Medical Biller

Agility Billing Services • Melville, NY

2d • $26 - $28 • Hybrid

About The Position

Agility Billing Services is seeking a Medical Biller to support billing and collections for a busy surgical practice in the orthopedic and pain management field. The role focuses on commercial and Medicare claims, including claims follow-up, out-of-network billing, denials, appeals, and payment discrepancies. The Medical Biller will provide advanced support and serve as an escalation resource for complex, high-dollar, unresolved, unpaid, or underpaid claims. Experience in orthopedic, spine, or pain management services is preferred but not required.

Requirements

• Working knowledge of commercial and Medicare insurance, including plan guidelines.
• Experience with medical claims follow-up.
• Experience with out-of-network billing processes.
• Ability to review EOBs, denials, and payer communications and support timely appeals and revenue capture.
• Excellent communication skills when working with insurance representatives and internal teams.
• Proficiency in ICD-10, CPT, and modifier usage.
• Strong problem-solving and organizational skills.
• Self-motivated, able to work independently, and able to meet deadlines.
• High school diploma or equivalent.

Nice To Haves

• Understanding of the IDR process and appeals.
• Experience billing for orthopedic, spine, or pain management services.
• Medical billing or coding certification.

Responsibilities

• Monitor, review, and follow up on outstanding commercial and Medicare claims to support timely reimbursement.
• Provide advanced support and serve as an escalation resource for unresolved, unpaid, or underpaid claims.
• Review, appeal, and resolve complex claim denials and payment discrepancies, including issues escalated by the AR team, using payer portals and payer communications.
• Maintain current knowledge of payer policies, including LCDs, billing regulations, and coding guidelines.
• Collaborate with clinical and administrative teams to support accurate documentation and billing practices.
• Maintain organized, detailed records of claim activity, account status, and insurance correspondence.

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.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED