Remote Claims Escalation & Denials Specialist

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

Benefits offered by this job

Subsidized Health Insurance for depend

Employer-paid Life Insurance

Employee Assistance Program

401K Employer Match

Job summary

Northpoint Recovery is seeking a Claims Escalation & Denials Appeals Specialist to join our Revenue Cycle Management team. This remote role focuses on collections, denial management, and AR for services rendered to patients, coordinating with payers and patients to maximize timely payments.

The ideal candidate will understand the billing life cycle, including verifications, pre-authorization, utilization review, appeals, and denials, with knowledge of CMS, Medicare, and Medicaid guidelines.

Qualifications

• 2+ years of collections, billing reimbursement, payer relations, or medical accounts receivable.
• Experience in healthcare or behavioral health systems preferred.
• Experience with commercial insurance billing, Medicaid, and billing software.
• Proficient CPT/HCPCS/ICD-10 coding knowledge and payer guidelines.

Responsibilities

• Perform collections and manage accounts receivable for assigned accounts.
• Make outbound calls and use payer portals for claims resolution.
• Coordinate with payers to ensure timely payment for services.
• Prepare appeals and document communications in the billing system.
• Provide management with reports on outstanding balances and collections activity.
• Maintain confidentiality and adhere to company policies.

Skills

Collections experience

Payer relations

Billing knowledge

Detail oriented

Team collaboration

Prioritization

Tools

EHR/EMR

Billing software

Clearinghouse

Payer portals

Job description

Northpoint Recovery is seeking a Claims Escalation & Denials Appeals Specialist to join our Revenue Cycle Management team. This remote role focuses on collections, denial management, and AR for services rendered to patients, coordinating with payers and patients to maximize timely payments.

The ideal candidate will understand the billing life cycle, including verifications, pre-authorization, utilization review, appeals, and denials, with knowledge of CMS, Medicare, and Medicaid guidelines.