Remote Healthcare AR Resolution Specialist

Jobgether; Salem (OR); À distance; USD 52 000 - 75 000; Plein temps

Avantages offerts par ce poste

Medical, dental, and vision insurance

401(k) plan with employer match

Generous PTO and holidays

Life insurance and disability coverage

Support resources and financial/legal/

Résumé du poste

Jobgether is seeking an Accounts Receivable Resolution Specialist for a fully remote, full‑time role in the United States. You will help maintain the organization’s revenue health by ensuring insurance claims are processed, reimbursed, and resolved, collaborating with billing teams, providers, patients, and insurers.

The ideal candidate has hands-on experience in claims follow‑up and denial management, strong analytical and communication skills, and the ability to work in a remote environment.

Qualifications

• Minimum 2 years of experience in insurance claims follow‑up.
• Minimum 2 years of experience in claims denial management.
• At least 5 years of experience in 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 and denial resolution.
• Excellent analytical, organizational, and prioritization skills.
• Ability to meet productivity expectations and follow established procedures.
• Compliance with vaccination policy including proof of full vaccination or approved exemption; masking may be required during flu season.

Responsabilités

• Follow up on assigned accounts daily to reduce outstanding accounts receivable and accelerate reimbursement.
• Review denied claims promptly and accurately, identifying resolution strategies such as authorization and precertification.
• Prepare and submit appeal letters and payer documentation through WAYSTAR for unpaid or underpaid claims.
• Prioritize account resolution activities to improve efficiency and maximize collection outcomes.
• Document all actions and progress in Avatar and WAYSTAR.
• Meet established productivity and performance requirements.
• Communicate issues and recommendations to leadership using the SBAR format.
• Troubleshoot technology-related issues and support billing teams.
• Perform additional duties as assigned to support the department’s objectives.

Connaissances

Claims follow-up

Denial management

Healthcare billing

Communication

Analytical skills

Remote work experience

Documentation

Multitasking

Formation

High school diploma

Bachelor’s degree in healthcare

Outils

WAYSTAR

Avatar

Description du poste

Jobgether is seeking an Accounts Receivable Resolution Specialist for a fully remote, full‑time role in the United States. You will help maintain the organization’s revenue health by ensuring insurance claims are processed, reimbursed, and resolved, collaborating with billing teams, providers, patients, and insurers.

The ideal candidate has hands-on experience in claims follow‑up and denial management, strong analytical and communication skills, and the ability to work in a remote environment.