Medical Billing AR Specialist - Appeals & Out-of-Network Expert

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.