Account Resolution Specialist II

🔥 20 minutes ago

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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

• 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. • Evaluate reasons for non-payment and take appropriate action to resolve claims for clients. • Prepare and submit first- and second-level appeals with supporting documentation in accordance with payer guidelines and timelines. • Identify and document coding, clinical, and registration issues for referral to the appropriate teams to correct claim errors and prevent future denials. • Escalate stalled claims to the payer or Currance leadership as needed. • Verify and adjust claims so that client accounts reflect correct liability and balances. • Perform other duties assigned to support business needs.

🎯 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 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.

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