Account Resolution Specialist III

🕒 July 3

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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

• 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 that require 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, ensuring thorough tracking and follow-up to maximize reimbursement • Execute and oversee EHR workflows in systems such as Epic, Cerner, Meditech, and Allscripts, including reroutes, denial closures, and account adjustments • Review Explanation of Benefits (EOBs) to resolve payment discrepancies, claim denials, and contractual underpayments • Complete rebills and corrections to maximize reimbursement • Transforming revenue cycle differently. Improving healthcare together • Analyze discrepancies in payments and take corrective actions as needed • Meet productivity benchmarks while maintaining high-quality standards • 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 changes in payer guidelines and processes for accurate claim submissions • Identify payer trends impacting reimbursement and bring findings to management for review • Participate in daily shift briefings and contribute as needed

🎯 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 to support billing and account resolution • Proficiency in Microsoft Office Suite, Teams, and various desktop applications

🏖️ Benefits

• Health insurance • Retirement plans • Paid time off • Flexible work arrangements • Professional development

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