Account Resolution Specialist II

🕒 Julho 29

🌵 Arizona, California, +18 estados a mais – Remoto

🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🐊 Florida – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote ⚜️ Louisiana – Remote 🌾 Nebraska – Remote 🎰 Nevada – Remote 🏖️ New Jersey – Remote 🌲 North Carolina – Remote 🌪️ Oklahoma – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🗿 South Dakota – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote ☕ Washington – Remote 🧀 Wisconsin – Remote

💵 $18 - $21 / hora

⏰ Tempo Integral

🟢 Júnior

🟡 Pleno

🚫👨‍🎓 Sem graduação necessária

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Currance

SiteLinkedInTodas as Vagas

201 - 500 funcionários

Fundada em 2020

🏥 Saúde

🤝 B2B

🏢 Corporativo

Healthcare • B2B • Enterprise

Currance é uma empresa de gestão do ciclo de receita focada em saúde que faz parceria com hospitais, sistemas de saúde e grupos de médicos para otimizar os fluxos de trabalho de faturamento, cobranças e administrativos. Eles fornecem soluções personalizáveis, habilitadas por tecnologia e híbridas - resolução de seguros, gestão de seguros e serviços terceirizados de escritório de negócios - para acelerar a coleta de caixa, reduzir os dias de contas a receber e melhorar os resultados. A Currance opera como um fornecedor de serviços B2B, oferecendo melhorias consultivas do ciclo de receita orientadas por desempenho em grandes organizações de saúde e comunidades.

Descrição

• As an Account Resolution Specialist II, your main responsibility is to manage insurance claims for clients, ensuring that payments are processed accurately and in a timely manner. • Manage insurance claims for clients, ensuring payments are processed accurately and timely. • Handle claim denials, appeals, and account follow-up for various payer sources. • 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. • Prepare and submit first- and second-level appeals with supporting documentation.

🎯 Requisitos

• 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.