Remote Healthcare AR Resolution Specialist

Jobgether; Montgomery (AL); Remote; USD 55.000 - 75.000; Vollzeit

Benefits dieser Stelle

Health insurance

401(k) match

Paid time off

Life insurance

Disability insurance

Remote-friendly culture

Zusammenfassung

Jobgether, on behalf of a partner, seeks an Accounts Receivable Resolution Specialist based in the United States. The role is fully remote and full-time, focusing on processing, reimbursing, and resolving insurance claims for a behavioral healthcare organization.

You will work with billing teams, providers, patients, and insurers to investigate denials, coordinate appeals, and accelerate payments through WAYSTAR.

Qualifikationen

• Hands-on experience with insurance claims follow-up.
• Experience in claims denial management.
• 5+ years in physician or healthcare facility business office.
• 1 year remote work experience.
• Strong insurance billing knowledge and denial resolution.
• Excellent written and verbal communication.

Aufgaben

• Follow up on assigned accounts daily to reduce AR and accelerate reimbursement.
• Review denied claims 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 in Avatar and WAYSTAR using standard formats.
• Meet productivity and performance requirements.
• Communicate issues and recommendations to leadership using SBAR.
• Follow reporting lines and participate in initiatives to reduce AR.
• Troubleshoot technology issues and escalate as needed.
• Assist billing teams with incoming mail responses.
• Perform additional duties to support departmental objectives.

Kenntnisse

Insurance claims follow-up

Denial management

Healthcare billing

Remote work experience

Analytical skills

Communication skills

Ausbildung

High school diploma

Bachelor's degree in healthcare

Jobbeschreibung

Jobgether, on behalf of a partner, seeks an Accounts Receivable Resolution Specialist based in the United States. The role is fully remote and full-time, focusing on processing, reimbursing, and resolving insurance claims for a behavioral healthcare organization.

You will work with billing teams, providers, patients, and insurers to investigate denials, coordinate appeals, and accelerate payments through WAYSTAR.