Account Resolution Specialist II

🔥 1 hour ago

🌵 Arizona, California, +20 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 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🗿 South Dakota – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote ☕ Washington – Remote 🧀 Wisconsin – Remote

💵 $18 - $21 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Currance

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2020

🏥 Healthcare

🤝 B2B

🏢 Enterprise

Healthcare • 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

• Submit medical claims according to federal, state, and payer-specific requirements • Review and correct claim edits, errors, and denials to ensure accurate payment • Investigate and analyze claim errors and rejections • Follow up with payers and collect assigned insurance accounts receivable • Monitor payer updates and process changes • Evaluate non-payment reasons and resolve client claims • Prepare and submit first- and second-level appeals with supporting documentation • Identify and document coding, clinical, and registration issues for referral and correction • Escalate stalled claims to payers or Currance leadership • Verify and adjust claims so client accounts reflect correct liability and balances • Identify payer-specific issues and communicate them to the team and manager • Perform other duties assigned to support business needs • Achieve 100% of the project daily productivity goal • Achieve a 90% monthly quality assurance score

🎯 Requirements

• 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 • 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 • Knowledge of basic coding principles and payer-specific billing requirements • Knowledge of healthcare revenue cycle administration regulations and rules • Ability to investigate medical accounts and validate payments • Ability to make decisions, take action, learn collaboration and messaging tools, work independently, and achieve results with minimal oversight • Subject to criminal background, employment verification, and mandatory government exclusion checks as a condition of employment or engagement • Availability to work CST hours; preferred shifts are 7:00 AM–3:30 PM CST or 8:00 AM–4:30 PM CST