Connections Health Solutions

Accounts Receivable

• Assuring that accounts have been properly billed and reimbursed
• Contacting the appropriate insurance company to secure and expedite payments through the follow-up and appeals resolution processes
• Acting as a functional leader or reference source
• Providing the link in communication between Connections Healthcare Solutions and the patient, insurance companies/third-party payers, and the provider of service or departmental staff
• Following up on required daily accounts based on leadership assignments to reduce the A/R
• Performing timely and accurate validation of denied claims and determining appropriate denial resolution, including but not limited to; authorization/retro authorization/precertification
• Utilizing WAYSTAR to submit appeal letters and payer-required documentation on unpaid and underpaid claims
• Prioritizing work to increase efficiency in the collections process
• Documenting action taken toward account resolution within Avatar and WAYSTAR using standardized note format
• Meeting productivity requirements as set within the department
• Effectively communicating identified opportunities with leadership utilizing SBAR format
• Participating in coordinated departmental initiatives related to AR reduction
• Taking initiative to troubleshoot technological issues and communicating to leadership according to department guidelines
• Assisting billing with determining the proper disposition of or composing replies to incoming mail and other correspondence
• Performing all other duties as assigned.

Accounts Receivable Resolution Specialist