Accounts Receivable Escalations Specialist
$20 - $25 per hourAllied Digestive Health, LLC
If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Accounts Receivable Escalations Specialist Full time, West Long Branch, NJ, US. Salary range: $20.00 to $25.00 hourly. Summary The Accounts Receivable Escalations Specialist is responsible for managing complex, aged, high‑risk, and high‑dollar accounts requiring advanced intervention to drive payment resolution. This role serves as the final operational escalation layer within the Revenue Cycle Management (RCM) function, focusing on removing payment barriers, accelerating cash recovery, and preventing long‑term aging exposure. The Escalations Specialist ensures claims move forward cleanly through the revenue cycle toward financial resolution while identifying systemic breakdowns impacting reimbursement performance. Essential Responsibilities Manage accounts aged 70+ days or identified as payment risk. Resolve complex payer issues that require advanced research. Prioritize high‑balance accounts impacting cash flow. Perform high‑level payer outreach and escalation conversations. Coordinate resolution for stalled, rejected, or repeatedly denied claims. Drive accounts to final disposition (paid, adjusted, or escalated legally). Lead second‑level and executive appeals. Execute targeted recovery strategies on aged inventory. Identify recurring revenue cycle breakdowns and provide structured feedback. Participate in training sessions at the office level as required. Participate in special projects as assigned. Perform any other duties assigned. Essential Skills Revenue ownership mindset and escalation judgment. Problem‑solving and organizational skills with critical thinking. Reliability, accuracy, and efficiency when dealing with patients or third‑party payors. Persistence and negotiation ability. Operational accountability. Ability to work independently with minimal supervision and be result oriented. Ability to use sound judgment in highly emotional and demanding situations. Excellent oral and written communication skills. Strong interpersonal skills, including teamwork promotion. Strong problem‑solving skills. Ability to maintain confidentiality of sensitive information. Maintain a high level of customer satisfaction for employees, patients, physicians, and external stakeholders. Education and Experience Required High School Diploma. 3+ years of healthcare Accounts Receivable experience. Advanced payer follow‑up and denial resolution expertise. Knowledge of reimbursement methodologies. Strong analytical and investigative skills. Ability to manage complex account portfolios. Preferred Qualifications Escalations or complex A/R specialization. Multi‑specialty or MSO experience. Appeals and payer negotiation experience. Experience with Athena, Epic, eClinicalWorks, or similar PM systems. Travel Minimal We offer competitive base salary, generous benefits, including Medical, Dental, Vision, Life Insurance, voluntary, time‑off benefits, EAP, 401(k), and commuter benefits. This is a full‑time position, hours 8:30 a.m. – 5:00 p.m., Monday through Friday. #J-18808-Ljbffr
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