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Claims Resolution Specialist
Advantia HealthClaims 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
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Electronic Remittance Advice (ERA) and Electronic Funds Transfer (EFT) processes, along with proficiency in medical billing and electronic health records. Capable of managing payer portal administration and supporting cash reconciliation efforts.
Highest-signal resume keywords
Electronic Remittance Advice (ERA)Electronic Funds Transfer (EFT)Medical BillingAthena ExperienceCash Reconciliation
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
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Hard Skills
Payment Posting ProcessingLine-Item PaymentsDenials ManagementOffset/Recoupment ReconciliationVendor Support
Tools & Technologies
Electronic Health RecordsBilling Software
Industry Keywords
Payer Portal AdministrationThird-Party PortalsUnidentified Payments Resolution
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