Posted 2mo ago

Medical Billing AR Specialist – Appeals & Out-of-Network Expert

@ Adelfi Medical Billing Solutions
Milford, Delaware, United States
$65k-$70k/yrRemoteFull Time
Responsibilities:Manage AR, Lead appeals, Handle disputes
Requirements Summary:Five years of medical billing AR experience in the specified specialties; proven track record reducing AR days and increasing revenue; strong appeals and denial management; experience with underpaid claims and payer negotiation; familiarity with Data iSight, Zelis, and IDR/NSA; eCW/ModMed a plus; strong written communication; remote work ability.
Technical Tools Mentioned:Data iSight, Zelis, eClinicalWorks, Modernizing Medicine
Save
Mark Applied
Hide Job
Report & Hide
Job Description
Are you a seasoned Medical Billing AR Specialist with deep expertise in appeals, denial management, and out-of-network claims? We want to hear from you.

We are actively seeking a highly experienced, results-driven AR professional to join our fully remote team. This is not an entry-level role — we are looking for someone who has been in the trenches, knows the system, and has the track record to prove it.

WHAT YOU'LL DO
• Manage and aggressively work AR across multiple specialties
• Lead appeals and denial management for complex and high-dollar claims
• Handle out-of-network billing, including underpaid claim disputes
• Work directly with payers using tools such as Data iSight, Zelis, and Patient Advocacy platforms
• Apply knowledge of the Independent Dispute Resolution (IDR) process and No Surprises Act (NSA) where applicable
• Identify trends in denials and implement strategies to reduce AR and increase collections
• Collaborate with clinical and administrative teams to ensure clean claim submission and follow-up

SPECIALTIES WE SERVE
• Surgical Spine
• Orthopedics
• Pain Management
• Ambulatory Surgery Centers (ASC)
• Laboratory
• Vascular Surgery
• Podiatry
• Plastic Surgery
• Neurosurgery
• Chiropractic
• Acupuncture
• Physical Therapy

REQUIREMENTS
• Minimum 5 years of medical billing AR experience in the specialties listed above
• Proven, measurable track record of reducing AR days and increasing revenue recovery
• Strong background in appeals, denial management, and out-of-network claim resolution
• Experience with underpaid claim disputes and payer negotiation
• Familiarity with Data iSight and Zelis Patient Advocacy — required
• Knowledge of IDR/NSA processes — strongly preferred
• eClinicalWorks (eCW) and/or Modernizing Medicine (ModMed) experience — a plus
• Excellent written communication skills for appeal letter writing
• Self-motivated, detail-oriented, and able to work independently in a remote environment

GROWTH & ADVANCEMENT
We don't just hire great people — we invest in them. High performers will have the opportunity to grow into senior, lead, and management roles as the company expands. If you are looking for a place to build a long-term career, not just fill a position, this is the right opportunity for you.

COMPENSATION & BENEFITS
• Salary: $65,000 – $70,000, based on experience
• Medical Insurance
• Dental Insurance
• 401(k) Plan
• 100% Remote Position
• Clear path for career advancement

If you are ready to bring your expertise to a team that values results and rewards performance, apply today.

To apply, please submit your resume along with a brief summary of your AR reduction accomplishments and appeals experience.