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

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

Qualifications
• Minimum 3 years of hands-on medical billing experience
• Strong working knowledge of commercial insurance and ERISA required
• Demonstrated experience reducing A/R and resolving denials
• Experience preparing and submitting formal appeals
• 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):
• Have you personally prepared and submitted ERISA appeals that resulted in payment?

Experience:
• Medical billing and A/R: 3 years (Required)

License/Certification:
• CPB (AAPC) certification (Required)

Location:
• North Carolina (Preferred)

Work Location: Remote

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