Medical Biller - Remote

Remote Full-time
AP Executive Staffing is hiring a Medical Billing Specialist for our customer, a multi-specialty practice in WNY. Offering flexible working hours and full remote work, candidates must reside in Western New York in order to make periodic visits to the office and training. This direct hire role is part of a Billing team that manages the full lifecycle of medical claims from charge entry and claim submission to payment posting, denial management, and patient billing. Duties and Responsibilities β€’ Track claim status using payer portals and billing software; resolve rejections and denials. β€’ Prepare and submit appeals, including documentation and provider narratives. β€’ Identify and report trends in denials, underpayments, and billing errors. β€’ Generate and review reports, including aging summaries and outstanding claims. β€’ Verify insurance coverage, benefits, and prior authorizations. β€’ Respond to patient and insurance inquiries by phone or email. β€’ Assist with A/R follow-up and collection activities. β€’ Maintain HIPAA compliance and confidentiality of patient health and financial information. β€’ Apply knowledge of CPT, ICD-10, and HCPCS coding standards. β€’ Post insurance and patient payments, adjustments, and credits. Qualification Requirements β€’ Associate degree or certification in billing/coding β€’ Minimum 2 years of specialty medical billing experience with a strong knowledge of healthcare insurance process and procedures for commercial, Medicare, Medicaid, and workers’ comp (orthopedic, neurologic, surgical or related strongly preferred) β€’ Proficiency with CPT, ICD-10, and HCPCS coding. β€’ Experience with EMR systems (e.g., Medent, Epic, or similar). β€’ Proficiency in Microsoft Word, Excel, Outlook, and Teams. Preferences β€’ Strong analytical and problem-solving skills. β€’ Excellent communication and organizational skills. β€’ Ability to work independently in a fast-paced environment. Why this role stands out: β€’ Direct hire with a stable, multi-specialty practice β€’ Fully remote (must live in WNY for occasional office visits and initial training) β€’ Flexible hours for better work-life balance β€’ Competitive pay: $25–$27/hour Apply tot his job Apply tot his job
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