Medical Billing & Denials Specialist HR

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• $1,500.00 - $2,000.00 / Monthly Full time Remote

Job Title:
Medical Billing & Denials Specialist

Location: Remote (Global)

Compensation: 1500 – 2000 USD/month

Work Schedule: Monday-Friday, 9:00 AM to 5:00 PM (EST)

NOTE: INDEPENDENT CONTRACTOR POSITION

Sagan represents a rapidly growing behavioral healthcare provider based in New Jersey. The organization serves patients ages five and older through both in-person and telehealth services, offering psychiatry, therapy, medication management, and autism evaluations (ADOS). As a fast-scaling healthcare organization, the team is committed to operational excellence, regulatory compliance, and delivering outstanding patient care through efficient revenue cycle management.

The Medical Billing & Denials Specialist is responsible for submitting clean claims, reducing denials, and maximizing reimbursement through effective denial management, appeals, and accounts receivable follow-up. This role partners closely with clinical staff to resolve coding, documentation, and authorization issues while ensuring compliance with payer guidelines.

We’re looking for a detail-oriented revenue cycle professional with strong U.S. medical billing experience who takes ownership of their work, enjoys solving complex billing issues, and thrives in a fast-paced healthcare environment.

• Review and scrub medical claims for CPT, HCPCS, ICD-10 coding, and modifier accuracy before submission.
• Investigate denied claims, identify root causes, and submit corrected claims or appeals within payer filing deadlines.
• Manage denial and appeals workflows from start to finish across commercial insurance, Medicare, and Medicaid payers.
• Follow up on aging accounts receivable and take appropriate action to maximize reimbursement.
• Collaborate with providers and clinical staff to resolve coding, documentation, authorization, and billing issues affecting claim payment.
• Ensure compliance with CMS, New Jersey Medicaid, and commercial payer billing requirements.
• Accurately document claim activity, payer communications, and appeal outcomes within billing systems.
• Monitor denial trends and recommend process improvements to reduce future claim issues.
• Maintain HIPAA compliance and protect patient health information (PHI).

• 3+ years of experience in U.S. medical billing, revenue cycle, or denial management.
• Strong working knowledge of CPT, HCPCS, and ICD-10 coding.
• Experience reviewing and applying appropriate billing modifiers to ensure accurate claim submission and payer compliance.
• Demonstrated experience managing denials, appeals, and accounts receivable follow-up.
• Familiarity with CMS, Medicaid, and commercial payer billing requirements; experience with New Jersey Medicaid is a plus.
• Strong analytical skills with the ability to identify the root cause of claim denials.
• Excellent attention to detail and organizational skills.
• Strong written and verbal English communication skills.
• Ability to manage multiple priorities while meeting payer deadlines.
• Comfortable working independently in a remote environment.

• CPC (Certified Professional Coder) or equivalent certification.
• Experience in behavioral health or psychiatry billing.
• Experience working with EMR/EHR and revenue cycle management software.
• Familiarity with prior authorizations and medical necessity requirements.
• Intermediate to advanced Excel skills.