Account Resolution Specialist III - Remote

Overview

As a healthcare revenue cycle business, we manage insurance claims and oversee timely claim resolution and payment processing for our clients.

In Short

• 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.

Requirements

• High school diploma or equivalent.
• Minimum 2 years of experience securing medical claim payments from health insurance companies.
• Experience using EMR/EHR systems such as Meditech, Epic, Cerner, Allscripts, Nextgen, or similar platforms.
• Strong working knowledge of ICD-10, CPT/HCPCS, payer guidelines, and the revenue cycle process.
• Strong written and verbal communication skills.
• Proficiency in Microsoft Office Suite, Teams, and various desktop applications.

Benefits

• Work in a fully remote environment.
• Competitive salary.
• Opportunity for professional growth.
• Comprehensive training and support.
• Collaborative team culture.