Account Resolution Specialist III

Currance

Accounts Receivable Specialist III managing high-dollar insurance accounts for healthcare revenue cycle. Resolving complex claims and coordinating with various payers in a remote setting.

Posted 6/26/2026full-timeRemote • Arizona, California, Colorado, Florida, Illinois, Iowa, Montana, Nevada, New Jersey, New York, North Carolina, Oklahoma, Pennsylvania, South Dakota, Tennessee, Texas, Virginia, Washington, Wisconsin • 🇺🇸 United StatesMid-LevelSenior💰 $21 - $24 per hourWebsite

About the role

Key responsibilities & impact

Independently manage high-dollar, high volume, and complex accounts with significant financial impact.
Submit accurate medical claims in compliance with federal, state, and payer-specific requirements.
Resolve multi-level denials that require advanced research, payer escalation, and detailed follow-up.
Investigate and follow up with payers to collect insurance accounts receivables.
Prepare and submit first- and second-level appeals with complete supporting documentation, ensuring thorough tracking and follow-up to maximize reimbursement.
Execute and oversee EHR workflows in systems such as Epic, Cerner, Meditech, and Allscripts, including reroutes, denial closures, and account adjustments.
Review Explanation of Benefits (EOBs) to resolve payment discrepancies, claim denials, and contractual underpayments.
Complete rebills and corrections to maximize reimbursement.
Transforming revenue cycle differently. Improving healthcare together.
Analyze discrepancies in payments and take corrective actions as needed.
Meet productivity benchmarks while maintaining high-quality standards.
Research, analyze, and correct errors and rejections, identify root causes, and implement preventive solutions.
Verify and adjust claims to ensure accurate client liability and account balance.
Stay informed about changes in payer guidelines and processes for accurate claim submissions.
Identify payer trends impacting reimbursement and bring findings to management for review.
Participate in daily shift briefings and contribute as needed.

Requirements

What you’ll need

High school diploma or equivalent required; Associate's degree preferred
CRCR certification or completion of certification required within 90 days of hire.
Minimum 3 years of experience in securing medical claim payments, managing follow-up, and appealing denials, with proven success resolving complex, high-value claims.
Advanced knowledge of ICD-10, CPT/HCPCS, payer policies, and reimbursement regulations.
Strong negotiation, research, and problem-solving abilities.
Experience using EHR/EMR systems such as Meditech, Epic, Cerner, Allscripts, Nextgen, or similar platforms to support billing and account resolution.
Proficiency in Microsoft Office Suite, Teams, and various desktop applications.

Benefits

Comp & perks

🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Currance Website LinkedIn All Job Openings 201 - 500 employees Founded 2020 🤝 B2B 🏢 Enterprise B2B
Enterprise Currance is a healthcare-focused revenue cycle management company that partners with hospitals, health systems, and physician groups to streamline billing, collections, and administrative workflows. They provide customizable, technology-enabled and hybrid solutions—insurance resolution, insurance management, and outsourced business office services—to accelerate cash collections, reduce accounts receivable days, and improve yield. Currance operates as a B2B service provider delivering consultative, performance-driven revenue cycle improvements across large and community healthcare organizations. Account Resolution Specialist III 🔥 10 minutes ago 🌵 Arizona, California, +18 more states – Remote 💵 $21 - $23 / hour ⏰ Full Time 🟡 Mid-level 🟠 Senior Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
Independently manage high-dollar, high volume, and complex accounts with significant financial impact.
Submit accurate medical claims in compliance with federal, state, and payer-specific requirements.
Resolve multi-level denials that require advanced research, payer escalation, and detailed follow-up.
Investigate and follow up with payers to collect insurance accounts receivables.
Prepare and submit first- and second-level appeals with complete supporting documentation, ensuring thorough tracking and follow-up to maximize reimbursement.
Execute and oversee EHR workflows in systems such as Epic, Cerner, Meditech, and Allscripts, including reroutes, denial closures, and account adjustments.
Review Explanation of Benefits (EOBs) to resolve payment discrepancies, claim denials, and contractual underpayments.
Complete rebills and corrections to maximize reimbursement.
Transforming revenue cycle differently. Improving healthcare together.
Analyze discrepancies in payments and take corrective actions as needed.
Meet productivity benchmarks while maintaining high-quality standards.
Research, analyze, and correct errors and rejections, identify root causes, and implement preventive solutions.
Verify and adjust claims to ensure accurate client liability and account balance.
Stay informed about changes in payer guidelines and processes for accurate claim submissions.
Identify payer trends impacting reimbursement and bring findings to management for review.
Participate in daily shift briefings and contribute as needed. 🎯 Requirements
High school diploma or equivalent required; Associate's degree preferred
CRCR certification or completion of certification required within 90 days of hire.
Minimum 3 years of experience in securing medical claim payments, managing follow-up, and appealing denials, with proven success resolving complex, high-value claims.
Advanced knowledge of ICD-10, CPT/HCPCS, payer policies, and reimbursement regulations.
Strong negotiation, research, and problem-solving abilities.
Experience using EHR/EMR systems such as Meditech, Epic, Cerner, Allscripts, Nextgen, or similar platforms to support billing and account resolution.
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ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

medical claims managementICD-10CPTHCPCSpayer policiesreimbursement regulationsclaims follow-updenial resolutionaccount adjustmentsEHR workflows

Soft Skills

negotiationresearchproblem-solvingattention to detailtime managementcommunicationorganizational skillsanalytical skillsteam collaborationadaptability

Certifications

CRCR certificationAssociate's degreehigh school diploma