Remote Accounts Receivable Resolution Specialist

Connections Health Solutions; Central City (KY); À distance; USD 36 000 - 60 000; Plein temps

Avantages offerts par ce poste

Health insurance (medical, dental, and

401k with company match

Generous PTO 160 hours + 12 holidays

Company-paid parental leave

Employee Assistance Program

Auto-enrollment in 401k after 90 days

Résumé du poste

Connections Health Solutions is seeking an Accounts Resolution Specialist to ensure proper billing and reimbursement, working remotely across multiple states. You'll manage follow-up on AR, denied claims, and appeals, while providing excellent customer service and acting as a communication bridge with patients, insurers, and providers.

This role requires strong judgment, extensive experience with insurance billing systems, and the ability to work independently in a remote environment while

Qualifications

• 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
• Must have flu shot or exemption requiring masking during company established flu season.

Responsabilités

• 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.

Connaissances

Insurance claims follow-up

Claim denial management

Remote work experience

Communication skills

Discretion & judgment

Formation

High School diploma / GED

Bachelor’s degree in health care or related field

Outils

WAYSTAR

Avatar

Description du poste

Connections Health Solutions is seeking an Accounts Resolution Specialist to ensure proper billing and reimbursement, working remotely across multiple states. You'll manage follow-up on AR, denied claims, and appeals, while providing excellent customer service and acting as a communication bridge with patients, insurers, and providers.

This role requires strong judgment, extensive experience with insurance billing systems, and the ability to work independently in a remote environment while