Denial and Self Pay Specialist
Posted 2025-08-15
Remote, USA
Full Time
Immediate Start
Salary:
AIMS, LLC is a multi-specialty group practice providing inpatient psychiatric, medical hospitalist and psychology services to the throughout Indiana. Aims provides acute, inpatient psychiatric hospitalization for adult patients with a broad range of psychiatric diagnoses and comorbid medical conditions. In partnership, NPH and AIMS provide exceptional, quality care through an interdisciplinary team aimed at healing the mind and body of individuals facing challenging circumstances on their life journey.
If you are flexible and willing to accept the challenges of our behavioral health and medical claim denials, and if you are a team player who thrives in an autonomous, remote environment, Please Join Us! This position will have some on site requirements, and some remote work.
Position Summary:
The Denial and Self Pay Specialist is responsible for analyzing, resolving, and preventing claim denials while managing patient self-pay accounts efficiently. This role is critical in ensuring accurate reimbursement and maintaining strong communication with payers and patients.
Key Responsibilities:
• Review, analyze, and appeal denied claims to maximize reimbursement.
• Identify denial trends and work with internal teams to address root causes.
• Manage self-pay patient accounts, including outbound calls, payment plans, and financial counseling.
• Work closely with insurance companies and coding team to resolve billing discrepancies.
• Communicate effectively with patients regarding their balances, insurance status, and payment options.
• Document all account activities accurately in the billing system.
• Maintain a strong understanding of insurance policies, coding guidelines, and healthcare billing regulations.
• Meet or exceed departmental productivity and quality standards.
• Review and process both electronic and paper mail.
Qualifications:
• High School Diploma or GED required, associates degree or higher in healthcare administration, finance, or a related field preferred.
• 2+ years of experience in healthcare billing, claims denial management, or patient account services.
Skills & Abilities:
• Solid understanding of insurance processes, EOBs, and healthcare billing practices.
• Strong analytical skills with special attention to trends, and attention to detail.
• Ability to work autonomously and create effective processes to carry out daily functions.
• Excellent written and verbal communication skills.
• Ability to handle sensitive patient information with confidentiality.
• Proficiency with Waystar Clearinghouse software and Microsoft Office applications.
• Ability to increase revenue and collections Apply tot his job
AIMS, LLC is a multi-specialty group practice providing inpatient psychiatric, medical hospitalist and psychology services to the throughout Indiana. Aims provides acute, inpatient psychiatric hospitalization for adult patients with a broad range of psychiatric diagnoses and comorbid medical conditions. In partnership, NPH and AIMS provide exceptional, quality care through an interdisciplinary team aimed at healing the mind and body of individuals facing challenging circumstances on their life journey.
If you are flexible and willing to accept the challenges of our behavioral health and medical claim denials, and if you are a team player who thrives in an autonomous, remote environment, Please Join Us! This position will have some on site requirements, and some remote work.
Position Summary:
The Denial and Self Pay Specialist is responsible for analyzing, resolving, and preventing claim denials while managing patient self-pay accounts efficiently. This role is critical in ensuring accurate reimbursement and maintaining strong communication with payers and patients.
Key Responsibilities:
• Review, analyze, and appeal denied claims to maximize reimbursement.
• Identify denial trends and work with internal teams to address root causes.
• Manage self-pay patient accounts, including outbound calls, payment plans, and financial counseling.
• Work closely with insurance companies and coding team to resolve billing discrepancies.
• Communicate effectively with patients regarding their balances, insurance status, and payment options.
• Document all account activities accurately in the billing system.
• Maintain a strong understanding of insurance policies, coding guidelines, and healthcare billing regulations.
• Meet or exceed departmental productivity and quality standards.
• Review and process both electronic and paper mail.
Qualifications:
• High School Diploma or GED required, associates degree or higher in healthcare administration, finance, or a related field preferred.
• 2+ years of experience in healthcare billing, claims denial management, or patient account services.
Skills & Abilities:
• Solid understanding of insurance processes, EOBs, and healthcare billing practices.
• Strong analytical skills with special attention to trends, and attention to detail.
• Ability to work autonomously and create effective processes to carry out daily functions.
• Excellent written and verbal communication skills.
• Ability to handle sensitive patient information with confidentiality.
• Proficiency with Waystar Clearinghouse software and Microsoft Office applications.
• Ability to increase revenue and collections Apply tot his job