Account Resolution Specialist III

🔥 5 minutes 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

💵 $21 - $23 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

What it means: the chance that no one is really hiring for this job.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 with significant financial impact • Submit accurate medical claims in compliance with federal, state, and payer-specific requirements • Resolve multi-level denials through 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, tracking and following up to maximize reimbursement • Execute and oversee EHR workflows, including reroutes, denial closures, and account adjustments • Review EOBs to resolve payment discrepancies, claim denials, and contractual underpayments • Complete rebills and corrections to maximize reimbursement • Analyze payment discrepancies and take corrective actions • Meet productivity and quality benchmarks • 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 payer guideline and process changes • Identify payer trends impacting reimbursement and bring findings to management • Participate in daily shift briefings • Achieve 125% of the project daily productivity 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, 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 • Proficiency in Microsoft Office Suite, Teams, and various desktop applications • Knowledge of ICD-10 diagnosis and procedure codes and CPT/HCPCS codes • Knowledge of rules and regulations relative to Healthcare Revenue Cycle administration • Ability to validate payments, make decisions, learn and use collaboration tools and messaging systems, and research healthcare revenue cycle rules and regulations • Criminal background check, employment verification check, and government exclusion check required as conditions of employment or engagement

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