Remote Revenue Cycle Specialist: Denials & Claims Expert

Alpaca Health; United States; Remote; USD 60,000 - 90,000; Full time

Job summary

Alpaca Health is seeking a Revenue Cycle Denials Specialist to own denials, rejections, and reprocessing workflows from identification through resolution. You will monitor ERA activity daily, perform same-day touches on denials, and drive improvements in net collection rate.

The role requires a Bachelor's degree and 3+ years in healthcare billing or revenue cycle management, with experience handling US payers.

Qualifications

• Bachelor's degree or equivalent experience required.
• 3+ years in healthcare billing, denials, or revenue cycle management.
• Experience with US-based commercial and government payers preferred.
• Strong communication and problem-solving abilities required.

Responsibilities

• Own rejections, denials, and denied claims workflows from identification through resolution.
• Monitor ERA activity daily and perform same-day touches on denials and rejections.
• Drive improvements in Net Collection Rate and payer turnaround times.
• Manage reprocessing timelines and ensure timely resubmission of corrected claims.
• Investigate root causes of denials and coordinate corrective actions across teams.
• Work denied, underpaid, and unpaid claims through payer portals, calls, and written appeals.
• Track trends in denials by payer, authorization, coding, documentation, or eligibility issues.
• Coordinate with billing, credentialing, clinical, and operations teams to resolve revenue barriers.
• Maintain accurate denial tracking, follow-up notes, and resolution documentation.
• Escalate high-risk or aging denials proactively.
• Assist with payer communication via phone, portal, fax, and email.
• Support process improvement initiatives to reduce future denials and revenue leakage.

Skills

Attention to detail

Call center experience

Healthcare billing

Denials/revenue cycle

Education

Bachelor's degree or equivalent experience

Tools

MS Office

Billing systems

Operational tools

Job description

Alpaca Health is seeking a Revenue Cycle Denials Specialist to own denials, rejections, and reprocessing workflows from identification through resolution. You will monitor ERA activity daily, perform same-day touches on denials, and drive improvements in net collection rate.

The role requires a Bachelor's degree and 3+ years in healthcare billing or revenue cycle management, with experience handling US payers.