Insurance Accounts Receivable Specialist II

Job not on LinkedIn

🕒 August 14

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💰 Accounts Receivable

👻 Ghost score 24%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Solaris Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2020

⚕️ Healthcare Insurance

🏥 Healthcare

🧬 Biotechnology

Healthcare Insurance • Healthcare • Biotechnology

Solaris Health is a leading national healthcare platform committed to enhancing access to specialty healthcare and continually improving patient outcomes. With over 1 million unique patients annually and 730+ providers across the country, Solaris Health operates 236+ patient offices in 14 states, focusing on innovative delivery of high-quality, value-driven care.

📋 Description

• Perform billing-related tasks including data entry, claim review, charge review, and accounts receivable follow-up • Resolve complex insurance denials related to medical necessity, non-covered services, and bundling • Manage higher-volume and higher-complexity work while maintaining accuracy and productivity • Complete daily assignments in designated work queues • Use CBO Pathways, payer websites, billing systems, and training resources to resolve unpaid or incorrectly paid claims and authorize procedures • Identify and escalate payer issues, provider credentialing discrepancies, and coding concerns • Review reports to identify unpaid claims and revenue opportunities • Communicate with providers, patients, coders, and other stakeholders to ensure efficient claims processing • Provide feedback and recommendations on system edits, billing processes, policies, and procedures • Attend training sessions, meetings, and workgroups • Maintain patient confidentiality and support consistent operations • Collaborate with team members and explain processes and procedures as needed • Make system corrections and resubmit claims according to payer requirements • Report suspected compliance concerns or violations • Perform other related duties as assigned

🎯 Requirements

• High school diploma or equivalent required • Previous experience in a customer service or healthcare setting preferred • Strong written and verbal communication skills • Working knowledge of insurance policies, denial types, and medical terminology • Ability to prioritize tasks, manage time effectively, and meet performance benchmarks • Demonstrated problem-solving skills and follow-through on account resolution • Skill in using computer programs and applications including Microsoft Office • Maintain patient confidentiality in compliance with HIPAA • Comply with applicable laws, regulations, Solaris Health Code of Conduct, and organizational policies • Complete Annual Compliance Training

🏖️ Benefits

• PTO • Holiday pay • Comprehensive benefits package • Health insurance • Dental insurance • Vision insurance • Life Insurance • Pet Insurance • Health savings account • Paid sick time • Paid time off • Paid holidays • Profit sharing • Retirement plan • No weekends, evenings, or holidays