Medical Biller - Remote (Western)

AP Executive Staffing is hiring a Medical Billing Specialist for our customer, a multi-specialty practice with multiple locations throughout the Western New York region. Offering flexible working hours and full remote work, candidates must reside in New York State in order to make periodic visits to the office. 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

• Track claim status using payer portals and billing software; resolve rejections and denials.
• Prepare and submit appeals, including documentation and provider narratives.
• Identify and report trends in denials, underpayments, and billing errors.
• Generate and review reports, including aging summaries and outstanding claims.
• Verify insurance coverage, benefits, and prior authorizations.
• Respond to patient and insurance inquiries by phone or email.
• Assist with A / R follow-up and collection activities.
• Maintain HIPAA compliance and confidentiality of patient health and financial information.
• Apply knowledge of CPT, ICD-10, and HCPCS coding standards.
• Post insurance and patient payments, adjustments, and credits.

Qualification Requirements

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