Account Resolution Specialist III

🔥 0 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

👻 Ghost score 0%

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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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

• Independently manage high-dollar, high-volume, and complex accounts • Submit accurate medical claims according to federal, state, and payer-specific requirements • Resolve multi-level denials through advanced research, payer escalation, and detailed follow-up • Investigate payers and collect insurance accounts receivable • Prepare and submit first- and second-level appeals with supporting documentation • Execute and oversee EHR workflows in Epic, Cerner, Meditech, and Allscripts, including reroutes, denial closures, and account adjustments • Review EOBs to resolve payment discrepancies, denials, and contractual underpayments • Complete rebills and corrections to maximize reimbursement • Analyze payment discrepancies and take corrective action • Meet productivity and quality benchmarks • Research and correct errors and rejections, identify root causes, and implement preventive solutions • Verify and adjust claims for accurate client liability and account balances • Stay informed about payer guideline and process changes • Identify payer trends affecting reimbursement and report findings to management • Participate in daily shift briefings • Achieve 125% of the project daily goal and a 95% monthly quality assurance score

🎯 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 • 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 • Proficiency in Microsoft Office Suite, Teams, and various desktop applications • Knowledge of healthcare revenue cycle administration rules and regulations • Ability to validate payments, make decisions, research healthcare revenue cycle rules, and maintain quality and timeliness of work • Candidates located in MST, CST, or PST time zones are preferred

🏖️ Benefits

• CRCR certification completion required within 90 days of hire • Criminal background check, employment verification check, and government exclusion check conducted as part of hiring