Medical Biller
Agility Billing Services, West Islip, NY, United States
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 process and appeals is a plus
Ability to review EOBs, denials, and payer communications to ensure timely appeals and maximize revenue capture
Serve as an escalation point for complex, high-dollar, or unresolved commercial and Medicare claims from the AR team
Excellent communication skills, particularly when working with insurance representatives and internal teams
Proficient in ICD‑10, CPT, and modifier usage
Experience billing for orthopedic, spine, or pain management services is preferred but not required
Strong problem‑solving and organizational skills
Self‑motivated with the ability to work independently and meet deadlines
Key Responsibilities:
Monitor, review, and follow up on outstanding commercial and Medicare claims, providing advanced support and serving as an escalation resource for unresolved, unpaid, or underpaid claims to ensure timely reimbursement
Review, appeal, and resolve complex claim denials or payment discrepancies, including escalated issues from the AR team, using payer portals and payer communications
Maintain up-to-date knowledge of payer policies (including LCDs), billing regulations, and coding guidelines
Collaborate with clinical and administrative teams to ensure accurate documentation and billing practices
Maintain organized and detailed records of claim activity, account status, and insurance correspondence
Education and Experience:
High school diploma or equivalent required
Medical billing or coding certification is a plus
Benefits:
Competitive compensation based on experience, skills, and growth potential
Opportunities for professional development and advancement in a specialty billing role
Supportive, team‑oriented work environment
Hybrid position available after a 90‑day probationary period
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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 process and appeals is a plus
Ability to review EOBs, denials, and payer communications to ensure timely appeals and maximize revenue capture
Serve as an escalation point for complex, high-dollar, or unresolved commercial and Medicare claims from the AR team
Excellent communication skills, particularly when working with insurance representatives and internal teams
Proficient in ICD‑10, CPT, and modifier usage
Experience billing for orthopedic, spine, or pain management services is preferred but not required
Strong problem‑solving and organizational skills
Self‑motivated with the ability to work independently and meet deadlines
Key Responsibilities:
Monitor, review, and follow up on outstanding commercial and Medicare claims, providing advanced support and serving as an escalation resource for unresolved, unpaid, or underpaid claims to ensure timely reimbursement
Review, appeal, and resolve complex claim denials or payment discrepancies, including escalated issues from the AR team, using payer portals and payer communications
Maintain up-to-date knowledge of payer policies (including LCDs), billing regulations, and coding guidelines
Collaborate with clinical and administrative teams to ensure accurate documentation and billing practices
Maintain organized and detailed records of claim activity, account status, and insurance correspondence
Education and Experience:
High school diploma or equivalent required
Medical billing or coding certification is a plus
Benefits:
Competitive compensation based on experience, skills, and growth potential
Opportunities for professional development and advancement in a specialty billing role
Supportive, team‑oriented work environment
Hybrid position available after a 90‑day probationary period
#J-18808-Ljbffr