Experienced Medical Billing & AR Specialist | Physician Billing | Denials | NextGen PM Preferred

EXPERIENCED MEDICAL BILLING & AR SPECIALIST (U.S. PHYSICIAN BILLING) – LONG-TERM OPPORTUNITY

We are a growing U.S.-based Revenue Cycle Management (RCM) company seeking an experienced Medical Billing and Accounts Receivable (AR) Specialist for two independent physician practices using CMS-1500 billing workflows.

This is NOT an entry-level charge entry position. We are specifically looking for someone with strong experience in physician billing, denial management, insurance follow-up, and AR resolution who can work independently with minimal supervision.

This position is initially part-time with approximately 150 claims per week across two physician practices. However, this is intended to grow into a long-term ongoing position with increased hours and long-term opportunity as our company expands.

RESPONSIBILITIES

• Charge entry from physician superbills
• CMS-1500 claims submission and corrections
• Insurance eligibility verification
• Medicare and commercial insurance follow-up
• Denial management and appeals
• Accounts Receivable (AR) follow-up and aging resolution
• Rejected claim correction and resubmission
• ERA/EOB review and payment posting support
• Secondary and tertiary claim handling
• Working aging reports and reducing outstanding AR balances
• Identifying root causes of denials and recurring payer issues
• Maintaining organized claim notes and workflow documentation

REQUIREMENTS

• Minimum 3+ years of U.S. physician medical billing experience
• Strong understanding of full-cycle physician Revenue Cycle Management (RCM)
• Experience with CMS-1500 professional claims required
• Strong AR and denial management experience REQUIRED
• Experience with Medicare, Medicare, and commercial insurance payers
• Ability to work independently and manage follow-up queues responsibly
• Excellent English communication skills
• Detail-oriented and highly organized
• Reliable internet and consistent responsiveness
• Experience with NextGen PM/EHR strongly preferred
• Experience with Availity, Waystar, Office Ally, or payer portals preferred

IMPORTANT

We are NOT looking for:
• agencies,
• large teams,
• or basic data-entry-only billers.

We are looking for a dependable long-term team member who understands physician billing workflows, can independently manage AR and denials, and wants to grow with our company over time.

This is an excellent long-term opportunity for the right person. Early team members will have strong growth potential as the company expands.

TO APPLY

Please answer the following:

1. How many years of U.S. physician billing experience do you have?
2. What specialties have you worked with?
3. Which PM/EHR systems have you used?
4. Describe your experience with AR follow-up and denial management.
5. Describe your experience with Medicare and commercial insurance follow-up.
6. Have you worked independently for U.S.-based physician practices?
7. Are you comfortable working in a smaller startup-style environment long-term?
8. What are your normal working hours and availability?

Please also include:
• Your most recent medical billing experience
• Your experience with CMS-1500 claims
• Your experience with NextGen PM (if applicable)
• Whether you are applying as an individual or agency

Compensation:
Initial compensation is structured around the current workload and claim volume for two physician practices, with long-term growth potential as the company expands.