Accounts Receivable Resolution Specialist
Connections Health Solutions
Accounts Receivable Specialist
Ensemble Health Partners
full-time
Posted on:
Location Type: Remote
Location: Remote • Tennessee • 🇺🇸 United States
Visit company websiteSalary
💰 $17 - $18 per hour
Job Level
Junior
About the role
- Follow up directly with commercial, governmental, and other payers to resolve claim payment issues and secure appropriate and timely reimbursement
- Identify and analyze denials, payment variances, and no response claims and act to resolve claims/accounts, including drafting and submitting technical and clinical appeals
- Provide support for all denial, no response, and audit activities
- Examine denied and other non-paid claims to determine the reason for discrepancies
- Communicate directly with payers to follow up on outstanding claims, file technical and clinical appeals, resolve payment variances, and ensure timely and accurate reimbursement
- Identify specific reasons for underpayments, denials, and causes of payment delay and work with management to trend and address root causes
- Maintain understanding of federal and state regulations and payer specific requirements and document all activity accurately in client host system or tracking system
Requirements
- Must demonstrate basic computer knowledge and demonstrate proficiency in Microsoft Excel
- Excellent Verbal skills
- Problem solving skills and critical thinking
- Adaptability to changing procedures and growing environment
- Meet quality and productivity standards and attendance policies
- Preferred: 2 or 4-year college degree
- Preferred: 1 or more years of relevant experience in medical collections, physician/hospital operations, AR Follow-up, denials & appeals, compliance, provider relations or professional billing
- Knowledge of claims review and analysis
- Working knowledge of revenue cycle
- Experience working the DDE Medicare system and using payer websites to investigate claim statuses
- Working knowledge of medical terminology and/or insurance claim terminology
Benefits
- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive Benefits (healthcare, time off, retirement, well-being programs)
- Career Advancement
- Quarterly and annual incentive programs
- Remote work / Work at Home (nationwide)
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
Microsoft Excelclaims reviewrevenue cyclemedical terminologyinsurance claim terminologydenials analysispayment variance resolutiontechnical appealsclinical appealsDDE Medicare system
Soft skills
verbal communicationproblem solvingcritical thinkingadaptabilityattention to detailtime managementorganizational skillscollaborationcustomer servicequality assurance
