Medical Biller – A/R & ERISA Appeals (Part-Time, Remote)

Company Description Abundant Health & Vitality Associates, PLLC is a physician-owned outpatient medical practice specializing in obesity medicine. We are seeking an experienced medical biller with demonstrated ERISA-based appeals success to manage insurance A/R follow-up and denials resolution. This role is not entry-level and not a training position. The ideal candidate can independently work aged A/R, prepare ERISA-compliant appeals, and recover denied or underpaid claims. U.S. work authorization required. W-2 part time employment only. No visa sponsorship. Key Responsibilities: • Work aged insurance A/R (commercial plans and Medicare) • Investigate and resolve denied or underpaid claims • Prepare, submit, and track ERISA-compliant appeals, including medical necessity appeals • Follow up with payers through final resolution • Identify payer denial trends and underpayment patterns (BCBS experience required) • Maintain clear, audit-ready documentation of all actions taken Initial Focus (First 30 Days) • Insurance A/R and appeals ONLY • No charge entry, coding, eligibility, or front-desk work • Scope may expand based on performance Position Details • Schedule: Part-time, 20–25 hours/week • Classification: W-2 employee • Location: Remote (U.S.-based only) • Work Hours: Must be performed during approved clinic hours (Eastern Time) • Compensation: $20–$24/hour • Benefits: Not included • Growth: Opportunity to expand hours and scope based on results Qualifications (REQUIRED) • 3+ years of medical billing experience with direct insurance A/R responsibility • Hands-on ERISA appeals experience (must be able to explain prior appeal wins) • Strong background in insurance A/R and denials management • Experience with commercial payers (BCBS, Aetna, and UHC required) and Medicare • Ability to work independently with minimal oversight • Strong attention to detail and documentation skills • Ability to efficiently navigate an electronic health record (EHR) to retrieve clinical documentation for insurance appeals and audits Certifications (REQUIRED) • One active certification required: – CPB (AAPC) – CPC (AAPC) – CBCS (NHA) – CMRS (AMBA) This role requires direct ERISA appeals experience. Applicants must have personally prepared and submitted ERISA appeals that resulted in payment. This position is not suitable for entry-level or junior billing roles, charge posting, payment posting, coding-only roles, or third-party billing companies, contractors, or agencies. Apply tot his job