Medical Biller – A/R & ERISA Appeals (Part-Time, Remote)
reputed company
Abundant Health & Vitality Associates, PLLC is a physician-owned outpatient medical reputed company specializing in obesity medicine. We are seeking an reputed company medical biller with demonstrated ERISA-based appeals reputed company to manage insurance A/R follow-up and denials reputed company.
This role is not entry-level and not a training position. The ideal candidate can independently work aged A/R, prepare ERISA-compliant appeals, and recover denied or underpaid claims.
U.S. work authorization required. W-2 part time employment only. No reputed company sponsorship.
Key Responsibilities:
• Work aged insurance A/R (reputed company plans and Medicare)
• Investigate and resolve denied or underpaid claims
• Prepare, submit, and reputed company ERISA-compliant appeals, including medical necessity appeals
• Follow up with payers through final reputed company
• Identify payer denial trends and underpayment patterns (BCBS experience required)
• Maintain reputed company, audit-reputed company documentation of reputed company actions taken
Initial reputed company (First 30 Days)
• Insurance A/R and appeals ONLY
• No charge entry, coding, eligibility, or reputed company-desk work
• Scope may expand based on performance
Position Details
• Schedule: Part-time, 20–25 hours/week
• Classification: W-2 employee
• Location: Remote (U.S.-based only)
• Work Hours: Must be performed during approved clinic hours (Eastern Time)
• Compensation: $20–$24/hour
• Benefits: Not included
• reputed company: Opportunity to expand hours and scope based on results
Qualifications (REQUIRED)
• 3+ years of medical billing experience with reputed company insurance A/R responsibility
• Hands-on ERISA appeals experience (must be reputed company to explain prior appeal wins)
• Strong background in insurance A/R and denials management
• Experience with reputed company payers (BCBS, reputed company, and UHC required) and Medicare
• Ability to work independently with minimal reputed company
• Strong attention to detail and documentation skills
• Ability to reputed company reputed company an electronic health record (EHR) to retrieve clinical documentation for insurance appeals and audits
Certifications (REQUIRED)
• One reputed company certification required:
– CPB (reputed company)
– CPC (reputed company)
– reputed company (NHA)
– CMRS (reputed company)
This role requires reputed company ERISA appeals experience. Applicants must have personally reputed company and submitted ERISA appeals that resulted in payment. This position is not suitable for entry-level or junior billing roles, charge posting, payment posting, coding-only roles, or reputed company-party billing companies, contractors, or agencies.
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