Remote AR Resolution Specialist (Healthcare Claims)

Jobgether; Ohio; Remote; USD 55.000 - 75.000; Vollzeit

Zusammenfassung

Jobgether is seeking an Accounts Receivable Resolution Specialist on behalf of a behavioral health organization. In a fully remote, full-time role, you will follow up on insurance claims, investigate denials, and coordinate appeals to accelerate payments from insurance companies and third-party payers.

The ideal candidate has at least 2 years in claims follow-up and denial management, strong knowledge of billing processes, remote work experience, and excellent communication with payers,

Qualifikationen

• Experience in insurance claims follow-up and denial management.
• Knowledge of reimbursement processes and denial resolution.
• Experience in physician/healthcare facility billing preferred.

Aufgaben

• Follow up daily on assigned accounts to reduce AR and accelerate reimbursement.
• Review denied claims and apply resolution strategies including authorization and precertification.
• Prepare and submit appeal letters and payer documentation via WAYSTAR.
• Document actions in Avatar and WAYSTAR and meet productivity standards.
• Communicate issues and recommendations to leadership using SBAR format.

Kenntnisse

Insurance claims follow-up

Claims denial management

Healthcare billing

Remote work experience

Ausbildung

High school diploma or GED

Bachelor's degree in healthcare or related field

Tools

WAYSTAR

Avatar system

Jobbeschreibung

Jobgether is seeking an Accounts Receivable Resolution Specialist on behalf of a behavioral health organization. In a fully remote, full-time role, you will follow up on insurance claims, investigate denials, and coordinate appeals to accelerate payments from insurance companies and third-party payers.

The ideal candidate has at least 2 years in claims follow-up and denial management, strong knowledge of billing processes, remote work experience, and excellent communication with payers,