Remote Revenue Cycle Negotiations Specialist

Alliance Health System; Matawan (NJ); Hybrid; 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 join our Revenue Cycle Management team. This remote, full-time role reports to the Director of RCM and focuses on collecting payments from patients, insurers, and third-party payers while maximizing revenue realization.

In the back-office setting, you will use our revenue cycle software to track and prioritize outstanding balances, negotiate payment arrangements, and maintain accurate records in compliance with HIPAA and

Qualifications

• Healthcare back-office collections experience with focus on revenue cycle management.
• Knowledge of medical billing, coding, and reimbursement procedures.
• Familiarity with HIPAA regulations.
• Strong negotiation and communication abilities.
• Ability to work remotely on a full-time basis.

Responsibilities

• Manage the collections process for negotiated claims, following up on unpaid claims, invoices, and patient balances.
• Utilize revenue cycle management software to track and prioritize collection activities.
• Review and analyze unpaid claims and denials, identifying root causes and actions for resolution.
• Contact patients, insurance companies, and other payers to discuss balances and negotiate payment arrangements.
• Maintain accurate records of collection efforts in compliance with legal and organizational requirements.
• Collaborate with billing and coding teams to ensure timely submission of claims and invoices.
• Stay updated with insurance regulations, billing guidelines, and reimbursement policies.
• Provide support to patients in understanding coverage and billing statements.
• Work with finance to reconcile payments and identify posting errors.
• Generate reports on collection metrics and aging accounts.

Skills

Negotiation skills

Communication skills

Attention to detail

Problem-solving

Independent work

Education

High school diploma or equivalent

Associate's or Bachelor's degree in healthcare administration or related field

Tools

Revenue cycle management software

Job description

Alliance Health System is seeking a Negotiations Specialist to join our Revenue Cycle Management team. This remote, full-time role reports to the Director of RCM and focuses on collecting payments from patients, insurers, and third-party payers while maximizing revenue realization.

In the back-office setting, you will use our revenue cycle software to track and prioritize outstanding balances, negotiate payment arrangements, and maintain accurate records in compliance with HIPAA and