Medical Biller Remote / Collector – Out-of-Network PT & Outpatient

Read first: This role is for a hands-on biller who has personally submitted insurance claims and managed them through to payment: verification, submission, denials, appeals, and AR follow-up, as the primary biller, not as support staff. If you've worked around billing (front desk, posting only, a biller's assistant, data entry) but haven't owned the full claim cycle yourself, this isn't the right fit. Experienced medical biller who chases every claim until it's paid? We're an established, physician-supervised LA pain-relief clinic hiring a remote AR & denial specialist to own our revenue cycle: $20/hr to start, 1099, fully flexible hours. We are a 100% out-of-network practice. We bill outpatient services (physical therapy, physician evals) to PPO and commercial payers, which means no contracted fee schedules, heavy appeals, and fighting for every dollar of usual-and-customary reimbursement. We need someone who chases every claim until it's paid, not someone who submits and waits. This is NOT for you if you push claims out the door and wait for payment to appear, you avoid getting on the phone with insurers, or you've ever let denials pile up because you "didn't get to them." We've lived that. We're done with it. It's exactly for you if you genuinely enjoy getting a payer on the phone and winning, and you want a long-term seat where you run your own process, your wins are seen, and nobody micromanages your hours. What you'll own:

• Working every denial and rejection to resolution: diagnose, fix, rebill, or appeal. None of them sit.
• A live daily tracking sheet of accounts receivable, you always know what's unpaid, what's missing an EOB, and your next move on each claim.
• Calling payers assertively when claims stall, pay incorrectly, or reject for nonsense reasons, and confirming they actually received our records and reprocessed, instead of assuming.
• Working Availity and payer portals for claim status, eligibility, and history.
• Cleaning up aged AR until nothing falls through the cracks.
• Insurance verification, authorizations, claim scrubbing and submission, payment posting, superbills, secondary/COB claims, and patient balances.

You're a fit if you have:

• Out-of-network billing experience, you know how to maximize reimbursement without a contracted rate, work superbills and patient responsibility, and appeal underpayments.
• 2+ years of outpatient medical billing (physical therapy and/or multi-specialty; PT strongly preferred, we'll test for it).
• Numbers you can name, net collection rate, days in AR, claims you personally overturned and the dollars recovered.
• A strong command of CPT, ICD-10, modifiers, denial codes, and the appeals process.
• Clearinghouse experience (Office Ally a plus) and the ability to learn a new system fast. CPB or CPC certification a plus.
• A clean background check and a secure, quiet home office.

The deal: $20/hr to start with room to grow, a fully flexible self-managed schedule, a long-term role with a growing two-location practice, and management that values a biller who collects. Complete the screening questions below to apply , we read every completed application. Pay: From $20.00 per hour Benefits:

• Flexible schedule

Application Question(s):

• How do you stay on top of claims that were submitted but never paid and never got an EOB? What's your system?
• Tell me about one claim you got paid by calling the insurer and pushing, why it was stuck and roughly how much.
• Which billing and clearinghouse software are you proficient in? (Select all that apply)

Office Ally

• Availity
• AdvancedMD
• Kareo/Tebra
• eClinicalWorks
• AltaPoint
• DrChrono
• Other
• None.
• Do you have hands-on experience working denials, appeals, and aged AR follow-up? Yes - it's been a core part of my role
• Some
• No.
• Willing to undergo a background check? → Yes/No:
• Have you billed for an out-of-network or out-of-network-heavy practice? (Yes, extensively
• Some
• No, only in-network)
• Have you personally been the primary/lead biller responsible for submitting and managing insurance claims through to payment? (Yes - it was my main job
• Partially - I assisted a biller
• No)

Experience:

• Medical billing: 2 years (Required)

Work Location: Remote