A/R Collections Expert – Medical Billing

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.