Remote AR Resolution Specialist – Denials & Appeals

Connections Health Solutions; Pennsylvania; Remote; USD 52,000 - 64,000; Full time

Benefits offered by this job

Comprehensive health insurance

Generous PTO and holidays

401(k) plan enrollment after 90 days

Employee Assistance Program

Life insurance and disability coverage

Voluntary life insurance option

Job summary

Connections Health Solutions is seeking an Accounts Resolution Specialist to reinforce our billing operations and maximize reimbursement accuracy. You will handle insurance claim follow‑ups, manage denials, and work within a physician/facility billing environment in a fully remote capacity.

Ideal candidates will have 2 years of claims follow‑up, 2 years of denial management, and 5 years in a healthcare business office, plus a Bachelor’s degree in health care or related field.

Qualifications

• Approximately 2 years of insurance claims follow‑up.
• Approximately 2 years of claim denial management.
• Approximately 5 years of experience in a physician and/or facility business office.
• Approximately 1 year of experience working remotely.
• Bachelor’s degree in health care or related field is required.
• Approximately 5 years of experience with physician and/or facility billing/auditing within a behavioral health environment.

Responsibilities

• 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.

Skills

Insurance claims follow-up

Claim denial management

Physician/facility business office

Remote work experience

Vaccination policy awareness

Education

Bachelor’s degree in health care or related field

Job description

Connections Health Solutions is seeking an Accounts Resolution Specialist to reinforce our billing operations and maximize reimbursement accuracy. You will handle insurance claim follow‑ups, manage denials, and work within a physician/facility billing environment in a fully remote capacity.

Ideal candidates will have 2 years of claims follow‑up, 2 years of denial management, and 5 years in a healthcare business office, plus a Bachelor’s degree in health care or related field.