Accounts Receivable Resolution Specialist - Remote (Virginia Region)

Connections Health Solutions; United States; Remote; USD 40,000 - 60,000; Full time

Job summary

A leading behavioral health provider seeks an experienced AR Resolution Specialist to enhance financial viability by ensuring proper billing and reimbursement. This role requires strong insurance follow-up and customer service skills. Ideal applicants should have at least 2 years of claims follow-up experience and a high school diploma. The position offers full-time hours with a comprehensive benefits package, including health insurance, 401k matching, and generous PTO.

Benefits

Comprehensive health insurance

401k company match

Generous PTO

Qualifications

• 2 years of insurance claims follow-up experience required.
• 2 years of experience managing claim denials.
• 5 years within a physician/facility business office.

Responsibilities

• Follow up on accounts to reduce the A/R.
• Validate denied claims and determine resolution.
• Submit appeal letters and documentation.

Skills

Insurance claims follow-up

Claim denial management

Customer service skills

Communication

Education

High School diploma or equivalent

Tools

WAYSTAR

Avatar

Job description

Overview

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. Chris Carson and 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. Our commitment remains consistent, to improve access, inspire hope, and provide the right support.Our values shape our decisions, define our culture, and foster continuous learning and growth.We accept people as they are, creating safe spaces where they feel valued and respected. We inspire hope by walking with people side-by-side, showing them grace and compassion. We act with intention, holding ourselves and each other accountable, and doing the right thing. We work as one team, trusting and supporting each other. 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.

Responsibilities

What You\'ll Do:

The AR Resolution Specialist contributes to the financial viability of the organization by assuring that accounts have been properly billed and reimbursed. Responsibilities include contacting the appropriate insurance company to secure and expedite payments through the follow-up and appeals resolution processes and acting as a functional leader or reference source. This position requires discretion and good judgment in decision-making and representation of Connections Healthcare Solutions. Work situations are varied and require extensive insurance billing, follow-up and appeal knowledge, and strong customer service skills. This position provides the link in communication between Connections Healthcare Solutions and the patient, insurance companies/third-party payers, and the provider of service or departmental staff. 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; authorization/retro authorization/precertification.
• 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.
• Meets productivity requirements as set within the department.
• Effectively communicates identified opportunities with leadership utilizing SBAR format.
• Follows chain of command as defined through CHS leadership. Participates in coordinated departmental initiatives related to AR reduction.
• Takes initiative to troubleshoot technological issues and communicates to leadership according to department guidelines. Assists billing with determining the proper disposition of or composing replies to incoming mail and other correspondence.
• Performs all other duties as assigned.

Qualifications

What You\'ll Bring:

• 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. All successful applicants must be fully vaccinated, including showing proper documentation, or otherwise be exempt pursuant to the Company’s exemption process prior to their start date as a condition of employment

It would be great if you had:

• 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

What We Offer:

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)
• 401k company match after 6 months (50% of deferrals up to 6% of compensation)
• 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

EEO Statement

Connections Health Solutions is an equal opportunity employer. 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. We are committed to creating an inclusive and welcoming environment for all employees and applicants.