Appeals Lead in Oceanport, New Jersey at RWJBarnabas Health

Job Title: Lead

Location: System Business Office

Department Name: Appeals

Req #: 0000266394

Status: Salaried

Shift: Day

Pay Range: $23.30 - $28.91 per hour

Pay Transparency:

The above reflects the anticipated annual salary range for this position if hired to work in New Jersey.

The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.

Job Details:

The Appeals Lead is responsible for reviewing and resolving all patient grievances as well as ensuring appropriate follow-up and resolution of self-pay accounts. The Appeals Lead will review the self-pay accounts receivable to look for trends in aging, vendor account resolution and self-pay cash collections and will report identified issues. The Appeals Lead will work with internal departments to review and resolve patient billing issues or patient experience complaints. The Appeals Lead will assist with mentoring and training new employees, will review productivity and quality metrics to ensure appropriate and timely account resolution, as well as provide a supportive environment for the team.

As an Appeals Lead, a typical day might include:

• Perform analysis, research, and resolution on any issues that may cause delays in patient payments or account resolution.
• Research and respond to patients and internal departments regarding billing inquiries and grievances.
• Perform high-level self-pay account receivable review and analysis to support department and A/R management.
• Responsible for reporting any detected trends in aging, and vendor inventory as well as procedural problems and makes recommendations regarding the correction of these trends or problems.
• Monitor internal processes for possible workflow changes.
• Demonstrate initiative and motivation in role.
• Serve as a leader in the department, working with management and the team to identify issues and to implement solutions that lend to the best overall operations of the department.
• May perform other duties as assigned or directed by management.

This role might be for you if:

• Strong working knowledge of patient accounting, self-pay collections, billing workflows, account follow-up, and revenue cycle operations.
• Ability to analyze patient accounts receivable, identify trends in aging, cash collections, vendor inventory, and account resolution, and escalate issues appropriately.
• Demonstrated ability to research, resolve, and communicate complex patient billing concerns, grievances, and account discrepancies in a professional and timely manner.
• Strong customer service, communication, and conflict resolution skills with the ability to interact effectively with patients, vendors, team members, and internal departments.
• Ability to mentor, train, and support team members while promoting accountability, collaboration, productivity, and quality performance.

• Proficiency in Microsoft Excel and related reporting tools, with the ability to review data, prepare reports, and present findings clearly to leadership.
• Ability to monitor workflows, identify process improvement opportunities, and recommend solutions that support timely account resolution and operational efficiency.
• Knowledge of medical terminology, confidentiality requirements, and applicable policies and procedures related to patient billing and account management.
• The above statements are intended to describe the general nature and level of work being performed.
• They are not intended to be an exhaustive list of all responsibilities, duties and skills required.

To be considered for this opportunity, you must meet the below requirements.

• Have a minimum of 5 years in Patient Accounts follow-up experience.
• Advanced Excel experience required
• Medical terminology and computer skills
• A High School Diploma required

Why You’ll Love Working Here:
At RWJBarnabas Health, our people are at the center of everything we do. Through our Total Wellbeing promise, we offer a wide range of benefits and resources to support your physical, emotional, financial, and professional wellbeing. Highlights include:

• Generous Paid Time Off (Vacation, Holidays, Sick Time)

• Medical, Dental & Vision Insurance

• Prescription Drug Coverage

• Retirement Plans

• Paid Parental Leave

• Tuition Reimbursement

• Student Loan Planning Support

• Life and Disability Insurance

• Wellness Programs and Flexible Spending Accounts

• Voluntary Benefits (like Pet Insurance)

• Discounts with local partners (e.g., NJ Devils, NJPAC, Verizon)

• Community involvement and volunteer opportunities …and more!

Why RWJBarnabas Health:
RWJBarnabas Health is New Jersey’s largest and most comprehensive academic health system, committed to delivering exceptional care and creating healthier communities. We’re proud to offer a workplace that values compassion, equity, and innovation—where every team member plays a vital role. When you join us, you’re not just building a career—you’re helping to shape the future of healthcare, one person and one community at a time.