Medical Billing AR Specialist – Appeals & Out-of-Network Expert
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. Apply To This Job