Job Description

We are seeking experienced Medical Biller with a strong background in Appeals and Accounts Receivable (AR) Management The primary focus of this role will be spine-related AR cleanup, requiring in-depth knowledge of orthopedic billing processes and payer guidelines.

Key Responsibilities:

• Manage and follow up on Accounts Receivable (AR), with a focus on spine-related claims
• Review, analyze, and appeal denied or underpaid claims
• Perform AR cleanup by identifying and resolving outstanding balances
• Communicate with insurance companies to obtain claim status and resolve issues
• Prepare and submit appeal letters with proper documentation
• Ensure accurate and timely payment posting follow-ups
• Maintain detailed records of all claim activity and resolutions
• Collaborate with internal teams to address billing discrepancies and improve processes

Requirements

• Minimum 2+ years of medical billing experience in a U.S.-based healthcare setting
• Proven experience with Appeals and AR Management
• Strong knowledge of orthopedic billing, especially spine procedures (highly preferred)
• Familiarity with CPT, ICD-10, and HCPCS coding related to orthopedics
• Experience working with U.S. insurance payers (commercial, Medicare, Medicaid)
• Excellent analytical and problem-solving skills
• High attention to detail and ability to work independently

Please note that this is a full-time contractor position (40 hours per week)
The schedule is Monday through Friday, from 9 AM to 5:30 PM PST.

Benefits

• Paid Time Off
• Work From Home