Remote Denials & Appeals Revenue Cycle Specialist

Alicohealthcare; Boston (MA); Remote; USD 55,000 - 75,000; Full time

Job summary

Alico Healthcare is seeking a Revenue Cycle Specialist to support claim submissions, follow up on denials, and manage accounts receivable.

You will review claims, correct rejections, communicate with payers, document actions, and escalate complex issues per client requirements and Alico’s procedures. Remote role limited to MA, FL, or NC residents with prior medical billing experience.

Qualifications

• At least two years of hands-on experience in medical billing, denial management, insurance follow-up, or accounts receivable.
• Experience using electronic health record or practice management systems, payer portals, and clearinghouse tools.
• Ability to distinguish claim rejections from denials and know when a document, appeal, or follow-up is needed.
• Knowledge of remittance information, contractual adjustments, patient responsibility, and filing or appeal deadlines.
• Clear written notes and professional communication via phone and email.

Responsibilities

• Review claims and billing information. Check for missing or inconsistent data and coordinate corrections before submission.
• Work clearinghouse and payer rejections. Review details, make corrections, resubmit, and confirm status.
• Investigate denials and payment discrepancies. Review payer explanations, account history and docs; prepare or coordinate appeals and escalate when needed.
• Manage assigned receivables. Prioritize follow-up by balance, deadlines, and actions; contact payers and coordinate with internal staff.
• Review remittance information and document progress; interpret EOBs and note what's established and what remains.
• Use approved systems responsibly. Work within EHR/PM systems, payer portals, and clearinghouse tools; report recurring issues and ensure privacy.

Skills

Medical Billing

Denials & Appeals

Accounts Receivable

Payer Communications

Tools

EHR/PM Systems

Payer Portals

Clearinghouse Tools

Job description

Alico Healthcare is seeking a Revenue Cycle Specialist to support claim submissions, follow up on denials, and manage accounts receivable.

You will review claims, correct rejections, communicate with payers, document actions, and escalate complex issues per client requirements and Alico’s procedures. Remote role limited to MA, FL, or NC residents with prior medical billing experience.