Accounts Receivable (A/R) and Denial Management Specialist

Location: United States This is a remote position. Job Summary RCM Staff BPO is hiring a full-time Accounts Receivable (A/R) and Denial Management Specialist to support a multi-specialty physician group based in Florida.You will review claims for accuracy before submission, work aged A/R, and resolve denials so the practice gets paid faster and with fewer rejections. This role requires strong attention to detail, consistent follow-up, and experience working with U.S. health insurance plans, especially Medicare. Key Responsibilities 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 the root cause, 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 clearly 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 Qualifications 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 Preferred Qualifications Experience using AdvancedMD Experience using First Coast SPOT (Florida Medicare), Availity, and the UnitedHealthcare provider portal Experience supporting internal medicine, hospitalist, wound care, or pain management practices Familiarity with Florida insurance plans Experience working a Medicare-heavy A/R and handling Medicare reconsiderations and redeterminations Schedule Full-time position Must be available during Eastern Time business hours Final schedule will be determined based on practice needs Work Arrangement Remote Philippines-based applicants preferred