76 out of network medical biller jobs found

Job Description Job Description Company Overview Our client is a rapidly growing revenue cycle management organization that partners with healthcare providers nationwide to deliver specialized billing, reimbursement, and revenue recovery solutions. As the organization continues to expand, they are seeking experienced medical billing professionals who thrive in a collaborative, quality-driven environment and want to be part of a growing team. Position Summary: The Out-of-Network Authorization Specialist is responsible for securing prior authorizations and verifying benefits for services rendered by providers who are not contracted with a patient’s insurance plan. This role requires strong communication skills, attention to detail, and a deep understanding of payer policies to ensure accurate billing and minimize claim denials. Key Responsibilities: Initiate and follow up on prior authorization requests for out-of-network services. Verify patient insurance benefits and...

Out-of-Network Authorization Specialist The Out-of-Network Authorization Specialist is responsible for securing prior authorizations and verifying benefits for services rendered by providers who are not contracted with a patients insurance plan. This role requires strong communication skills, attention to detail, and a deep understanding of payer policies to ensure accurate billing and minimize claim denials. Key responsibilities include: Initiate and follow up on prior authorization requests for out-of-network services. Verify patient insurance benefits and eligibility for out-of-network coverage. Communicate with insurance companies to determine coverage levels, out-of-pocket costs, and authorization requirements. Track and document authorization status in the EMR and billing systems. Work closely with billing and collections teams to resolve denied claims and appeals. Stay current with payer-specific guidelines and regulatory changes affecting out-of-network billing. Team...

Company Overview Our client is a rapidly growing revenue cycle management organization that partners with healthcare providers nationwide to deliver specialized billing, reimbursement, and revenue recovery solutions. As the organization continues to expand, they are seeking experienced medical billing professionals who thrive in a collaborative, quality-driven environment and want to be part of a growing team. Position Summary: The Out-of-Network Authorization Specialist is responsible for securing prior authorizations and verifying benefits for services rendered by providers who are not contracted with a patient's insurance plan. This role requires strong communication skills, attention to detail, and a deep understanding of payer policies to ensure accurate billing and minimize claim denials. Key Responsibilities: Initiate and follow up on prior authorization requests for out-of-network services. Verify patient insurance benefits and eligibility for...

Position Summary The Out-of-Network Authorization Specialist is responsible for securing prior authorizations and verifying benefits for services rendered by providers who are not contracted with a patient’s insurance plan. This role requires strong communication skills, attention to detail, and a deep understanding of payer policies to ensure accurate billing and minimize claim denials. Key Responsibilities Initiate and follow up on prior authorization requests for out-of-network services. Verify patient insurance benefits and eligibility for out-of-network coverage. Communicate with insurance companies to determine coverage levels, out-of-pocket costs, and authorization requirements. Track and document authorization status in the EMR and billing systems. Work closely with billing and collections teams to resolve denied claims and appeals. Stay current with payer-specific guidelines and regulatory changes affecting out-of-network billing. Team player and accuracy are key....

Position Summary The Out-of-Network Authorization Specialist is responsible for securing prior authorizations and verifying benefits for services rendered by providers who are not contracted with a patient’s insurance plan. This role requires strong communication skills, attention to detail, and a deep understanding of payer policies to ensure accurate billing and minimize claim denials. Key Responsibilities Initiate and follow up on prior authorization requests for out-of-network services. Verify patient insurance benefits and eligibility for out-of-network coverage. Communicate with insurance companies to determine coverage levels, out-of-pocket costs, and authorization requirements. Track and document authorization status in the EMR and billing systems. Work closely with billing and collections teams to resolve denied claims and appeals. Stay current with payer-specific guidelines and regulatory changes affecting out-of-network billing. Team player and accuracy are key....

Job Description Job Description Benefits: 401(k) Dental insurance Health insurance Paid time off Vision insurance 401(k) matching Employee discounts RECOVRY is seeking a highly organized and detail-oriented Medical Biller to join our healthcare team. The ideal candidate will have Out-of-Network Physical Therapy experience and be responsible for ensuring accurate and timely billing and coding for patient services as well as oversee our billing operations. This role will include administrative patient services. This role is a crucial part of our medical office, and we are looking for someone who is passionate about providing excellent patient care while also ensuring the financial well-being of our organization. Duties: Utilize medical coding skills to assign accurate ICD-10 and CPT codes to patient records and submit claims to insurance companies Verify patient insurance coverage and obtain necessary authorizations for services Analyze and resolve billing...

A healthcare organization in Huntington, NY is seeking a highly organized Medical Biller. The successful candidate will manage billing and coding for patient services, ensuring accuracy and compliance with regulations. Responsibilities include verifying insurance, resolving discrepancies, and maintaining medical records. Ideal candidates will have experience in Out-of-Network billing, strong analytical skills, and proficiency in medical coding. This full-time role offers competitive pay and comprehensive benefits including health insurance and 401(k). #J-18808-Ljbffr

RECOVRY Physical Therapy is seeking a highly organized Medical Biller to join their healthcare team in Huntington, NY. The ideal candidate will manage accurate and timely billing for patient services and oversee billing operations while ensuring excellent patient care and financial health of the organization. This full-time position requires proficiency in medical coding, experience in Out-of-Network Physical Therapy billing, and strong analytical skills. Benefits include health insurance, retirement plans, and paid time off. #J-18808-Ljbffr

RECOVRY Physical Therapy PLLC is seeking a highly organized Medical Biller in Huntington, NY, to manage patient billing operations. Responsibilities include accurate coding, claim submissions, and resolving billing discrepancies. Candidates should have a high school diploma, experience in Out-of-Network Physical Therapy billing, and proficiency in medical terminology. Certifications like CPC or CCS are preferred. This is a full-time role with competitive hourly pay, working Monday to Friday, with potential weekends as needed. #J-18808-Ljbffr

Job Description Job Description Job Summary Medical Biller The Medical Biller reports to the Billing Manager in person at out office in Ontario, CA and is responsible for the accurate, compliant, and timely billing of clinical laboratory services, including blood testing, microbiology/culture testing, and toxicology services. This role requires strong expertise in Medicare Part A vs Part B billing, skilled nursing facility (SNF) workflows, and commercial payer laboratory billing rules. The Medical Biller manages claims from Pending Review through payment resolution while ensuring full compliance with Medicare, Medicaid, and commercial payor regulations. No Remote Work Available Supervisory Responsibilities None Essential Duties and Responsibilities Laboratory Billing & Claims Management Review laboratory patient demographics, insurance, ordering provider, and facility information. Prepare, review, and submit insurance claims for laboratory...

Job Description Job Description About the Role We are looking for a detail-oriented and experienced Medical Biller to join our team. In this role, you will be responsible for handling the billing cycle—from submitting claims to following up on payments—while ensuring accuracy and compliance with current regulations. Key Responsibilities • Prepare and submit insurance claims. • Follow up on unpaid or denied claims to ensure timely reimbursement. • Review patient records for completeness and accuracy prior to billing. • Manage collections by contacting patients about outstanding balances and setting up payment plans when necessary. • Maintain accurate records of all billing activities, payments, and communications with patients and insurers. • Process and track payments from insurance providers, patients, and third-party payers. • Reconcile accounts, investigate discrepancies, and follow up on unresolved balances. • Collaborate with insurance companies to resolve denied...

About the RoleWe are looking for a detail-oriented and experienced Medical Biller to join our team.In this role, you will be responsible for handling the billing cycle--from submitting claims to following up on payments--while ensuring accuracy and compliance with current regulations.Key ResponsibilitiesPrepare and submit insurance claims.Follow up on unpaid or denied claims to ensure timely reimbursement.Review patient records for completeness and accuracy prior to billing.Manage collections by contacting patients about outstanding balances and setting up payment plans when necessary.Maintain accurate records of all billing activities, payments, and communications with patients and insurers.Process and track payments from insurance providers, patients, and third-party payers.Reconcile accounts, investigate discrepancies, and follow up on unresolved balances.Collaborate with insurance companies to resolve denied or delayed claims.Work closely with providers and team members to...

Location: Palm Beach, FL | Pay: $28 - $36/hr | Hours: 8 AM - 5 PM Premier, high-growth multi-state surgical practice in Palm Beach seeking an elite Senior Biller to act as our team’s Subject Matter Expert, mentor staff, and optimize our revenue cycle. To follow up with your application, email: Stephanie.Salvant@randstadusa.com Salary: $28 - $36 per hour Shift: First Work hours: 8 AM - 5 PM Education: High School Responsibilities Manage full-cycle billing, charge entry, and coding validation via Nextech. Lead and mentor junior staff to clear daily backlogs (target: 20-30 claims/day). Handle complex out-of-network claims, authorizations, and payer escalations. Manage denials, execute appeals, and ensure compliance (No Surprises Act). Requirements 5+ years of dedicated medical billing experience. Background in Plastic Surgery, Podiatry, Orthopedics, General Surgery, or Trauma billing . Active Certified Professional Coder (CPC) credential. Experience with Nextech,...

Job Description Apollo Pain Management is a growing health care organization with offices in Sun City Center area and Bradenton. Our focus is on providing our patients with advanced, non‑opioid based therapies for the improvement of their pain conditions. We are seeking an Medical Biller and Coder who is a reliable, experienced, energetic team‑player with exceptional customer service skills, capable of providing an outstanding patient experience. This position is in‑person only. Please do not apply if you are not located within commuting distance of Sun City Center, FL. Work Location: Main office in Sun City Center, FL Employment Type: Full‑Time Benefits Paid time off Paid holidays (7) Health insurance Health Savings Account Retirement plan Opportunities for advancement General Summary of Duties We are seeking an efficient and detail‑oriented Medical Biller and Coder to join our growing organization. The ideal candidate will be able to work effectively both independently...

About Us: At Agility Billing Services, we are dedicated to providing exceptional care and service in the orthopedic and pain management field. We are seeking a skilled and motivated Accounts Receivable Team Lead for commercial claims to join our team. The ideal candidate will have significant experience in collections, medical billing, and a strong understanding of commercial insurance carriers and Medicare. Position Overview: We are seeking a Medical Biller to join our team and support billing and collections for a busy surgical practice. The ideal candidate will have experience in medical claims follow-up, with a strong understanding of commercial and Medicare insurance plans and out-of-network billing. Prior experience in orthopedic, spine, or pain management services is highly preferred. Qualifications: • Working knowledge of commercial and Medicare insurance, including plan guidelines • Experience with out-of-network billing processes; understanding of the IDR...

Benefits: 401(k) Dental insurance Health insurance Paid time off Vision insurance 401(k) matching Employee discounts RECOVRY is seeking a highly organized and detail-oriented Medical Biller to join our healthcare team. The ideal candidate will have Out-of-Network Physical Therapy experience and be responsible for ensuring accurate and timely billing and coding for patient services as well as oversee our billing operations. This role will include administrative patient services. This role is a crucial part of our medical office, and we are looking for someone who is passionate about providing excellent patient care while also ensuring the financial well-being of our organization. Duties: Utilize medical coding skills to assign accurate ICD-10 and CPT codes to patient records and submit claims to insurance companies Verify patient insurance coverage and obtain necessary authorizations for services Analyze and resolve billing discrepancies and denials in a...

Bilingual Full-Cycle Medical Biller Location: Remote Colombia Employment Type: Full-Time Industry: Healthcare / Medical Billing / Revenue Cycle Management Salary: $1,400 - $1,600 USD/month About the Role We are seeking a highly detail-oriented, organized, and proactive Bilingual Full-Cycle Medical Biller to support U.S.-based healthcare providers with medical billing, claims processing, accounts receivable follow-up, and revenue cycle management operations. This role is ideal for someone with experience in U.S. healthcare billing workflows who thrives in fast-paced environments, understands medical coding and insurance processes, and can confidently communicate with both patients and insurance providers in English and Spanish. The ideal candidate has strong analytical skills, excellent follow-through, and the ability to manage multiple billing and claims processes accurately while maintaining HIPAA compliance and exceptional attention to detail. This position plays a critical role...

Benefits: 401(k) Bonus based on performance Competitive salary Dental insurance Flexible schedule Health insurance Opportunity for advancement Paid time off Training & development Vision insurance THIS IS NOT A REMOTE POSITION. Applicants must be within driving of the office. Affinity Med Solutions a leader in out of network billing is seeking a detail-oriented and organized Medical Biller to join our team. The ideal candidate will be responsible for managing billing processes mainly calling insurance companies and following up on claims to complete resolution. Strong work ethic and previous experience a must. Knowledge of out of network billing is a plus however we do provide training. Responsibilities Process and submit medical claims to insurance companies in a timely manner. Review patient records for accuracy and completeness prior to billing. Utilize ICD-10 and ICD-9 coding systems to ensure proper billing codes are applied. Manage...

M&D Capital is a leading third-party Medical Billing and Revenue Cycle Management company serving clients across the United States. We operate offices across multiple states, along with a growing international team. We specialize in out-of-network surgical claims, and partner directly with our clients to ensure the maximum reimbursement for their services. Our rapidly growing organization provides employees with generous opportunities for professional growth and advancement. We're looking for talented, dedicated employees who are eager to grow and contribute to our success. If you meet the qualifications below, we encourage you to apply. Job Description We are seeking an experienced and detail-oriented Senior Medical Biller to join our dynamic billing department. The ideal candidate will possess deep knowledge of the full claims lifecycle, surgical billing, and current coding guidelines, including CMS CPT, ICD-10, NDC, and LCD regulations. Strong communication skills and...

Location: Palm Beach, FL | Pay: $28 - $36/hr | Hours: 8 AM - 5 PM About Us: Premier, high-growth multi-state surgical practice in Palm Beach seeking an elite Senior Biller to act as our team's Subject Matter Expert, mentor staff, and optimize our revenue cycle. To follow up with your application, email, Stephanie.Salvant@randstadusa.com salary: $28 - $36 per hour shift: First work hours: 8 AM - 5 PM education: High School Responsibilities Responsibilities: Manage full-cycle billing, charge entry, and coding validation via Nextech. Lead and mentor junior staff to clear daily backlogs (target: 20-30 claims/day). Handle complex out-of-network claims, authorizations, and payer escalations. Manage denials, execute appeals, and ensure compliance (No Surprises Act). Requirements: 5+ years of dedicated medical billing experience. Background in Plastic Surgery, Podiatry, Orthopedics, General Surgery, or Trauma billing . Active Certified...

PLEASE SUBMIT YOUR CV IN ENGLISH Bilingual Full-Cycle Medical Biller Location: Remote — Colombia Employment Type: Full-Time Industry: Healthcare / Medical Billing / Revenue Cycle Management Salary: $1,400 - $1,600 USD/month About the Role We are seeking a highly detail-oriented, organized, and proactive Bilingual Full-Cycle Medical Biller to support U.S.-based healthcare providers with medical billing, claims processing, accounts receivable follow-up, and revenue cycle management operations. This role is ideal for someone with experience in U.S. healthcare billing workflows who thrives in fast-paced environments, understands medical coding and insurance processes, and can confidently communicate with both patients and insurance providers in English and Spanish. The ideal candidate has strong analytical skills, excellent follow-through, and the ability to manage multiple billing and claims processes accurately while maintaining HIPAA compliance and exceptional attention to...

Senior Medical Biller M&D Capital is a leading third-party Medical Billing and Revenue Cycle Management company serving clients across the United States. We operate offices across multiple states, along with a growing international team. We specialize in out-of-network surgical claims, and partner directly with our clients to ensure the maximum reimbursement for their services. Our rapidly growing organization provides employees with generous opportunities for professional growth and advancement. We're looking for talented, dedicated employees who are eager to grow and contribute to our success. If you meet the qualifications below, we encourage you to apply. We are seeking an experienced and detail-oriented Senior Medical Biller to join our dynamic billing department. The ideal candidate will possess deep knowledge of the full claims lifecycle, surgical billing, and current coding guidelines, including CMS CPT, ICD-10, NDC, and LCD regulations. Strong communication skills...

Affinity Med Solutions in Park Ridge, NJ is seeking a detail-oriented Medical Biller to join our team. This full-time role entails managing billing processes, primarily contacting insurance companies and following up on claims to achieve timely resolutions. Knowledge of out-of-network billing is a plus, with training provided. The ideal candidate will have strong knowledge of ICD-10/ICD-9 coding, DRG concepts, and accurate medical record review, plus excellent communication with patients, #J-18808-Ljbffr

GoTo Telemed seeks an exceptional Remote Medical Biller to manage comprehensive Revenue Cycle Management (RCM) operations for our rapidly expanding telehealth platform serving multiple medical specialties and healthcare providers nationwide.As a key member of our distributed RCM team, you will process, manage, and optimize medical claims for an increasing portfolio of telehealth providers--with new clients and provider networks added every month as our organization scales.In this critical role, you will be the financial backbone of our provider network, managing the complete end-to-end billing lifecycle including patient eligibility verification, insurance claim submission, payment posting, accounts receivable follow-up, and comprehensive denial management.Your expertise in medical coding (CPT, ICD-10-CM, HCPCS), telehealth modifiers, payer policies, and compliance will directly impact provider revenue, patient satisfaction, and our organizational growth trajectory.This position...