Accounts Receivable Specialist

Alliance Health System•Matawan, NJ

22h•Remote

About The Position

Alliance Health System is hiring a remote Accounts Receivable Specialist, also described as a Medical Billing & Collections Specialist. The role supports healthcare providers by ensuring claims are processed accurately, denials are resolved efficiently, and reimbursements are maximized. The specialist investigates denied or underpaid claims, follows up with insurance companies and patients, and helps maintain smooth revenue cycle operations. The position reports to the Director of Collections and requires Out of Network experience. This is a full-time, Monday–Friday position. Employment is contingent on successfully completing a background check, which may include verification of employment history, education, criminal records, and other relevant information as permitted by law.

Requirements

Proven experience resolving denied or underpaid claims and conducting follow-ups with insurance providers to maximize reimbursements.
Extensive experience in medical billing and collections, including claim submissions and attorney follow-ups.
Proven experience handling Out of Network billing processes.
Proficiency with Excel and Google Sheets for data analysis and reporting.
Familiarity with various payer portals.
Excellent organizational skills and thorough attention to detail.
Ability to work independently and collaboratively in a team-oriented environment.
Exceptional written and verbal communication skills, including professional interaction with internal and external stakeholders.
Strong commitment to resolving medical claims and collecting insurance reimbursements.

Nice To Haves

Experience in Conservative Therapy, including Physical Therapy, Occupational Therapy, or Chiropractic.
Experience in Physical Medicine and Rehabilitation, particularly Pain Management, Orthopedic, or Vascular disciplines.
Experience with Patient Accounts (Self Pay).
Experience with major medical insurance providers, workers’ compensation, and motor vehicle claims.
Fluency in Spanish.

Responsibilities

Investigate and resolve claim denials by appealing, resubmitting, or making necessary corrections.
Follow up regularly with insurance companies and patients to secure timely payment of outstanding balances.
Stay current on industry regulations and compliance requirements and ensure billing practices adhere to them.
Resolve denied or underpaid medical claims and follow up with insurance providers to maximize reimbursements.
Handle medical billing and collections activities, including claim submissions and attorney follow-ups.
Use Excel and Google Sheets for data analysis and reporting.
Use payer portals to support communication and claims processing.