Payer Account Resolution Specialist

Jobtailor; Deutschland; Remote; EUR 39.000 - 56.000; Vollzeit

Zusammenfassung

Jobtailor is seeking a skilled Healthcare Billing Specialist to support claims monitoring and accounts receivable efforts. You will review aging buckets, contact insurance companies, and ensure timely filing while maintaining accuracy.

In this role you will document all activities, locate missing remits, coordinate corrections with the appropriate department, and escalate complex issues. Proficiency with MEDITECH, payer portals, and clear communication are essential for success.

Qualifikationen

• 2+ years of healthcare billing or revenue cycle experience.
• Experience with MEDITECH or EHR systems.
• Understanding CPT, HCPCS, and ICD-10 coding.
• Knowledge of insurance billing processes.
• Explanation of Benefits understanding.
• Attention to detail and accuracy.
• Time management and ability to meet deadlines.

Aufgaben

• Monitor aging buckets over 30 days for claims that have been transmitted but not adjudicated.
• Contact insurance companies via payer portal, payer chat, or phone.
• Monitor timely filing limits.
• Document all account activities.
• Locate missing remits and/or payments.
• Resolve payer issues.
• Submit requested documentation.
• Coordinate claim corrections with the appropriate department.
• Escalate complex issues.
• Update identified registration errors.
• Identify process improvement opportunities.
• Research unpaid claims.
• Communicate identified trends to leadership.
• Keep AR days under 40 days.
• Meet or exceed the organization's cash goal.
• Keep AR under 90 days below 25%.
• Perform other essential duties as assigned.

Kenntnisse

Healthcare Billing

Revenue Cycle Management

Claims Processing

CPT Coding

HCPCS Coding

ICD-10 Coding

Documentation Accuracy

Timely Filing Monitoring

Process Improvement

Account Activity Documentation

Ausbildung

High school diploma or equivalent

Tools

MEDITECH

EHR System

Payer Portal

Payer Chat

Standard Office Equipment

Jobbeschreibung

• Monitor aging buckets over 30 days for claims that have been transmitted but not adjudicated
• Contact insurance companies via payer portal, payer chat, or phone
• Monitor timely filing limits
• Document all account activities
• Locate missing remits and/or payments
• Resolve payer issues
• Submit requested documentation
• Coordinate claim corrections with the appropriate department
• Escalate complex issues
• Update identified registration errors
• Identify process improvement opportunities
• Research unpaid claims
• Communicate identified trends to leadership
• Keep AR days under 40 days
• Meet or exceed the organization's cash goal
• Keep AR under 90 days below 25%
• Perform other essential duties as assigned

Requirements

• High school diploma or equivalent
• 2+ years of healthcare billing or revenue cycle experience
• Residency in Missouri or Kansas is required
• Experience working in an EHR system (MEDITECH preferred)
• Basic understanding of CPT, HCPCS, and ICD-10 coding
• Knowledge of insurance billing processes
• Understanding of Explanation of Benefits
• Attention to detail and accuracy
• Time management and ability to meet deadlines
• Strong organizational skills
• Effective communication and teamwork
• Ability to follow standardized workflows
• Maintain regular and predictable attendance
• Ability to sit and stand intermittently for 8 to 10 hours a day
• Ability to use standard office equipment, including telephone and computer keyboard
• Ability to work under pressure while meeting near-100% accuracy and inflexible deadlines
• Manual/bi-manual dexterity, near vision, speech, and hearing
• Ability to lift or carry up to 40 lbs.

Core Competencies

Demonstrates expertise in healthcare billing and revenue cycle management, with a strong focus on claims monitoring, documentation accuracy, and effective communication with insurance companies. Proficient in utilizing EHR systems and understanding coding standards to ensure timely and accurate claims processing.

Highest-signal resume keywords

• Healthcare Billing Experience
• EHR System Proficiency
• CPT, HCPCS, ICD-10 Coding Knowledge
• Claims Monitoring and Resolution
• Effective Communication Skills

ATS Optimization Keywords

Hard Skills

• Healthcare Billing
• Revenue Cycle Management
• Claims Processing
• CPT Coding
• HCPCS Coding
• ICD-10 Coding
• Documentation Accuracy
• Timely Filing Monitoring
• Process Improvement
• Account Activity Documentation

Soft Skills

• Attention to Detail
• Time Management
• Organizational Skills
• Teamwork
• Ability to Work Under Pressure

Industry Keywords

• Claims Adjudication
• Explanation of Benefits
• Accounts Receivable Management
• Insurance Billing Processes
• Aging Buckets Monitoring

Tools & Technologies

• EHR System
• MEDITECH
• Payer Portal
• Payer Chat
• Standard Office Equipment