Remote AR Resolution Specialist – Billing & Denial Expert

Connections Health Solutions; Florida; Teletrabalho; USD 52 000 - 76 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Health insurance

401k

Paid time off

Resumo da oferta

Connections Health Solutions is seeking an Accounts Resolution Specialist to ensure accurate billing and reimbursements for our crisis care programs. This fully remote role supports patients and payers across eligible states and uses our billing platforms to resolve denials efficiently.

You will follow up on daily accounts, validate denials, prepare appeal documentation, and collaborate with the billing team to improve the revenue cycle.

Qualificações

• This is a fully remote position in these states.
• 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. 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

Responsabilidades

• 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.

Conhecimentos

Insurance billing

Denial management

Remote work

Customer service

Communication

Formação académica

High School diploma

Bachelor’s degree in healthcare or related field

Ferramentas

WAYSTAR

Avatar system

Descrição da oferta de emprego

Connections Health Solutions is seeking an Accounts Resolution Specialist to ensure accurate billing and reimbursements for our crisis care programs. This fully remote role supports patients and payers across eligible states and uses our billing platforms to resolve denials efficiently.

You will follow up on daily accounts, validate denials, prepare appeal documentation, and collaborate with the billing team to improve the revenue cycle.