Payer Issues Resolver — Revenue Cycle Expert

Socket.dev; Warrensburg (MO); On-site; USD 42,000 - 54,000; Full time

Job summary

Socket.dev in Warrensburg, MO is seeking a Payer Account Resolution Specialist to ensure claims move from the clearing house to the payer for adjudication. You will gather documentation, monitor timely filing limits, and help maintain cash flow by reducing delays.

The role requires a high school diploma and 2+ years in healthcare billing or revenue cycle, familiarity with MEDITECH, CPT/HCPCS/ICD-10 coding, and strong detail orientation, organization, and teamwork.

Qualifications

• High school diploma or equivalent.
• 2+ years in healthcare billing or revenue cycle.
• Experience with MEDITECH EHR.
• Understanding CPT, HCPCS, ICD-10 coding.
• Knowledge of Explanation of Benefits.
• Attention to detail and accuracy.
• Time management and deadlines.
• Strong organizational skills.
• Effective communication and teamwork.
• Ability to follow standardized workflows.

Responsibilities

• Monitor aging AR buckets and identify unadjudicated claims (>30 days).
• Contact payers via portal, chat or phone to resolve issues.
• Monitor timely filing limits and documentation requests.
• Document all account activities and actions.
• Locate missing remits/payments.
• Coordinate claim corrections with relevant departments.
• Escalate complex issues as needed.
• Identify opportunities for process improvements.
• Communicate trends to leadership.

Skills

Attention to detail

Time management

Strong organizational skills

Effective communication

Teamwork

Ability to follow workflows

Education

High School Diploma or equivalent

2+ years healthcare billing/revenue cycle experience

Tools

MEDITECH EHR

Job description

Socket.dev in Warrensburg, MO is seeking a Payer Account Resolution Specialist to ensure claims move from the clearing house to the payer for adjudication. You will gather documentation, monitor timely filing limits, and help maintain cash flow by reducing delays.

The role requires a high school diploma and 2+ years in healthcare billing or revenue cycle, familiarity with MEDITECH, CPT/HCPCS/ICD-10 coding, and strong detail orientation, organization, and teamwork.