Account Resolution Specialist III

🔥 2 minutes ago

🌵 Arizona, California, +19 more states – Remote

🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🐊 Florida – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote ⚜️ Louisiana – Remote 🦬 Montana – 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

💵 $21 - $23 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Currance

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2020

🤝 B2B

🏢 Enterprise

B2B • Enterprise

Currance is a healthcare-focused revenue cycle management company that partners with hospitals, health systems, and physician groups to streamline billing, collections, and administrative workflows. They provide customizable, technology-enabled and hybrid solutions—insurance resolution, insurance management, and outsourced business office services—to accelerate cash collections, reduce accounts receivable days, and improve yield. Currance operates as a B2B service provider delivering consultative, performance-driven revenue cycle improvements across large and community healthcare organizations.

📋 Description

• Independently manage high-dollar, high volume, and complex accounts with significant financial impact. • Submit accurate medical claims in compliance with federal, state, and payer-specific requirements. • Resolve multi-level denials that require advanced research, payer escalation, and detailed follow-up. • Investigate and follow up with payers to collect insurance accounts receivables. • Prepare and submit first- and second-level appeals with complete supporting documentation, ensuring thorough tracking and follow-up to maximize reimbursement. • Execute and oversee EHR workflows in systems such as Epic, Cerner, Meditech, and Allscripts, including reroutes, denial closures, and account adjustments. • Review Explanation of Benefits (EOBs) to resolve payment discrepancies, claim denials, and contractual underpayments. • Complete rebills and corrections to maximize reimbursement. • Transforming revenue cycle differently. • Improving healthcare together. • Analyze discrepancies in payments and take corrective actions as needed. • Meet productivity benchmarks while maintaining high-quality standards. • Research, analyze, and correct errors and rejections, identify root causes, and implement preventive solutions. • Verify and adjust claims to ensure accurate client liability and account balance. • Stay informed about changes in payer guidelines and processes for accurate claim submissions. • Identify payer trends impacting reimbursement and bring findings to management for review. • Participate in daily shift briefings and contribute as needed.

🎯 Requirements

• High school diploma or equivalent required; Associate's degree preferred • CRCR certification or completion of certification required within 90 days of hire. • Minimum 3 years of experience in securing medical claim payments, managing follow-up, and appealing denials, with proven success resolving complex, high-value claims. • Advanced knowledge of ICD-10, CPT/HCPCS, payer policies, and reimbursement regulations. • Strong negotiation, research, and problem-solving abilities. • Experience using EHR/EMR systems such as Meditech, Epic, Cerner, Allscripts, Nextgen, or similar platforms to support billing and account resolution. • Proficiency in Microsoft Office Suite, Teams, and various desktop applications.

🏖️ Benefits

• Health insurance • Retirement plans • Paid time off • Flexible work arrangements • Professional development