About Us
We are a Central Billing Office (CBO) supporting multiple multi-specialty Ambulatory Surgery Centers (ASCs) across the tri-state area. Our team manages high-volume, end-to-end facility billing and accounts receivable in a collaborative, professional office environment.
Our shared values — CARE — guide how we work, lead, and treat one another. In this role, you will be expected to:
- Commit to Integrity (C) – Perform your work accurately and honestly, doing what’s right for our patients and facilities.
- Assume Accountability (A) – Take responsibility for your tasks, follow through on billing and A/R responsibilities, and own your outcomes.
- Respect Through Professionalism (R) – Maintain high standards in your work and communications with colleagues, patients, and payers.
- Engage as One Team (E) – Collaborate closely with teammates and other departments to support shared success.
This is an on-site position. Candidates must live within approximately 25 miles of Ridgefield, CT, to ensure reliable attendance. Remote work or long-distance commuting will not be considered.
Position Summary
We are seeking an experienced Medical Biller with hands-on ASC facility billing experience to support all phases of the revenue cycle. This is a fast-paced, high-volume role requiring direct involvement in back-end billing and accounts receivable functions.
A minimum of 2 years of qualifying medical billing experience is required. Applications that do not meet this requirement will not be reviewed.
Qualifying Experience (Required)
To be considered, candidates must have direct, hands-on experience performing all of the following ASC facility billing functions:
- Charge entry for ASC facility surgical claims
- Insurance and patient payment posting and reconciliation
- Insurance A/R follow-up, including denials, rejections, and appeals
- Working payer portals and responding to insurance correspondence
Experience limited to front-desk registration, scheduling, eligibility checks, or collecting copays does not meet the minimum requirements for this position.
Responsibilities
- Perform charge entry for ASC facility surgical claims
- Submit and track ASC facility claims using UB-04 and CMS-1500 formats
- Post and reconcile insurance and patient payments (daily and month-end)
- Manage insurance A/R, including denials, rejections, and appeals
- Manage patient accounts receivable, including patient statement processing, payment plan setup, collections referral per policy, and resolution of billing inquiries
- Handle high-volume inbound and outbound phone calls with patients, payers, and external vendors
- Utilize payer portals extensively for claim status, eligibility, denial research, appeals, and correspondence
- Reconcile reports and maintain accuracy across multiple ASC accounts
- Demonstrate CARE values—integrity, accountability, professionalism, and teamwork—in all interactions with patients, payers, and colleagues
Qualifications
- 2+ years of qualifying medical billing experience as defined above (required)
- ASC or outpatient surgical facility billing experience strongly preferred
- Experience with Medicare, Medicaid, managed Medicare/Medicaid, commercial plans, and No-Fault/Workers’ Compensation; experience with New York State ASC facility billing, including APG or state-specific payment methodologies, is a plus
- Proficiency with billing systems, payer portals, and Microsoft Office
- Demonstrated experience managing high call volume in a fast-paced billing environment
- Strong knowledge of HIPAA, medical terminology, and billing workflows
- Organized, detail-oriented, and able to manage high volume
- Reliable attendance and ability to work on-site, full-time
- Professional communication skills and team-oriented approach
Schedule & Benefits
- Monday–Friday | 8-hour shifts
- On-site only (no remote or hybrid option)
- 401(k)
- Health, Dental, and Vision Insurance
- Paid Time Off