Job Description
Remote | Part-Time (20–25 Hours Weekly)
Seeking an experienced Insurance Billing & A/R Specialist with strong knowledge of commercial insurance, ERISA plans, and denial management for a physician-owned private practice.
This is a remote, part-time independent contractor (1099) position. Applicants must qualify as independent contractors and meet IRS standards for 1099 classification. This role is not available as a W-2 employee position.
Agencies and third-party billing companies will not be considered.
Contract Structure & Expectations
As an independent contractor, you will provide billing and A/R services while coordinating availability for periodic meetings that align with the physician/owner’s clinic hours for billing review and case discussion.
You must be available for real-time communication during agreed service hours and maintain reliable responsiveness.
You are expected to integrate into the clinic’s billing systems and workflow while independently managing assigned claims and accounts.
- Responsibilities
- Submit clean insurance claims accurately and timely
- Perform insurance A/R follow-up on aged, unpaid, or denied claims
- Investigate and resolve claim rejections, denials, and underpayments
- Prepare and submit appeals, including medical necessity and ERISA-based appeals when applicable
- Review EOBs/ERAs and ensure accurate reimbursement and contractual adjustments
- Maintain audit-ready documentation of all billing actions taken
- Navigate EMR and billing systems to locate claims, documentation, and correspondence
- Identify recurring payer issues or denial trends and report findings
- Communicate professionally with insurance payers regarding claim status and resolution
- Support additional billing-related tasks as needed to maintain revenue flow
- Competencies
- Strong attention to detail and documentation discipline
- Demonstrated ownership of assigned claims through final resolution
- Proficient working with commercial insurance portals and conducting payer calls
- Organized, process-driven, and deadline-oriented
- Able to work independently without constant oversight
- Strong written and verbal communication skills for payer correspondence
- Comfortable escalating claims appropriately when required
- Qualifications
- Minimum 3 years of hands-on medical billing experience
- Strong working knowledge of commercial insurance and ERISA required
- Demonstrated experience reducing A/R and resolving denials
- Experience preparing and submitting formal appeals
- EMR billing experience required
Active, non-expired CPB certification issued by AAPC (verification will be required during the application process)
2 professional references required prior to contract engagement
Pay: $20.00 - $25.00 per hour
Expected hours: 20.0 – 25.0 per week
- Application Question(s):
- Have you personally prepared and submitted ERISA appeals that resulted in payment?
- Experience:
- Medical billing and A/R: 3 years (Required)
- License/Certification:
- CPB (AAPC) certification (Required)
- Location:
- North Carolina (Preferred)
Work Location: Remote
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