AR Research & Resolution Representative

US Acute Care Solutions; United States; Remote; USD 20,000 - 37,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

401(k) with employer match

Paid time off and holidays

Job summary

US Acute Care Solutions is seeking an AR Research & Resolution Representative for a remote position. You will research and resolve insurance and contract claims, targeting cash collections and reduced denials while aligning with company values.

The role emphasizes collaboration with payers and internal partners from varied locations. The ideal candidate has a high school diploma or equivalent and experience in medical insurance or billing is helpful.

Qualifications

• Knowledge of medical insurance terminology and billing concepts helpful
• Ability to work independently and as part of a remote team
• Strong attention to detail and problem-solving skills

Responsibilities

• Research and resolve claims to maximize cash collections
• Follow up on insurance or contract denials and edits
• Interface with payers and internal/external partners by phone and web tools
• Maintain worklists and contribute to SOP updates and payer matrices
• Escalate items promptly and support process improvement initiatives

Skills

Data entry

Phone communication

Payer follow-up

Problem solving

Attention to detail

Education

High school diploma or equivalent

Tools

Windows

Excel

Job description

Job Posting Closing Date: Open until FilledWhere do you belong?Your career is more than just a job, it's part of your life. Whether you’re a clinician, or non-clinical professional, at USACS you'll feel a sense of connection working with clinicians and office staff who share your interests and values. We want you to love coming to work each day because you believe in what you do and the people with whom you work. We care about your success.USACS also understands that location is important. We offer career opportunities for clinicians and non-clinical support staff from New York to Hawaii and numerous points in between. Our supportive culture, outstanding benefits and competitive compensation package is best in class.Job DescriptionThe AR Research & Resolution Representative is responsible for researching and resolving claims to maximize cash collections, minimizing denials and lost revenue, modeling the organization's values, and working on individual and project denial and claim assignments.Location: RemoteESSENTIAL JOB FUNCTIONS:Performs various complex duties, including, but not limited to, working outstanding insurance or contract claims and resolving claim edits and denials. Maintains worklists and assignments at acceptable levels based on performance targets, KPI, and quality scores.Conducts all insurance or contract follow-up aspects, including interfacing with payers, communicating with internal and external business partners by conducting phone calls, and utilizing web-based tools. Escalates items promptly.Identifies opportunities to improve department workflows and cross-functional processes. Contributes to the development and maintenance of company-wide payer matrices and updates to Standard Operating ProceduresServes as an active contributor in team meetings.Maintains knowledge of current government and carrier regulations relevant to the industry.Models the core values of the organization.Performs and assists with other department duties as needed.KNOWLEDGE, SKILLS AND ABILITIES:Knowledge of and skill in using personal computers in a Windows environment, emphasizing basic word processing and data entry onto spreadsheet programs.Knowledge of medical insurance and its terminology.Basic knowledge of ICD-10 and CPT codes.Ability to work independently and as an effective team contributor.Ability to pay close attention to detail.Ability to identify, research, and solve problems and discrepancies.Ability to communicate courteously and professionally.Ability to maintain confidentiality.Ability to process assigned duties in an organized manner.Ability to perform basic mathematical calculations such as adding, subtracting, multiplying, and dividing.Ability to effectively perform in a multi-task work environment.Ability to work overtime when needed.Ability to work effectively in remote settings.EDUCATION AND EXPERIENCE:High school diploma or equivalent.Experience in medical insurance, billing experience, or equivalent training or education is helpful, but not required.PHYSICAL DEMANDS:Standard office or remote work environment requiring prolonged periods of computer use.May occasionally require lifting files or materials up to 15 pounds.Visual and manual dexterity required for computer and claim documentation work.Hourly Wage: $14.53 - $26.88The hourly starting wage is $18.50Hourly rate may be determined on several factors including but not limited to knowledge, skills, experience, education, geographical location and requirements stated in job description.USACS offers a comprehensive and competitive benefits package designed to support the health, well-being, and financial security of our employees.Benefits may vary based on role, location, and employment status, but generally include:Medical, dental, and vision insurance optionsHealth savings accounts (HSA) and flexible spending accounts (FSA)401(k) employee and employer contributionsPaid time off, including vacation, sick leave, and company holidaysPaid parental leave & family support benefitsShort-term and long-term disability insuranceLife and accidental death & dismemberment (AD&D) insuranceEmployee assistance programs & wellness resourcesAdditional compensation may include bonus eligibility, equity, or other incentive programs, depending on the role.Specific benefit offerings and eligibility will be provided during the hiring process and may be subject to change in accordance with applicable laws and company policies.Click the red apply button to submit an application and resume. If you are an USACS employee, please apply via the Jobs Hub in the Workday system.