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Account Resolution Specialist II

🔥 1 minute ago

🌵 Arizona, California, +20 more states – Remote

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💵 $18 - $20 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

Where this job comes from

Posted on Currance's careers page, not through a job board

First seen by Remote Rocketship 1 minute ago

Logo of Currance

Currance

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

• Manage insurance claims for healthcare clients, ensuring accurate and timely payment processing • Handle claim denials, appeals, account follow-up, collections, self-pay account resolution, customer service, and overall account management • Manage accounts receivable from claim billing through final resolution • Support government or commercial payer portfolios, including Medicare, Medicaid, Medicare Advantage, Veterans Affairs, Workers' Compensation, and commercial health plans • Submit medical claims according to federal, state, and payer-specific requirements • Review and correct claim edits, errors, and denials • Investigate and analyze claim errors and rejections and apply necessary corrections • Follow up with payers and collect assigned insurance accounts receivable • Monitor payer updates and process changes • Evaluate non-payment reasons and resolve claims • Prepare and submit first- and second-level appeals with supporting documentation • Identify and document coding, clinical, and registration issues for referral to appropriate teams • Escalate stalled claims to payers or Currance leadership • Verify and adjust claims to ensure correct client account liabilities and balances • Communicate payer-specific issues to the team and manager • Perform other duties assigned to support business needs • Achieve 100% of the project daily productivity goal and 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 regulations and rules related to Healthcare Revenue Cycle administration • Skilled in investigating medical accounts • Ability to validate payments • Ability to make decisions and take action • Ability to quickly learn and use collaboration and messaging tools • Ability to work independently and achieve results with minimal oversight • Must meet productivity goal of 100% of the project daily goal • Must meet quality goal of 90% monthly quality assurance score • Candidates are subject to criminal background, employment verification, and government exclusion checks as a condition of employment or engagement

🏖️ Benefits

• Remote position • Team coverage hours typically 7:30 AM to 7:30 PM CST • Criminal background check, employment verification check, and mandatory government exclusion check conducted as part of the hiring process

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