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Remote Denial Management Jobs in Limerick, ME (NOW HIRING)

Nourish

Senior RCM Associate

Portland, ME · Remote

... fully remote (with option to work from our NYC office). Key responsibilities: * Manage patient ... denial management, ERA reconciliation, and payer communications. * You're a patient-first ...

All JobsDenial Management JobsRemote Denial Management JobsRemote Denial Management Jobs in Limerick, ME

Remote Denial Management information

What is remote denial management?

Remote denial management refers to the process of identifying, analyzing, and resolving insurance claim denials from a remote location, typically using digital tools and secure internet connections. Professionals in this role work to ensure that healthcare providers are reimbursed for their services by investigating the reasons for denials, appealing claims, and implementing strategies to reduce future denials. This job is crucial for maintaining healthy cash flow in medical practices and hospitals, and it often involves strong analytical, communication, and problem-solving skills.

What are some common challenges faced in remote denial management, and how can they be addressed?

Remote Denial Management professionals often encounter challenges such as limited access to physical records, communication delays with payers or healthcare providers, and navigating various billing systems. To address these, it's important to develop strong digital organizational skills, maintain clear and proactive communication with team members and external parties, and stay updated on payer policies and denial trends. Leveraging robust denial management software and collaborating with other revenue cycle teams can also help overcome these obstacles and improve claim resolution rates.

What are the key skills and qualifications needed to thrive in remote denial management, and why are they important?

To thrive as a Remote Denial Management Specialist, you need a strong understanding of medical billing, insurance claims processing, and healthcare regulations, often backed by experience in revenue cycle management or a related certification. Familiarity with denial management software, electronic health records (EHRs), and payer portals is essential for efficiently tracking and resolving claim denials. Attention to detail, excellent communication, and problem-solving abilities help specialists effectively appeal denials and collaborate with providers and payers. These competencies are crucial to ensure accurate reimbursement, reduce revenue loss, and maintain compliance in a remote healthcare environment.

What is the difference between Remote Denial Management vs Remote Claims Processing?

AspectRemote Denial ManagementRemote Claims Processing
Primary FocusHandling claim denials, appeals, and resolutionProcessing and submitting insurance claims
Skills & CertificationsKnowledge of insurance policies, denial codes, and appeals processesAttention to detail, data entry, basic insurance knowledge
Work EnvironmentHealthcare providers, insurance companies, remoteHealthcare providers, insurance companies, remote
Industry UsageCommon in medical billing and revenue cycle managementCommon in medical billing and claims submission

Remote Denial Management focuses on resolving denied claims through appeals and follow-up, while Remote Claims Processing involves submitting and managing insurance claims. Both roles require insurance knowledge and are vital in healthcare revenue cycle management, but they differ in their primary responsibilities and workflow.

Remote Denial Management jobs near you
Infographic showing various Remote Denial Management job openings in Limerick, ME as of June 2026, with employment types broken down into 95% Full Time, and 5% Temporary. Highlights an 84% Physical, 2% Hybrid, and 14% Remote job distribution.

Senior RCM Associate

Nourish

Portland, ME • Remote

Full-time

Re-posted 6 days ago

Job description

About Us
Health is the most important thing in life, and the American healthcare system is completely broken - poor outcomes, high cost, bad patient experience. We're building a new system from the ground up.

Our mission is to improve people's health by making it easy to live a healthy lifestyle.

Nourish is the country's largest dietitian-led metabolic health clinic. We're an AI-native digital health system matching patients with 10,000+ Registered Dietitians, physicians, medications, lab testing, and AI agents to deliver insurance-covered care across all 50 states. Founded four years ago, we've completed millions of appointments, tripled year-over-year, and partnered with health plans covering 200M+ Americans across 250+ health systems.

In 2026 we raised a $100M Series C, bringing total funding to $215M. The round was led by Menlo Ventures, with participation from Thrive Capital, Index Ventures, J.P. Morgan Growth Equity Partners, Maverick Ventures, Y Combinator, BoxGroup, Atomico, Daybreak, and Operator Partners.

Learn more about our Series C here: Nourish Blog, Bloomberg, Fierce Healthcare, Digital Native, The Pulse Podcast.

This is not a job for everyone. We hold an extremely high bar because we believe talent density is our biggest competitive advantage. We're looking for people who actively choose hard, ambiguous problems, who run toward unglamorous work, give and receive candid feedback, and bring relentless resilience without the ego. Our work is important, but we are not self-important. We do this because we're solving one of the hardest problems in the world, and the problem matters. If that's you, we disproportionately reward it.

About the role

Reporting directly to our Director of Revenue & Provider Network Strategy, the Senior RCM Associate will support all billing and revenue cycle operations at Nourish, including resolving patient billing tickets, managing claim workflows, and building and optimizing RCM processes as we scale into new service lines and payer contracts.

This role is critical to Nourish's core operations - you'll work cross-functionally with our Clinical Ops, Payer Ops, Customer Experience, and Product teams. The work you do directly impacts our patients (ensuring billing is never a barrier to care), our dietitians (enabling a smooth payment experience), and our payers.

This role is full-time and fully remote (with option to work from our NYC office).

Key responsibilities:
  • Manage patient-facing and internal billing questions - including, but not limited to, resolving denials, investigating patient responsibility questions, and processing insurance coverage verifications.
  • Work claims end-to-end via our clearinghouse and partner with cross-functional stakeholders to ensure a smooth billing experience for our patients and providers.
  • Support efforts to streamline existing RCM processes by providing suggestions for automation or new tools, optimizing individual steps, and maintaining consistent, reliable execution.
  • Support ad-hoc RCM projects - including payer-specific billing efforts and new service line expansions.
  • Develop and maintain SOPs for RCM workflows, flagging process gaps and proactively suggesting improvements to the team.
  • Collaborate with cross-functional partners to communicate billing updates, escalate complex cases, and gather information needed to resolve patient or payer issues.
  • Partner with our Product and Engineering teams to test, evaluate, and optimize AI-powered billing tools and automation - actively contributing feedback that shapes how our RCM technology evolves.
You'll love this role if:
  • You are detail-oriented and organized. You enjoy keeping things on track and meeting deadlines. You're comfortable managing multiple tasks/wearing many hats and prioritizing effectively.
  • You're proactive and eager to learn. You seek opportunities to take ownership of tasks and enjoy problem-solving when challenges arise. You welcome the opportunity to learn new flows or help optimize our operations.
  • You approach challenges with a problem-solving mindset, adapting to obstacles and finding effective solutions to keep progress on track. Overcoming roadblocks and finding creative solutions energizes you.
  • You thrive in a dynamic environment. You're energized by a rapidly improving (and thus changing) workplace. Changes to processes and workflows don't stress you out - you see them as opportunities to learn and grow.
  • You're passionate about Nourish's mission. You're interested in nutrition and are eager to contribute to solving America's healthcare crisis.
We'd love to hear from you if:
  • You have experience in an operations role, with bonus points for a background in revenue cycle, medical billing, or healthcare.
  • You're familiar with insurance billing workflows - including claim submission, denial management, ERA reconciliation, and payer communications.
  • You're a patient-first communicator - professional, empathetic, and able to de-escalate billing concerns while keeping things moving.
  • You're highly organized and detail-oriented, with strong follow-through; you take things all the way through the finish line.
  • You're energized by technology and automation - you don't just adapt to new tools, you seek them out. You're excited by the idea of using AI to make billing smarter and are comfortable shaping how those tools get built and used.
  • Medical coding background (CPC/CCS credentialed) a plus

More Information

The Nourish Bar

Our Values

Why Nourish Exists

How We Work

Comp Philosophy

Benefits

Please note that you must be legally authorized to work in the U.S. for this position.