Remote Medical Billing & Collections Specialist (Out-of-Network)

Alliance Health System; Matawan (NJ); Remote; USD 28,000 - 41,000; Full time

Benefits offered by this job

401(k) matching

Medical, Dental & Vision

Paid Time Off

Sick Time

Paid Holidays

Job summary

Alliance Health System is seeking an Accounts Receivable Specialist to manage denial resolutions and maximize reimbursements. This role emphasizes meticulous billing practices, timely follow-ups with insurance payers, and collaboration with a diverse team to ensure clean claims and reduced denials.

You will handle out-of-network processes, stay compliant with healthcare regulations, and work remotely with the RCM: Collections department to optimize revenue.

Qualifications

• Denial management and resolution of claim denials.
• Experience with follow-up with insurance providers to maximize reimbursements.
• Strong organizational skills and attention to detail in accounts receivable processes.
• Excellent written and verbal communication with internal and external stakeholders.
• Bilingual Spanish is a plus.

Responsibilities

• Investigate and resolve claim denials by appealing, resubmitting, or correcting as needed.
• Follow up regularly with insurance companies and patients to ensure timely payments on balances.
• Maintain compliance with industry regulations and billing practices.

Skills

Denial Management

Follow-Up

Compliance

Organizational Skills

Independence & Collaboration

Communication Skills

Bilingual Spanish

Tools

Excel

Google Sheets

Payer Portals

Job description

Alliance Health System is seeking an Accounts Receivable Specialist to manage denial resolutions and maximize reimbursements. This role emphasizes meticulous billing practices, timely follow-ups with insurance payers, and collaboration with a diverse team to ensure clean claims and reduced denials.

You will handle out-of-network processes, stay compliant with healthcare regulations, and work remotely with the RCM: Collections department to optimize revenue.