Remote Revenue Cycle Negotiations Specialist

Alliance Health System; Matawan (NJ); On-site; 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 a Negotiations Specialist to manage the revenue cycle and collections in a remote-capable role. The position focuses on securing payment from patients, insurers, and third-party payers while aligning with HIPAA and regulatory guidelines.

You will work with billing and coding teams and report to the Director of RCM. The role requires healthcare collections experience, strong negotiation skills, and deep knowledge of medical billing and reimbursement.

Qualifications

• Proven work experience as a Collections Specialist in a healthcare or clinical back office
• In-depth knowledge of medical billing, coding, and reimbursement procedures
• Familiarity with HIPAA and insurance regulations
• Proficiency with revenue cycle management tools to track accounts and reports
• Strong communication and negotiation skills with patients and payers
• Detail-oriented, with the ability to review complex billing statements and denials

Responsibilities

• Manage collections for negotiated claims; follow up on unpaid claims, invoices, and patient balances
• Use revenue cycle software to track and prioritize collection activities
• Review unpaid claims and denials; identify root causes and take action
• Contact patients, insurers, and payers to discuss balances and negotiate payments
• Maintain records of collection efforts in compliance with legal and organizational rules
• Collaborate with billing and coding to ensure prompt submission of claims
• Stay updated on insurance regulations, guidelines, and reimbursement policies
• Explain insurance coverage to patients and address financial concerns
• Reconcile payments with the finance department and identify posting errors
• Generate reports on collection metrics, aging, and revenue risks

Education

High school diploma or equivalent

Associate's or bachelor's degree in healthcare administration

Tools

Revenue cycle management software

Job description

Alliance Health System is seeking a Negotiations Specialist to manage the revenue cycle and collections in a remote-capable role. The position focuses on securing payment from patients, insurers, and third-party payers while aligning with HIPAA and regulatory guidelines.

You will work with billing and coding teams and report to the Director of RCM. The role requires healthcare collections experience, strong negotiation skills, and deep knowledge of medical billing and reimbursement.