Insurance Accounts Receivable Specialist – II

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Solaris Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2020

⚕️ Healthcare Insurance

🏥 Healthcare

🧬 Biotechnology

Healthcare Insurance • Healthcare • Biotechnology

Solaris Health is a leading national healthcare platform committed to enhancing access to specialty healthcare and continually improving patient outcomes. With over 1 million unique patients annually and 730+ providers across the country, Solaris Health operates 236+ patient offices in 14 states, focusing on innovative delivery of high-quality, value-driven care.

📋 Description

• Perform billing-related tasks, including data entry, claim review, charge review, and accounts receivable follow-up • Resolve complex insurance denials related to medical necessity, non-covered services, and bundling • Manage higher-volume and higher-complexity work while maintaining accuracy and productivity expectations • Complete daily assignments in designated work queues according to manager direction and established workflows • Use CBO Pathways, payer websites, billing systems, and training resources to resolve unpaid or incorrectly paid claims and authorize procedures • Identify and escalate payer issues, provider credentialing discrepancies, and coding concerns • Review reports to identify unpaid claims and revenue opportunities • Follow department workflows, organizational policies, regulatory requirements, compliance, and confidentiality standards • Communicate with providers, patients, coders, and other stakeholders to ensure efficient claim processing • Provide feedback and recommendations on system edits, billing processes, policies, and procedures • Attend training, meetings, and workgroups; escalate issues as needed • Maintain patient confidentiality and apply policies and procedures consistently • Collaborate with team members and explain processes and procedures as needed • Make system corrections and resubmit claims according to payer requirements • Perform other position-related duties as assigned • Adhere to ethical standards, applicable laws, the Solaris Health Code of Conduct, HIPAA, reporting obligations, and annual compliance training requirements

🎯 Requirements

• High school diploma or equivalent required • Previous experience in a customer service or healthcare setting preferred • Strong written and verbal communication skills • Ability to explain billing issues clearly • Working knowledge of insurance policies, denial types, and medical terminology • Ability to prioritize tasks, manage time effectively, and meet performance benchmarks • Demonstrated problem-solving skills and follow-through on account resolution • Proficiency with computer programs and applications, including Microsoft Office • Ability to follow payer guidelines, workflows, organizational policies, regulatory requirements, compliance standards, and confidentiality requirements • Ability to maintain patient confidentiality in compliance with HIPAA

🏖️ Benefits

• Competitive pay • PTO • Holiday pay • Health insurance • Dental insurance • Vision insurance • Life Insurance • Pet Insurance • Health savings account • Paid sick time • Paid time off • Paid holidays • Profit sharing • Retirement plan • No weekends • No evenings • No holidays