Remote Accounts Receivable Resolution Specialist

Connections Health Solutions; Elm (PA); Remote; USD 52,000 - 78,000; Full time

Benefits offered by this job

Health insurance

Basic Life

AD&D

Short and Long-Term Disability

Voluntary Life

Health Savings Accounts (employer com)

Flexible Spending Accounts

Generous PTO

Employee Assistance Program

401k Plan

Job summary

Connections Health Solutions is seeking an Accounts Resolution Specialist to help ensure accurate billing and reimbursement for crisis care services. This fully remote role supports insurance follow-up, appeal documentation, and denial resolution in a distributed team.

The ideal candidate has about 5 years in physician or facility billing/auditing, plus at least 1 year of remote work experience and a health-care background.

Qualifications

• ~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.
• Bachelor’s degree in health care or related field.

Responsibilities

• 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; 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.
• Assists billing with determining the proper disposition of or composing replies to incoming mail and other correspondence.

Skills

Insurance follow-up

Denial management

Remote work experience

Billing and auditing

Education

Bachelor’s degree in health care or related field

Job description

Connections Health Solutions is seeking an Accounts Resolution Specialist to help ensure accurate billing and reimbursement for crisis care services. This fully remote role supports insurance follow-up, appeal documentation, and denial resolution in a distributed team.

The ideal candidate has about 5 years in physician or facility billing/auditing, plus at least 1 year of remote work experience and a health-care background.