Remote Accounts Receivable Resolution Specialist (Healthcare)

Jobgether; Arizona; Remote; USD 58,000 - 82,000; Full time

Benefits offered by this job

Comprehensive healthcare coverage

401(k) plan with employer match

Paid time off 160 hours + holidays

Job summary

Jobgether is seeking an Accounts Receivable Resolution Specialist for a fully remote role in the United States. The position focuses on insurance claims follow-up, denial management, and appeals to accelerate payments for a behavioral health provider.

You will work with billing teams, insurers, providers, and patients to resolve discrepancies, document actions, and meet productivity standards. Remote work is available for eligible states.

Qualifications

• High school diploma, GED, or international equivalent.
• At least 2 years of experience in insurance claims follow-up.
• At least 2 years of experience in claims denial management.
• At least 5 years of experience working in a physician and/or healthcare facility business office.
• At least 1 year of experience working in a remote environment.
• Strong knowledge of insurance billing, claims follow-up, appeals, reimbursement processes, and denial resolution.
• Excellent analytical, organizational, and prioritization skills, with the ability to manage multiple complex accounts.
• Strong written and verbal communication skills, including the ability to work effectively with insurers, patients, providers, and internal teams.
• Good judgment, discretion, accountability, and a proactive approach to problem-solving.
• Ability to meet productivity expectations and follow established procedures and documentation standards.
• Compliance with the organization's mandatory vaccination policy, including providing proof of full vaccination or qualifying for an approved exemption before the start date.
• Compliance with seasonal flu vaccination requirements or the applicable exemption process, which may require masking during the designated flu season.

Responsibilities

• Follow up on assigned accounts daily to reduce outstanding accounts receivable and accelerate reimbursement.
• Review denied claims promptly and accurately, identifying appropriate resolution strategies, including authorization, retroactive authorization, and precertification.
• Prepare and submit appeal letters and payer-required documentation through WAYSTAR for unpaid or underpaid claims.
• Prioritize account resolution activities to improve efficiency and maximize collection outcomes.
• Document all actions and progress using standardized note formats in Avatar and WAYSTAR.
• Meet established departmental productivity and performance requirements.
• Communicate identified issues, improvement opportunities, and recommendations to leadership using the SBAR communication format.
• Follow established reporting lines and participate in departmental initiatives designed to reduce outstanding accounts receivable.
• Troubleshoot technology-related issues proactively and escape them according to departmental guidelines.
• Assist billing teams in determining appropriate responses to incoming mail and other correspondence.
• Perform additional duties as assigned to support the department's operational objectives.

Skills

Insurance billing

Claims follow-up

Denial resolution

Remote work experience

Communication skills

Education

High school diploma or GED

Bachelor's degree (preferred)

Tools

WAYSTAR

Avatar system

Job description

Jobgether is seeking an Accounts Receivable Resolution Specialist for a fully remote role in the United States. The position focuses on insurance claims follow-up, denial management, and appeals to accelerate payments for a behavioral health provider.

You will work with billing teams, insurers, providers, and patients to resolve discrepancies, document actions, and meet productivity standards. Remote work is available for eligible states.