Strategic AR Specialist: Payer Collections & Reimbursements

Hunterdon Healthcare; Flemington (NJ); On-site; USD 60,000 - 75,000; Full time

Benefits offered by this job

Competitive benefits package

Medical benefits

Dental benefits

Tuition reimbursement

Retirement savings plan

Job summary

Hunterdon Health is seeking an Accounts Receivable Specialist to monitor collections, follow up with payers, and resolve outstanding claims. You will act as a subject matter expert on insurance payer billing procedures and support billing staff.

Responsibilities include managing follow-up queues, correcting billing errors, and drafting appeals to recover denied funds. Strong analytical and communication skills are essential.

Qualifications

• 3+ years in Physician/Professional Billing with payer contracts and appeals.
• Experience with Navinet and Availity portals for claims and denials.
• Knowledge of CPT/Modifiers/Diagnosis Codes and reimbursement rules.
• Strong organizational, problem-solving and communication skills.

Responsibilities

• Monitor aged AR and follow up with payers to resolve remaining claims.
• Identify denials, prepare appeals, and submit supporting documentation.
• Dispute denied claims with payer rules and document root causes.
• Support billers and patient representatives when patient responsibility is involved.
• Analyze trends in accounts and communicate insights to leadership.

Skills

Navinet

Availity

Medical Terminology

CPT Codes

Diagnosis Codes

NexGen

Microsoft Office

Communication

Education

High School Diploma or Equivalent

Associate’s Degree in Business Administration

Tools

Practice management system

Job description

Hunterdon Health is seeking an Accounts Receivable Specialist to monitor collections, follow up with payers, and resolve outstanding claims. You will act as a subject matter expert on insurance payer billing procedures and support billing staff.

Responsibilities include managing follow-up queues, correcting billing errors, and drafting appeals to recover denied funds. Strong analytical and communication skills are essential.