Accounts Receivable Resolution Specialist (FT, Days)

Connections Health Solutions; Wisconsin; À distance; USD 42 000 - 64 000; Plein temps

Résumé du poste

Connections Health Solutions is seeking an Accounts Resolution Specialist for a fully remote role. You will handle insurance claims follow-up, denial management, and appeals, while maintaining accurate documentation in billing systems.

The position requires experience in physician/facility billing within behavioral health and remote work capabilities. The role emphasizes timely follow-up and efficient resolution of accounts, with focus on reducing A/R and ensuring compliant reimbursements.

Qualifications

• Minimum ~2 years of insurance claims follow-up experience.
• Approximately 2 years of claim denial management experience.
• About 5 years in physician/facility billing within a behavioral health setting.
• Approximately 1 year of experience working remotely.

Responsabilités

• Follow up on required daily accounts to reduce A/R.
• Validate denied claims and determine denial resolution.
• Utilize WAYSTAR to submit appeal letters and payer documentation.
• Prioritize work to increase efficiency in the collections process.
• Document actions in Avatar and WAYSTAR using standardized notes.

Connaissances

Insurance claims follow-up

Claim denial management

Remote work experience

Healthcare billing knowledge

Formation

Bachelor’s degree in health care or related field

5 years of physician/facility billing/auditing in behavioral health

Description du poste

We’re not just behavioral health people—we’re crisis people. Connections Health Solutions is a leading provider of immediate-access behavioral health crisis care. Our team combines medical and recovery‑oriented treatment to stabilize individuals in crisis and connect them to community‑based resources for ongoing recovery.

Founded by emergency room psychiatrists Dr. Robert Williamson, our model is physician‑led and data‑driven, drawing upon more than 15 years of crisis care expertise. Recognized by SAMHSA and the National Council for Mental Wellbeing as a national best practice, we’ve delivered invaluable treatment to hundreds of thousands of individuals facing crises. We embrace change and innovation, striving to find better ways to fulfill our mission.

We are on a mission to change the face of behavioral health. Help us save lives and make a difference.

The Accounts Resolution Specialist contributes to the financial viability of the organization by assuring that accounts have been properly billed and reimbursed. Work situations are varied and require extensive insurance billing, follow‑up and appeal knowledge, and strong customer service skills. The AR Resolution Specialist performs these functions at a complex level of implementation, analysis, and resolution.

Follows up on required daily accounts based on leadership assignments to reduce the A/R.

Performs timely and accurate validation of denied claims and determines appropriate denial resolution, including but not limited to; Utilizes WAYSTAR to submit appeal letters and payer‑required documentation on unpaid and underpaid claims.

Prioritizes work to increase efficiency in the collections process.

Documents action taken toward account resolution within Avatar and WAYSTAR using standardized note format.

Assists billing with determining the proper disposition of or composing replies to incoming mail and other correspondence.

This is a fully remote position in these states: High School diploma, GED, or international equivalent

• ~2 years of insurance claims follow‑up
• ~2 years of claim denial management
• ~5 years of experience within a physician and/or facility business office
• ~1 year of experience working in a remote environment
• ~ The Company has a mandatory vaccination policy. Bachelor’s degree in health care or related field
• ~5 years of experience with physician and/or facility billing/auditing within a behavioral health environment

Full‑time only:

• ~ Employees (and their families) are offered comprehensive health insurance, including Medical, Dental, Vision, Accident, Critical Illness, and Hospital Indemnity
• ~ CHS pays for Basic Life, AD&D, Short and Long‑Term Disability
• ~ Voluntary Life insurance option for employees and their families
• ~ Health Savings Accounts (with $1,000 to $2,000 employer contribution depending on plan)
• ~ Flexible Spending Accounts (health care and dependent care)
• ~Generous PTO starting at 160 hours accrued annually and 12 recognized company holidays
• ~ All employees (Pool, Part‑time and Full‑time):

Employee Assistance Program to help with confidential emotional support, work life solutions, financial solutions, legal assistance, or online support

After 90 days, you are auto enrolled in the 401k Plan

We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by law.

Recruitment Fraud Warning

We will never ask candidates to pay fees, purchase equipment, or send money as part of the hiring process.

If you receive a suspicious communication claiming to represent Connections Health Solutions, please contact myRecruiter@connectionshs.