Remote AR Resolution Specialist – Healthcare Claims Expert

Connections Health Solutions; Minnesota; Remote; USD 42.000 - 64.000; Vollzeit

Benefits dieser Stelle

Health insurance

401k with company match

Generous PTO

Parental leave

EAP program

Remote work

Zusammenfassung

Connections Health Solutions is seeking an Accounts Resolution Specialist for a fully remote role across multiple states. You will help ensure accurate billing and timely reimbursements by following up with insurance carriers, resolving denials, and submitting required documentation using WAYSTAR and Avatar.

Strong communication with leadership and a focus on AR reduction are essential. The position requires experience in medical billing, remote work, and adherence to vaccination and flu-season

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.
• The Company has a mandatory vaccination policy. All successful applicants must be fully vaccinated, including showing proper documentation, or otherwise be exempt pursuant to the Company’s exemption process prior to their start date as a condition of employment
• Must have flu shot or exemption requiring masking during company established flu season.

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 but not limited to; authorization/retro authorization/precertification.
• 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.
• Meets productivity requirements as set within the department.
• Effectively communicates identified opportunities with leadership utilizing SBAR format.
• Follows chain of command as defined through CHS leadership. Participates in coordinated departmental initiatives related to AR reduction.
• Takes initiative to troubleshoot technological issues and communicates to leadership according to department guidelines. Assists billing with determining the proper disposition of or composing replies to incoming mail and other correspondence.
• Performs all other duties as assigned.

Kenntnisse

Insurance claims follow-up

Claim denial management

Remote work experience

Physician/facility billing

Ausbildung

High school diploma

Bachelor’s degree (nice to have)

Tools

WAYSTAR

Avatar

Jobbeschreibung

Connections Health Solutions is seeking an Accounts Resolution Specialist for a fully remote role across multiple states. You will help ensure accurate billing and timely reimbursements by following up with insurance carriers, resolving denials, and submitting required documentation using WAYSTAR and Avatar.

Strong communication with leadership and a focus on AR reduction are essential. The position requires experience in medical billing, remote work, and adherence to vaccination and flu-season