• Job Description

  Req#: 69d93b31277a39f9959b5552
  Job description
  
  Are you a seasoned Medical Billing AR Specialist with deep expertise in appeals, denial management, and out-of-network claims? We want to hear from you.
  
  We are actively seeking a highly experienced, results-driven AR professional to join our fully remote team. This is not an entry-level role - we are looking for someone who has been in the trenches, knows the system, and has the track record to prove it.
  
  WHAT YOU'LL DO
  • Manage and aggressively work AR across multiple specialties
  • Lead appeals and denial management for complex and high-dollar claims
  • Handle out-of-network billing, including underpaid claim disputes
  • Work directly with payers using tools such as Data iSight, Zelis, and Patient Advocacy platforms
  • Apply knowledge of the Independent Dispute Resolution (IDR) process and No Surprises Act (NSA) where applicable
  • Identify trends in denials and implement strategies to reduce AR and increase collections
  • Collaborate with clinical and administrative teams to ensure clean claim submission and follow-up
  
  SPECIALTIES WE SERVE
  • Surgical Spine
  • Orthopedics
  • Pain Management
  • Ambulatory Surgery Centers (ASC)
  • Laboratory
  • Vascular Surgery
  • Podiatry
  • Plastic Surgery
  • Neurosurgery
  • Chiropractic
  • Acupuncture
  • Physical Therapy
  
  REQUIREMENTS
  • Minimum 5 years of medical billing AR experience in the specialties listed above
  • Proven, measurable track record of reducing AR days and increasing revenue recovery
  • Strong background in appeals, denial management, and out-of-network claim resolution
  • Experience with underpaid claim disputes and payer negotiation
  • Familiarity with Data iSight and Zelis Patient Advocacy - required
  • Knowledge of IDR/NSA processes - strongly preferred
  • eClinicalWorks (eCW) and/or Modernizing Medicine (ModMed) experience - a plus
  • Excellent written communication skills for appeal letter writing
  • Self-motivated, detail-oriented, and able to work independently in a remote environment
  
  GROWTH & ADVANCEMENT
  We don't just hire great people - we invest in them. High performers will have the opportunity to grow into senior, lead, and management roles as the company expands. If you are looking for a place to build a long-term career, not just fill a position, this is the right opportunity for you.
  
  COMPENSATION & BENEFITS
  • Salary: $65,000 - $70,000, based on experience
  • Medical Insurance
  • Dental Insurance
  • 401(k) Plan
  • 100% Remote Position
  • Clear path for career advancement
  
  If you are ready to bring your expertise to a team that values results and rewards performance, apply today.
  
  To apply, please submit your resume along with a brief summary of your AR reduction accomplishments and appeals experience.

• About the company

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