Remote Claims Escalation & Denials Expert

Northpoint-Recovery-Holdings,-LL; Meridian (ID); Remote; USD 30,000 - 33,000; Full time

Benefits offered by this job

Subsidized Health Insurance Coverage

Life Insurance

Employee Assistance Program

Dental, Vision, Disability & more

401(k) or savings options

Paid Time Off

Job summary

Northpoint Recovery Holdings, LLC is seeking a Claims Escalation & Denials Appeals Specialist in Meridian, ID. This remote-position role supports the Revenue Cycle Management team, focusing on collections, denials appeals, and AR management with insurance payers.

Work with patients, providers, and payers to ensure timely payments and accurate denials resolution. The ideal candidate will have 2+ years in healthcare billing, strong knowledge of CPT/HCPCS/ICD-10 codes, and experience navigating

Qualifications

• 2+ years of collections, billing reimbursement, or medical accounts receivable.
• Experience with insurance billing and payer guidelines (HMO/PPO, Medicare, Medicaid).
• Proficiency with payer portals and CPT/HCPCS/ICD-10 codes.

Responsibilities

• Perform collections to secure medical claims within 28 days.
• Make outbound calls to insurance companies; use payer portals for resolution.
• Coordinate with payers to ensure timely payment for services.
• Follow established billing and collection protocols for accurate reimbursement.
• Review AR to identify payer issues causing delays and resolve them.
• Prepare appeals when denials are payer errors; document all payer communications.
• Collaborate with Utilization Review for prior authorization documentation.
• Provide reports on outstanding balances and collections activity.
• Maintain confidentiality per company policies and standards of care.

Skills

Collections experience

HIPAA knowledge

Payer relations

Data entry accuracy

Tools

KIPU EMR

Job description

Northpoint Recovery Holdings, LLC is seeking a Claims Escalation & Denials Appeals Specialist in Meridian, ID. This remote-position role supports the Revenue Cycle Management team, focusing on collections, denials appeals, and AR management with insurance payers.

Work with patients, providers, and payers to ensure timely payments and accurate denials resolution. The ideal candidate will have 2+ years in healthcare billing, strong knowledge of CPT/HCPCS/ICD-10 codes, and experience navigating