Claims Resolution Specialist

Advantia Health

Claims Resolution Specialist ensuring accuracy and timeliness in medical billing at Advantia Health. Responsibilities include various payment processing initiatives and support within the RCM team.

Posted 6/29/2026full-timeArlington • Virginia • 🇺🇸 United StatesMid-LevelSenior💰 $18 - $22 per hourWebsite

About the role

Key responsibilities & impact

Initiating ERA (electronic remittance advice) set up with clearinghouse and/or third-party portals
Initiating EFT (electronic funds transfer) set up with payers & third-party portals
Assist in vendor support of daily cash reconciliation duties
Clear understanding of RCM Payment Posting Processing (ERA/Manual Posting) of Line-Item Payments/Denials
Clear understanding of reconciling offset/recoupment payer remits
Call carriers and third parties to resolve unidentified payments/reconcile items
Responsible for maintaining payer portal admin and employee registration
Assist the RCM Manager with various projects

Requirements

What you’ll need

High School/GED Education required
Previous experience in medical billing or a related field is preferred
Proficiency in electronic health records and billing software preferred
Athena experience required

Benefits

Comp & perks

Health, Dental, and Vision Insurance
Health Savings Account (HSA) and Flexible Savings Account (FSA) Option
401k Retirement Plan
Life and Disability Insurances
Paid holidays/PTO

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Payment Posting ProcessingLine-Item PaymentsDenials ManagementOffset/Recoupment ReconciliationVendor Support