Healthcare AR Resolution Specialist

MaineGeneral Health; Waterville (ME); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Paid time off

Tuition reimbursement

Job summary

MaineGeneral Health is seeking a full-time Accounts Receivable Resolution Specialist to process payer claims and resolve denials to ensure timely reimbursement. The role focuses on accurate billing, verification of coverage, and coordination of benefits within a collaborative healthcare team.

The position requires 2+ years in healthcare insurance follow-up or related field, strong communication and analytical skills, and proficiency with Microsoft Office.

Qualifications

• 2 years or more work experience in Healthcare Insurance Follow Up or related field.
• Excellent communication skills.
• Analytical skills and attention to detail.
• Independent problem-solving skills.
• Strong organizational skills and ability to handle multiple tasks at once.
• Proficiency with Microsoft Office products.
• High School diploma or equivalent.

Responsibilities

• Prepares bills in paper/electronic format per payer guidelines and transmits them appropriately; ensures diagnosis and procedure codes are accurate.
• Determines and verifies insurance coverage and COB to ensure timely billing; obtains retro-authorizations as needed.
• Prepares and reviews routine billing reports, audits, worklists, and collaborates with multidisciplinary teams to ensure timely and accurate billing, re-billing, and charge corrections.
• Communicates with patients to secure accurate insurance coverage and coordination of benefits.

Skills

Excellent communication

Analytical skills

Attention to detail

Independent problem-solving

Organizational skills

Microsoft Office

Education

High School diploma or equivalent

Tools

Microsoft Office

Job description

MaineGeneral Health is seeking a full-time Accounts Receivable Resolution Specialist to process payer claims and resolve denials to ensure timely reimbursement. The role focuses on accurate billing, verification of coverage, and coordination of benefits within a collaborative healthcare team.

The position requires 2+ years in healthcare insurance follow-up or related field, strong communication and analytical skills, and proficiency with Microsoft Office.