Remote AR Denials Specialist - Medical Billing Expert

Behavioral Health Network, Inc.; Springfield (MA); Remote; USD 32,000 - 37,000; Full time

Benefits offered by this job

Purpose-Driven Work

Career Growth

Team Culture

Stability & Opportunity

Comprehensive Benefits

Great Place to Work

Job summary

Behavioral Health Network, Inc. in Western Massachusetts is seeking a dedicated medical billing professional for a remote role. You will follow up on claims, review denials, and navigate payer processes to ensure timely reimbursement for behavioral health services.

The position requires at least 5 years in medical billing, strong knowledge of AR and appeals, HIPAA compliance, and familiarity with payer websites. This remote opportunity offers hourly pay of $23–$27 and standard EST business hours.

Qualifications

• Minimum of 5 years in a medical billing department with strong AR account follow-up, appeals, and Behavioral Health codes and modifier knowledge.
• Knowledge of healthcare medical billing, claims processing, follow-up, and appeals.
• HIPAA compliance, 42 CFR requirements, and regulatory guidelines.
• Carelogic EHR knowledge is a strong preference.

Responsibilities

• Follow up on all assigned claims (at 45, 60, and 90 days) to ensure timely reimbursement.
• Review denied claims for accuracy before sending appeals or reconsiderations to payers.
• Investigate claims with no payer response to ensure the payer received the claim.
• Navigate payer websites and appeal processes for commercial and government payers including Mass Health, Tricare, Medicare, Medicaid, and Medicare Advantage.
• Review trends or patterns of denials to prevent errors.
• Collaborate with the EHR Matrix team and Billing Manager on coding/modifier setup issues.
• Identify missing payments, overpayments, and analyze credits on accounts; initiate refund requests.

Skills

AR follow-up

Appeals processing

Medical billing

Claims analysis

Education

High School Diploma or GED

Tools

Carelogic EHR

Job description

Behavioral Health Network, Inc. in Western Massachusetts is seeking a dedicated medical billing professional for a remote role. You will follow up on claims, review denials, and navigate payer processes to ensure timely reimbursement for behavioral health services.

The position requires at least 5 years in medical billing, strong knowledge of AR and appeals, HIPAA compliance, and familiarity with payer websites. This remote opportunity offers hourly pay of $23–$27 and standard EST business hours.