Accounts Receivable Resolution Specialist (FT, Days)

Connections Health Solutions; Yorktown (VA); À distance; USD 42 000 - 68 000; Plein temps

Avantages offerts par ce poste

Health Insurance

401k Plan

PTO 160 hours

Life Insurance

HSA & FSA

Employee Assistance Program

Résumé du poste

Connections Health Solutions is seeking an Accounts Resolution Specialist for a fully remote role to ensure accurate insurance billing and effective denial management.

You will follow up on daily accounts, validate denials, and prepare appeal documentation using WAYSTAR and Avatar, with careful note documentation and correspondence handling.

Qualifications

• 2 years of insurance claims follow-up.
• 2 years of claim denial management.
• 5 years of experience in a physician/facility business office.
• Remote work experience preferred.
• Bachelor’s degree in health care or related field.

Responsabilités

• Follow up on daily accounts to reduce accounts receivable.
• Validate denied claims and determine resolution, including sending appeals.
• Utilize WAYSTAR to submit appeal letters and payer documentation.
• Document actions in Avatar and WAYSTAR using standard notes formatting.
• Assist billing with disposition of or replies to incoming mail and correspondence.

Connaissances

Insurance claims follow-up

Claim denial management

Physician billing

Facility billing

Remote work experience

Formation

High School diploma

Bachelor’s degree in health care or related field

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.