Accounts Receivable Specialist, Public Sector
C1
Accounts Receivable Resolution Specialist
Connections Health Solutions
full-time
Posted on:
Location Type: Remote
Location: Remote • Virginia • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Assure that accounts have been properly billed and reimbursed to contribute to financial viability
- Contact insurance companies to secure and expedite payments through follow-up and appeals resolution processes
- Act as a functional leader or reference source and provide the communication link between CHS, patients, payers, and providers
- Follow up on required daily accounts based on leadership assignments to reduce the A/R
- Validate denied claims and determine appropriate denial resolution, including authorization/retro authorization/precertification
- Utilize WAYSTAR to submit appeal letters and payer-required documentation on unpaid and underpaid claims
- Document action taken toward account resolution within Avatar and WAYSTAR using standardized note format
- Prioritize work to increase efficiency in the collections process and meet departmental productivity requirements
- Communicate identified opportunities with leadership utilizing SBAR format and follow chain of command
- Participate in coordinated departmental initiatives related to AR reduction and troubleshoot technological issues
- Assist billing with determining disposition of or composing replies to incoming mail and other correspondence
- Perform all other duties as assigned
Requirements
- High School diploma, GED, or international equivalent
- 2 years of insurance claims follow-up
- 2 years of claim denial management
- 5 years of experience within a physician and/or facility business office
- 1 year of experience working in a remote environment
- Mandatory vaccination policy: fully vaccinated or exempt prior to start date
- Experience with physician and/or facility billing/auditing within a behavioral health environment (preferred, 5 years)
- Proficiency with WAYSTAR and Avatar (documentation and appeals submission)
- Knowledge of authorization/retro authorization/precertification processes
- Strong customer service skills, discretion, and good judgment in decision-making
Benefits
- Employees (and their families) are offered comprehensive health insurance, including Medical, Dental, Vision, Accident, Critical Illness, and Hospital Indemnity
- CHS pays for Basic Life, AD&D, Short and Long-Term Disability
- Voluntary Life insurance option for employees and their families
- Health Savings Accounts (with $1,000 to $2,000 employer contribution depending on plan)
- Flexible Spending Accounts (health care and dependent care)
- 401k company match after 6 months (50% of deferrals up to 6% of compensation)
- Auto-enrollment in 401k after 90 days
- Generous PTO starting at 160 hours accrued annually and 12 recognized company holidays
- Employee Assistance Program (confidential emotional support, work life solutions, financial solutions, legal assistance, online support)
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
insurance claims follow-upclaim denial managementbilling/auditingauthorization processesretro authorization processesprecertification processes
Soft skills
customer servicediscretiongood judgmentcommunicationleadership
Certifications
High School diplomaGED
