Claims Escalation & Denials Appeals Specialist (Fully Remote)

Northpoint Recovery Holdings, LLC; United States; Remote; USD 45,000 - 65,000; Full time

Job summary

Northpoint Recovery Holdings, LLC is seeking a skilled billing professional to manage collections and accounts receivable for insurance claims in a behavioral healthcare setting. You will collaborate with insurance companies and internal teams to resolve denials and ensure timely payment.

The role includes performing appeals, following up on balances, making outbound insurer calls, and coordinating with Utilization Review for medical necessity documentation to support accurate, compliant

Qualifications

• 2+ years of collections or medical billing experience required.
• Knowledge of insurance guidelines including HMO, PPO, Medicare, Medicaid.
• Proficient in CPT, HCPCS, and ICD-10 codes.

Responsibilities

• Manage collections and accounts receivable for insurance claims in a behavioral healthcare setting.
• Work with insurance companies and internal teams to resolve denials and ensure timely payment.
• Perform appeals and follow up on outstanding balances.
• Make outbound calls to insurers and utilize payer portals.
• Prepare appeals for denied claims and document all correspondence.
• Coordinate with Utilization Review for medical necessity documentation.

Skills

Collections

Medical Billing

Insurance guidelines

Tools

CPT

HCPCS

ICD-10

Job description

• Manage collections and accounts receivable for insurance claims in a behavioral healthcare setting.
• Work with insurance companies and internal teams to resolve denials and ensure timely payment.
• Perform appeals and follow up on outstanding balances.
• Make outbound calls to insurers and utilize payer portals.
• Prepare appeals for denied claims and document all correspondence.
• Coordinate with Utilization Review for medical necessity documentation.

Qualifications:

• 2+ years of collections or medical billing experience required.
• Knowledge of insurance guidelines including HMO, PPO, Medicare, Medicaid.
• Proficient in CPT, HCPCS, and ICD-10 codes.

Northpoint Recovery Holdings, LLC

Northpoint is a behavioral healthcare provider offering evidence-based treatment for substance use and co-occurring disorders for adults and mental health treatment for adolescents. Grown from two facilities to twenty across the Western U.S., they are guided by values of humility, heart, inspiration, and conviction.