicine, hospitalist, wound care, or pain management practices preferred
Familiarity with Florida insurance plans preferred
Experience working a Medicare-heavy A/R and handling Medicare reconsiderations and redeterminations preferred

Comp & perks