Accounts Receivable Resolution Specialist

Jobgether; Oregon; Hybrid; USD 60.000 - 85.000; Vollzeit

Benefits dieser Stelle

Comprehensive healthcare coverage

Employer-paid insurance options

Health Savings Account (HSA)

Flexible Spending Accounts (FSA)

401(k) with employer match

Zusammenfassung

Jobgether is seeking an Accounts Receivable Resolution Specialist for a fully remote, US-based position. You will manage complex insurance claims, investigate denials, and coordinate appeals to accelerate payments while collaborating with billing teams, providers, patients, and insurers.

The role emphasizes remote work experience, strong communication, and expertise in reimbursement processes to improve collections in a behavioral health setting.

Qualifikationen

• Experience with insurance claims follow-up and denial management.
• Knowledge of reimbursement processes and denial resolution.
• Experience working in healthcare billing in a physician or facility setting.
• Ability to work remotely with strong communication and organization.
• Familiarity with SBAR for leadership communication is a plus.

Aufgaben

• Oversee complex claims resolution and strengthen collection processes.
• Follow up on assigned accounts daily to accelerate reimbursement.
• Review denied claims and prepare appeals with payer documentation.
• Document actions in Avatar and WAYSTAR using standard notes.
• Meet productivity goals and report issues to leadership.

Kenntnisse

Insurance claims follow-up

Denial management

Healthcare billing

Communication skills

Analytical skills

Remote work experience

Ausbildung

Bachelor's degree in healthcare or related field

Tools

WAYSTAR

Avatar system

Jobbeschreibung

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for an Accounts Receivable Resolution Specialist based in the United States.

In this fully remote, full-time role, you will help maintain the financial health of a behavioral healthcare organization by ensuring insurance claims are accurately processed, reimbursed, and resolved. You will manage complex accounts receivable cases, investigate claim denials, and coordinate appeals to accelerate payments from insurance companies and third-party payers. Working closely with billing teams, healthcare providers, patients, and insurers, you will help resolve payment discrepancies and improve collections outcomes. Your expertise will support efficient revenue cycle operations while contributing to the organization's ability to deliver essential crisis care services.

The role is open to candidates residing in specific eligible U.S. states.

Accountabilities

As an Accounts Receivable Resolution Specialist, you will oversee complex claims resolution activities, strengthen collection processes, and support effective communication across departments.

• Follow up on assigned accounts daily to reduce outstanding accounts receivable and accelerate reimbursement.
• Review denied claims promptly and accurately, identifying appropriate resolution strategies, including authorization, retroactive authorization, and precertification.
• Prepare and submit appeal letters and payer-required documentation through WAYSTAR for unpaid or underpaid claims.
• Prioritize account resolution activities to improve efficiency and maximize collection outcomes.
• Document all actions and progress using standardized note formats in Avatar and WAYSTAR.
• Meet established departmental productivity and performance requirements.
• Communicate identified issues, improvement opportunities, and recommendations to leadership using the SBAR communication format.
• Follow established reporting lines and participate in departmental initiatives designed to reduce outstanding accounts receivable.
• Troubleshoot technology-related issues proactively and elevate them according to departmental guidelines.
• Assist billing teams in determining appropriate responses to incoming mail and other correspondence.
• Perform additional duties as assigned to support the department's operational objectives.

Requirements

The ideal candidate has hands-on experience in insurance claims follow-up, denial management, and healthcare billing, along with the judgment and communication skills needed to resolve complex accounts.

• High school diploma, GED, or international equivalent.
• At least 2 years of experience in insurance claims follow-up.
• At least 2 years of experience in claims denial management.
• At least 5 years of experience working in a physician and/or healthcare facility business office.
• At least 1 year of experience working in a remote environment.
• Strong knowledge of insurance billing, claims follow-up, appeals, reimbursement processes, and denial resolution.
• Excellent analytical, organizational, and prioritization skills, with the ability to manage multiple complex accounts.
• Strong written and verbal communication skills, including the ability to work effectively with insurers, patients, providers, and internal teams.
• Good judgment, discretion, accountability, and a proactive approach to problem-solving.
• Ability to meet productivity expectations and follow established procedures and documentation standards.
• Compliance with the organization's mandatory vaccination policy, including providing proof of full vaccination or qualifying for an approved exemption before the start date.
• Compliance with seasonal flu vaccination requirements or the applicable exemption process, which may require masking during the designated flu season.

Preferred qualifications

• A bachelor's degree in healthcare or a related field.
• At least 5 years of experience in physician and/or facility billing or auditing within a behavioral health environment.

Benefits

• Comprehensive healthcare coverage: Medical, dental, and vision insurance, along with accident, critical illness, and hospital indemnity coverage for employees and their families.
• Employer-paid protection: Basic life insurance, accidental death and dismemberment (AD&D), short-term disability, and long-term disability coverage.
• Voluntary life insurance: Additional coverage options for employees and their families.
• Health Savings Account (HSA): Employer contributions ranging from $1,000 to $2,000, depending on the selected plan.
• Flexible Spending Accounts (FSA): Options for healthcare and dependent care expenses.
• Retirement savings: A 401(k) plan with automatic enrollment after 90 days and an employer match after six months, matching 50% of employee contributions up to 6% of compensation.
• Paid time off: Generous PTO, starting at 160 accrued hours annually, plus 12 recognized company holidays.
• Paid parental leave: Available to eligible employees.
• Employee Assistance Program (EAP): Confidential emotional support, work-life resources, financial guidance, legal assistance, and online support.
• Remote work: Fully remote position for candidates residing in eligible states: Alabama, Arkansas, Arizona, California, Colorado, Connecticut, Washington, D.C., Florida, Georgia, Illinois, Indiana, Kansas, Kentucky, Louisiana, Maryland, Maine, Michigan, Minnesota, Montana, North Carolina, New Jersey, New York, Ohio, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Washington, and Wisconsin.