Remote AR Denials Resolution Specialist

Jobgether; Accident (MD); Remote; USD 52.000 - 74.000; Vollzeit

Benefits dieser Stelle

Healthcare coverage

401(k) with employer match

Paid time off (PTO) — 160 hours + 12+"

Remote work

Zusammenfassung

Jobgether is assisting a partner company in recruiting an Accounts Receivable Resolution Specialist based in the United States for a fully remote, full-time role. You will manage complex AR cases, investigate claim denials, and coordinate appeals to accelerate payments from insurers and third-party payers.

The ideal candidate has hands-on experience in insurance claims follow-up and denial management, plus strong analytical and communication skills to resolve payment discrepancies in a

Qualifikationen

• 2+ years experience in insurance claims follow-up.
• 2+ years experience in claims denial management.
• 5+ years of experience in a physician and/or healthcare facility business office.
• 1+ year of experience working in a remote environment.
• Strong knowledge of insurance billing, claims follow-up, appeals, reimbursement processes, and denial resolution.

Aufgaben

• Follow up on assigned accounts daily to reduce outstanding accounts receivable and accelerate reimbursement.
• Review denied claims promptly and accurately, identifying appropriate resolution strategies.
• 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 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.

Kenntnisse

Insurance billing

Claims follow-up

Denial resolution

Analytical skills

Communication skills

Remote work experience

Ausbildung

High school diploma or equivalent

Bachelor’s degree in healthcare or related field

Tools

WAYSTAR

Avatar

Jobbeschreibung

Jobgether is assisting a partner company in recruiting an Accounts Receivable Resolution Specialist based in the United States for a fully remote, full-time role. You will manage complex AR cases, investigate claim denials, and coordinate appeals to accelerate payments from insurers and third-party payers.

The ideal candidate has hands-on experience in insurance claims follow-up and denial management, plus strong analytical and communication skills to resolve payment discrepancies in a