Insurance Accounts Receivable Specialist – III
Solaris Health
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Handle complex claim scenarios and mentor staff
- Resolve out-of-network claims and review/write appeals
- Assist with training and provide resources for team members
- Resolve unpaid or incorrectly paid claims
- Communicate with patients, providers, coders, and other stakeholders
- Train and mentor new hires
- Review reports to identify revenue opportunities
- Maintain patient confidentiality
- Provide insight on billing processes and procedural improvements
Requirements
- Advanced knowledge of billing systems, denial management, and payer-specific requirements
- Ability to coach, train, and mentor other team members
- Strong analytical and decision-making skills; able to handle complex accounts independently
- Ability to identify trends, propose solutions, and contribute to process improvements
- Experience writing appeals and handling escalated claim issues
- High school diploma or equivalent required. Associates degree in related field preferred
- Previous experience in a customer service or healthcare setting required
Benefits
- Employees shall adhere to high standards of ethical conduct
- Maintaining the confidentiality of patients' protected health information in compliance with the Health Insurance Portability and Accountability Act (HIPAA)
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
billing systemsdenial managementpayer-specific requirementswriting appealsclaims resolutionanalytical skillsdecision-making skillsprocess improvements
Soft skills
coachingtrainingmentoringcommunicationanalytical thinking
Certifications
high school diplomaassociates degree