Remote Healthcare Claims Resolution Specialist

Currance, Inc.; Washington; Hybrid; USD 42,000 - 64,000; Full time

Job summary

Currance, Inc. is hiring an Account Resolution Specialist III to manage insurance claims for healthcare clients in a fully remote role across the United States. You will handle denials, appeals, and follow-up to ensure timely and accurate payments, working with multiple payer sources and EMR/EHR systems.

The position requires at least 2 years of experience in claim payments, knowledge of ICD-10/CPT/HCPCS, and strong communication skills to advocate with payers.

Qualifications

• High school diploma or equivalent.
• Minimum 2 years of experience securing medical claim payments from health insurance companies, experience managing claim follow-up and appealing denied claims with healthcare vendors or providers.
• Experience using EMR/EHR systems such as Meditech, Epic, Cerner, Allscripts, Nextgen, or similar platforms to support billing and account resolution.
• Strong working knowledge of ICD-10, CPT/HCPCS, payer guidelines, and the revenue cycle process.
• Strong written and verbal communication skills, with ability to advocate effectively with payers.
• Proficiency in Microsoft Office Suite, Teams, and various desktop applications.

Responsibilities

• Submit medical claims in accordance with all federal, state, and payer-specific requirements.
• Ensure claims are correctly submitted and paid by reviewing and correcting edits, errors, and denials.
• Investigate and analyze claim errors and rejections to apply necessary corrections.
• Follow up with payers and collect assigned insurance accounts receivable.
• Stay informed about payer updates and process changes for accurate claims submission and follow-up.
• Evaluate reasons for non-payment and take appropriate action to resolve claims for clients.
• Prepare and submit first- and second-level appeals with supporting documentation in accordance with payer guidelines and timelines.
• Identify and document coding, clinical, and registration issues for referral to the appropriate teams to correct claim errors and prevent future denials.
• Escalate stalled claims to the payer or Currance leadership as needed.
• Verify and adjust claims so that client accounts reflect correct liability and balances.
• Perform other duties assigned to support business needs.

Skills

Communication skills

Attention to detail

Problem solving

Ability to work independently

Education

High school diploma

Tools

Meditech

Epic

Cerner

Allscripts

NextGen

Job description

Currance, Inc. is hiring an Account Resolution Specialist III to manage insurance claims for healthcare clients in a fully remote role across the United States. You will handle denials, appeals, and follow-up to ensure timely and accurate payments, working with multiple payer sources and EMR/EHR systems.

The position requires at least 2 years of experience in claim payments, knowledge of ICD-10/CPT/HCPCS, and strong communication skills to advocate with payers.