Insurance Billing & A/R Specialist - 1099 (Obesity Medicine)

Remote Full-time
Remote | Part-Time (20–25 Hours Weekly)

Seeking an experienced Insurance Billing & A/R Specialist with strong knowledge of commercial insurance, ERISA plans, and denial management for a physician-owned private practice.

This is a remote, part-time independent contractor (1099) position. Applicants must qualify as independent contractors and meet IRS standards for 1099 classification. This role is not available as a W-2 employee position.

Agencies and third-party billing companies will not be considered.

Contract Structure & Expectations

As an independent contractor, you will provide billing and A/R services while coordinating availability for periodic meetings that align with the physician/owner’s clinic hours for billing review and case discussion.

You must be available for real-time communication during agreed service hours and maintain reliable responsiveness.

You are expected to integrate into the clinic’s billing systems and workflow while independently managing assigned claims and accounts.

Responsibilities
β€’ Submit clean insurance claims accurately and timely
β€’ Perform insurance A/R follow-up on aged, unpaid, or denied claims
β€’ Investigate and resolve claim rejections, denials, and underpayments
β€’ Prepare and submit appeals, including medical necessity and ERISA-based appeals when applicable
β€’ Review EOBs/ERAs and ensure accurate reimbursement and contractual adjustments
β€’ Maintain audit-ready documentation of all billing actions taken
β€’ Navigate EMR and billing systems to locate claims, documentation, and correspondence
β€’ Identify recurring payer issues or denial trends and report findings
β€’ Communicate professionally with insurance payers regarding claim status and resolution
β€’ Support additional billing-related tasks as needed to maintain revenue flow

Competencies
β€’ Strong attention to detail and documentation discipline
β€’ Demonstrated ownership of assigned claims through final resolution
β€’ Proficient working with commercial insurance portals and conducting payer calls
β€’ Organized, process-driven, and deadline-oriented
β€’ Able to work independently without constant oversight
β€’ Strong written and verbal communication skills for payer correspondence
β€’ Comfortable escalating claims appropriately when required

Qualifications
β€’ Minimum 3 years of hands-on medical billing experience
β€’ Strong working knowledge of commercial insurance and ERISA required
β€’ Demonstrated experience reducing A/R and resolving denials
β€’ Experience preparing and submitting formal appeals
β€’ EMR billing experience required

Active, non-expired CPB certification issued by AAPC (verification will be required during the application process)

2 professional references required prior to contract engagement

Pay: $20.00 - $25.00 per hour

Expected hours: 20.0 – 25.0 per week

Application Question(s):
β€’ Have you personally prepared and submitted ERISA appeals that resulted in payment?

Experience:
β€’ Medical billing and A/R: 3 years (Required)

License/Certification:
β€’ CPB (AAPC) certification (Required)

Location:
β€’ North Carolina (Preferred)

Work Location: Remote

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