Remote AR Resolution Specialist: Insurance Claims Expert

Jobgether; South Carolina; À distance; USD 55 000 - 75 000; Plein temps

Avantages offerts par ce poste

Healthcare coverage

401(k) plan with match

PTO 160 hours + holidays

Remote work

Résumé du poste

Jobgether, on behalf of a partner, seeks an Accounts Receivable Resolution Specialist for a fully remote U.S. position. You will manage complex AR cases, investigate denials, and coordinate appeals to accelerate payments from insurance payers.

The role supports revenue cycle operations in a behavioral health organization. You will work with billing teams, providers, patients, and insurers, requiring strong analytical, organizational, and communication skills, including SBAR reporting.

Qualifications

• Hands-on experience in insurance claims follow-up.
• Experience in claims denial management and appeals process.
• Strong knowledge of healthcare billing and reimbursement processes.
• Proven ability to work in a remote environment.

Responsabilités

• Follow up on assigned accounts to reduce AR and accelerate reimbursement.
• Review denied claims and prepare appeal letters with payer documentation.
• Submit documentation through WAYSTAR for unpaid/underpaid claims.
• Document actions and progress in Avatar and WAYSTAR systems.
• Communicate issues and recommendations to leadership.

Connaissances

Insurance claims follow-up

Denial management

Healthcare billing

Remote work

Formation

High school diploma or GED

Outils

WAYSTAR

Avatar

Description du poste

Jobgether, on behalf of a partner, seeks an Accounts Receivable Resolution Specialist for a fully remote U.S. position. You will manage complex AR cases, investigate denials, and coordinate appeals to accelerate payments from insurance payers.

The role supports revenue cycle operations in a behavioral health organization. You will work with billing teams, providers, patients, and insurers, requiring strong analytical, organizational, and communication skills, including SBAR reporting.