Remote Accounts Receivable Resolution Specialist – Denials

Connections Health Solutions; Town of King (WI); Remote; USD 40.000 - 60.000; Vollzeit

Benefits dieser Stelle

Health insurance

Dental insurance

Vision insurance

Life insurance

Short‑term disability

401(k) plan

Zusammenfassung

Connections Health Solutions is seeking an Accounts Resolution Specialist to support billing and insurance follow‑up, denial management, and remote work in a physician and behavioral health setting. You will validate claims, file appeals using WAYSTAR, and document resolutions to improve cash flow and accuracy.

The role emphasizes remote work experience, detailed billing/auditing skills, and strong customer service in a fully remote environment, with full-time hours and comprehensive benefits on

Qualifikationen

• ~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.
• ~5 years of experience with physician and/or facility billing/auditing within a behavioral health environment.

Aufgaben

• 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.

Kenntnisse

Insurance claims follow-up

Claim denial management

Remote work experience

Customer service

Ausbildung

Bachelor’s degree in health care or related field

High School diploma or GED

Tools

WAYSTAR

Avatar

Jobbeschreibung

Connections Health Solutions is seeking an Accounts Resolution Specialist to support billing and insurance follow‑up, denial management, and remote work in a physician and behavioral health setting. You will validate claims, file appeals using WAYSTAR, and document resolutions to improve cash flow and accuracy.

The role emphasizes remote work experience, detailed billing/auditing skills, and strong customer service in a fully remote environment, with full-time hours and comprehensive benefits on