Remote AR Resolution Specialist - Denials & Appeals

Jobgether; Florida; Remote; USD 55,000 - 70,000; Full time

Benefits offered by this job

Comprehensive health coverage (medical

Dental and vision insurance

Life and disability insurance

Flexible Spending Accounts (FSA)

Remote work for eligible states

Paid time off & holidays

Job summary

Jobgether is seeking an Accounts Receivable Resolution Specialist for a fully remote, full-time role in the United States. You will handle complex AR cases, pursue appeals, and coordinate with insurers and providers to accelerate payments and improve collections within a behavioral health organization.

The ideal candidate has hands-on insurance claims follow-up and denial management experience, bachelor’s-level healthcare education, and a proven track record in physician or facility billing in a

Qualifications

• Hands-on experience in insurance claims follow-up, denial management, and healthcare billing.

Responsibilities

• Follow up on assigned accounts daily to reduce outstanding accounts receivable and accelerate reimbursement.
• Review denied claims promptly and identify 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.
• Follow established reporting lines and participate in departmental initiatives to reduce AR.
• Assist billing teams in determining appropriate responses to incoming mail and other correspondence.

Skills

Insurance claims follow-up

Denial management

Healthcare billing

Remote work experience

Analytical skills

Communication skills

Prioritization

Education

Bachelor's degree in healthcare or related field

High school diploma or GED

Tools

WAYSTAR

Avatar system

Job description

Jobgether is seeking an Accounts Receivable Resolution Specialist for a fully remote, full-time role in the United States. You will handle complex AR cases, pursue appeals, and coordinate with insurers and providers to accelerate payments and improve collections within a behavioral health organization.

The ideal candidate has hands-on insurance claims follow-up and denial management experience, bachelor’s-level healthcare education, and a proven track record in physician or facility billing in a