Account Resolution Specialist III - HB/PB

Remote
Full Time
Experienced

We are hiring in the following States:
AZ, CA, CO, CT, FL, GA, HI, IL, MA, ME, MN, MO, NV, OK, PA, TN, TX, VA, WA


This is a remote position. Candidates who meet the minimum qualifications will be required to complete a video prescreen to move forward in the hiring process. 

Hourly Rate: $21.00 - $23.50

Benefits: PTO, 401K, medical, dental, vision, life insurance, paid holidays, and more

Job Overview  

Ensure continuation of revenue flow by overseeing proper claim submission and payment through review and correction of claim edits, errors and denials. Act as SME for account resolution; to include handling denials, appeals, and account follow-up across various payer types, contributing to the financial success of the healthcare organizations that we support.  Work with various client teams.  

Job Duties and Responsibilities  

  • Execute tasks to drive revenue by resolving accounts for company clients.  

  • Address and resolve escalated or delayed claims. 

  • Deliver training and support to ARSI and ARSII staff to enhance quality and productivity. 

  • Mentor ARS Is and ARS IIs to elevate their skill levels. 

  • Submit claims in accordance with Federal, State, and payer mandated guidelines. 

  • Meet productivity standards while upholding high-quality performance. 

  • Accountable for researching, analyzing, and reviewing claim errors and rejections, and applying appropriate corrections. 

  • Ensure claims submitted to payers are free from controllable errors, preventing returns or denials.  

  • Maintain required knowledge of payer updates and process modifications to ensure accuracy of claims submissions 

  • Investigate, follow up with payers, and collect on insurance accounts receivables. 

  • Verify and adjust claims to ensure that client accounts accurately reflect the correct liability and balance. 

  • Identify any payer specific issues and communicate to team and manager. 

  • Conduct training on operational workflows for new hires. 

  • Perform quality audits during training for new hires. 

  • Participate and contribute to daily shift briefings. 
  • Other duties and responsibilities as assigned to meet Company business needs

Qualifications  

  • Bachelor’s degree in healthcare management or related field preferred. 

  • 3-5 years of experience working with health insurance companies in securing payment for medical claims. 

  • 3-5 years of experience working with a vendor or directly with hospitals and physician groups, managing claims follow-up and submitting appeals.  

  • Experience in one or more EMR systems such as Epic, Cerner, Allscripts, Nextgen, or comparable platforms is required. 

  • Proficiency with computers including Microsoft Office Suite/Teams, GoToMeeting/Zoom, etc. 

Knowledge, Skills, and Abilities  

  • Knowledge of ICD-10 Diagnosis and procedure codes and CPT/HCPCS codes 

  • Knowledge of rules and regulations relative to Healthcare Revenue Cycle administration 

  • Skilled in medical accounts investigation. 

  • Ability to achieve results with little oversight. 

  • Skilled in investigating and resolving complex and escalated claims 

  • Proficient in researching and identifying new rules and regulations related to revenue cycle management 

  • Ability to validate payments 

  • Ability to make decisions and act. 

  • Ability to maintain a positive outlook, a pleasant demeanor, and act in the best interest of the organization and the client. 

  • Ability to take professional responsibility for quality and timeliness of work product. 

Share

Apply for this position

Required*
Apply with Indeed
We've received your resume. Click here to update it.
Attach resume as .pdf, .doc, .docx, .odt, .txt, or .rtf (limit 5MB) or Paste resume

Paste your resume here or Attach resume file

To comply with government Equal Employment Opportunity and/or Affirmative Action reporting regulations, we are requesting (but NOT requiring) that you enter this personal data. This information will not be used in connection with any employment decisions, and will be used solely as permitted by state and federal law. Your voluntary cooperation would be appreciated. Learn more.

Invitation for Job Applicants to Self-Identify as a U.S. Veteran
  • A “disabled veteran” is one of the following:
    • a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or
    • a person who was discharged or released from active duty because of a service-connected disability.
  • A “recently separated veteran” means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.
  • An “active duty wartime or campaign badge veteran” means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.
  • An “Armed forces service medal veteran” means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.
Veteran status



Voluntary Self-Identification of Disability
Voluntary Self-Identification of Disability Form CC-305
OMB Control Number 1250-0005
Expires 04/30/2026
Why are you being asked to complete this form?

We are a federal contractor or subcontractor. The law requires us to provide equal employment opportunity to qualified people with disabilities. We have a goal of having at least 7% of our workers as people with disabilities. The law says we must measure our progress towards this goal. To do this, we must ask applicants and employees if they have a disability or have ever had one. People can become disabled, so we need to ask this question at least every five years.

Completing this form is voluntary, and we hope that you will choose to do so. Your answer is confidential. No one who makes hiring decisions will see it. Your decision to complete the form and your answer will not harm you in any way. If you want to learn more about the law or this form, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.

How do you know if you have a disability?

A disability is a condition that substantially limits one or more of your “major life activities.” If you have or have ever had such a condition, you are a person with a disability. Disabilities include, but are not limited to:

  • Alcohol or other substance use disorder (not currently using drugs illegally)
  • Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, HIV/AIDS
  • Blind or low vision
  • Cancer (past or present)
  • Cardiovascular or heart disease
  • Celiac disease
  • Cerebral palsy
  • Deaf or serious difficulty hearing
  • Diabetes
  • Disfigurement, for example, disfigurement caused by burns, wounds, accidents, or congenital disorders
  • Epilepsy or other seizure disorder
  • Gastrointestinal disorders, for example, Crohn's Disease, irritable bowel syndrome
  • Intellectual or developmental disability
  • Mental health conditions, for example, depression, bipolar disorder, anxiety disorder, schizophrenia, PTSD
  • Missing limbs or partially missing limbs
  • Mobility impairment, benefiting from the use of a wheelchair, scooter, walker, leg brace(s) and/or other supports
  • Nervous system condition, for example, migraine headaches, Parkinson’s disease, multiple sclerosis (MS)
  • Neurodivergence, for example, attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder, dyslexia, dyspraxia, other learning disabilities
  • Partial or complete paralysis (any cause)
  • Pulmonary or respiratory conditions, for example, tuberculosis, asthma, emphysema
  • Short stature (dwarfism)
  • Traumatic brain injury
Please check one of the boxes below:

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.

You must enter your name and date
Human Check*