Remote AR Resolution Specialist – Healthcare Claims

Jobgether

Minneota (MN)

Remote

USD 55,000 - 75,000

Full time

6 days ago
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Job summary

Jobgether is seeking an Accounts Receivable Resolution Specialist for a fully remote position in the United States. You will manage complex AR cases, follow up on claims, and coordinate appeals to accelerate payments from insurers and third-party payers.

The role emphasizes collaboration with billing teams, providers, patients, and insurers to improve collections in a mission-driven healthcare setting. Eligibility includes state-appropriate remote work and a focus on denial management,

Qualifications

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

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 and precertification.
  • Prepare and submit appeal letters and payer documentation through WAYSTAR for unpaid/underpaid claims.
  • Prioritize account resolution activities to improve efficiency and outcomes.
  • Document actions and progress using standard notes in Avatar and WAYSTAR.
  • Meet productivity and performance requirements of the department.
  • Communicate issues and improvements to leadership using SBAR.
  • Follow reporting lines and participate in initiatives to reduce AR.
  • Troubleshoot technology-related issues and escalate as needed.
  • Assist billing teams with handling incoming mail and correspondence.

Skills

Insurance billing
Claims follow-up
Denial management
Communication
Analytical thinking

Education

High school diploma
Bachelor's degree in healthcare

Tools

WAYSTAR
Avatar

Job description

Jobgether is seeking an Accounts Receivable Resolution Specialist for a fully remote position in the United States. You will manage complex AR cases, follow up on claims, and coordinate appeals to accelerate payments from insurers and third-party payers.

The role emphasizes collaboration with billing teams, providers, patients, and insurers to improve collections in a mission-driven healthcare setting. Eligibility includes state-appropriate remote work and a focus on denial management,

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