Remote AR Resolution Specialist — Healthcare Billing

Connections Health Solutions; New Jersey; Remote; USD 55.000 - 75.000; Vollzeit

Benefits dieser Stelle

Health insurance

401k company match

Paid time off

Parental leave

Employee assistance program

Zusammenfassung

Connections Health Solutions is hiring a fully remote Accounts Resolution Specialist to ensure proper billing and timely reimbursements. You will coordinate with insurance payers, manage denials, and work with our billing systems to resolve accounts efficiently.

The role requires 2+ years in claims follow-up, 2+ years denial management, and about 5 years in a physician/facility business office. A remote-friendly candidate in the United States is preferred.

Qualifikationen

• 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.
• Company vaccination policy requires full vaccination or exemption prior to start date.

Aufgaben

• 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 authorization/retro authorization/precertification.
• Utilizes WAYSTAR to submit appeal letters and payer-required documentation.
• Prioritizes work to increase efficiency in the collections process.
• Documents action taken toward account resolution within Avatar and WAYSTAR using standardized note format.
• Meets productivity requirements as set within the department.

Kenntnisse

Insurance claims follow-up

Claim denial management

Remote work

Billing

Ausbildung

High School diploma

Bachelor’s degree (nice-to-have)

Tools

WAYSTAR

Avatar

Jobbeschreibung

Connections Health Solutions is hiring a fully remote Accounts Resolution Specialist to ensure proper billing and timely reimbursements. You will coordinate with insurance payers, manage denials, and work with our billing systems to resolve accounts efficiently.

The role requires 2+ years in claims follow-up, 2+ years denial management, and about 5 years in a physician/facility business office. A remote-friendly candidate in the United States is preferred.