Remote Accounts Receivable Resolution Specialist

Connections Health Solutions; Orangeburg (SC); Remote; USD 55,000 - 75,000; Full time

Benefits offered by this job

Health insurance

401k with match

Paid time off (PTO)

Life insurance

Flexible work arrangement

Job summary

Connections Health Solutions is hiring an Accounts Resolution Specialist for a fully remote role available in numerous states, including South Carolina. The position ensures accurate billing and timely payments by following up with insurers, validating denials, and submitting appeals using WAYSTAR.

Candidates should have strong AR experience and be comfortable working remotely. The role requires attention to detail, good judgment, and the ability to communicate with payers, patients, and

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.

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; 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.

Skills

Insurance claims follow-up

Claim denial management

Remote work experience

Education

High school diploma or equivalent

Bachelor’s degree in health care or related field

Tools

WAYSTAR

Avatar

Billing software

Job description

Connections Health Solutions is hiring an Accounts Resolution Specialist for a fully remote role available in numerous states, including South Carolina. The position ensures accurate billing and timely payments by following up with insurers, validating denials, and submitting appeals using WAYSTAR.

Candidates should have strong AR experience and be comfortable working remotely. The role requires attention to detail, good judgment, and the ability to communicate with payers, patients, and