Appeals nurse jobs in New Rochelle, New YorkCrear alertas

Annual Salary: $65k-$85k (varies depending on years of experience) An established orthopedic and spine surgery practice is seeking an experienced Medical Biller with a strong background in out-of-network billing and spine-related claims. This role is responsible for managing the full revenue cycle with a focus on accurate claims submission, payment resolution, and reimbursement optimization. Key Responsibilities • Manage end-to-end medical billing and accounts receivable for orthopedic and spine surgical cases., • Submit and track out-of-network claims to commercial payers., • Handle the Independent Dispute Resolution (IDR) process including documentation preparation, submissions, and follow-up., • Review, correct, and resubmit denied or underpaid claims in a timely manner., • Post payments, reconcile explanations of benefits (EOBs), and identify discrepancies., • Follow up aggressively on unpaid or delayed claims to ensure maximum reimbursement., • Communicate with insurance carriers regarding claim status, appeals, and payment disputes., • Work closely with the clinical and administrative teams to resolve coding and documentation issues., • Maintain strict compliance with HIPAA and billing regulations., • Generate A/R aging reports and participate in revenue cycle performance discussions., • Maintain accurate patient account records and billing documentation. Required Qualifications • Proven experience as a Medical Biller / A/R Specialist in a physician practice or surgical specialty., • Orthopedic and spine billing experience is required., • Out-of-network billing experience is required., • Independent Dispute Resolution (IDR) experience is required., • Strong understanding of commercial insurance reimbursement processes., • Excellent attention to detail, organization, and follow-through., • Ability to work independently in a fast-paced, high-volume environment., • Strong communication skills for payer and internal team interactions. — Atlas Search is a tri-state area recruitment agency, connecting new graduates, Advanced Practice Providers, Physicians and Nurse Leaders to hospitals, clinics, multi-specialty groups, nursing homes, managed care companies, private practices, and healthcare start-ups. If you would like to learn more about the opportunities we offer, please submit your CV for consideration here.