We are seeking an experienced Commercial AR / Collections Specialist to join our healthcare revenue cycle team. This is a hands-on individual contributor position responsible for insurance follow-up and collections on Hospital and Ambulatory Surgery Center (ASC) facility claims . The ideal candidate will have strong experience working facility AR , including UB-04 claims, commercial insurance follow-up, denials, underpayments, appeals, and reimbursement issues. Position Type Full-Time On-Site - Edison, NJ Monday - Friday Responsibilities Manage assigned hospital and ASC facility accounts receivable. Perform insurance follow-up on unpaid, denied, and underpaid claims. Review UB-04 claims, EOBs, and ERAs. Identify and resolve claim denials, rejections, underpayments, and payment discrepancies. Contact commercial insurance carriers regarding claim status, payment, denials, and documentation requirements. Submit corrected claims, reconsiderations, and appeals as appropriate. Research payer policies and contractual reimbursement requirements. Identify contractual underpayments and pursue additional reimbursement when appropriate. Review AR aging reports and prioritize accounts for follow-up. Maintain detailed and accurate notes regarding collection activity. Work with internal billing and coding teams when corrections or additional documentation are required. Research and resolve difficult or aging accounts. Meet established productivity and collection goals. Maintain a high level of accuracy while working a high-volume AR inventory. Experience Requirements Minimum 3 years of healthcare insurance AR/collections experience. Hospital and/or ASC facility billing and collections experience strongly preferred. Hands-on experience with UB-04/institutional claims . Experience with commercial insurance , including both in-network and out-of-network claims. Strong knowledge of insurance follow-up and denial management. Experience identifying and pursuing underpayments and contractual discrepancies . Experience with EOBs, ERAs, payer portals, corrected claims, reconsiderations, and appeals. Knowledge of facility billing terminology, revenue codes, CPT, HCPCS, and ICD-10. Strong computer skills and experience with billing/AR software. Experience using commercial payer websites and claim status systems. Qualifications Experience with hospital outpatient facility billing. Experience with ASC facility billing. Knowledge of Medicare and Medicaid facility reimbursement. Experience working high-dollar and complex facility claims. Experience researching commercial payer contracts and reimbursement methodologies. Strong Excel skills. What We Are Looking For We are looking for someone who is hands-on, persistent, and experienced in collecting outstanding healthcare facility receivables . The successful candidate should be comfortable making payer calls, researching claims, identifying why a claim has not paid correctly, and taking the necessary steps to obtain reimbursement.

Pay:

$16.00 - $25.00 per hour Expected hours: 40.0 per week

Benefits:

Dental insurance Health insurance Paid time off Vision insurance

Experience:

Commercial Insurance Collections:

2 years (Required)

Work Location:

In person