AR Research & Resolution Representative

🔥 12 hours ago

🏈 Ohio – Remote

🏈 Ohio – Remote

💵 $14 - $26 / 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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US Acute Care Solutions

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2015

🏥 Healthcare

💊 Pharmaceuticals

📡 Telecommunications

💰 Private Equity Round on 2021-02

Healthcare • Pharmaceuticals • Telecommunications

US Acute Care Solutions is a physician-owned company specializing in the management and provision of acute care services across the United States. With a focus on emergency medicine, hospital medicine, and critical care, USACS partners with health systems to enhance patient care and improve the healthcare continuum. Annually, the company serves over 10 million patients and operates more than 500 clinical programs in 30 states, driven by a commitment to innovation, quality, and collaborative healthcare delivery.

📋 Description

• Research and resolve claims to maximize cash collections and minimize denials and lost revenue • Work on individual and project denial and claim assignments • Work outstanding insurance or contract claims and resolve claim edits and denials • Maintain worklists and assignments at acceptable levels based on performance targets, KPI, and quality scores • Conduct insurance or contract follow-up, including interfacing with payers and communicating with internal and external business partners by phone and web-based tools • Escalate items promptly • Identify opportunities to improve department workflows and cross-functional processes • Contribute to the development and maintenance of company-wide payer matrices and updates to Standard Operating Procedures • Actively contribute in team meetings • Maintain knowledge of current government and carrier regulations relevant to the industry • Model the organization's core values • Perform and assist with other department duties as needed

🎯 Requirements

• High school diploma or equivalent • Knowledge of and skill in using personal computers in a Windows environment, emphasizing basic word processing and data entry onto spreadsheet programs • Knowledge of medical insurance and its terminology • Basic knowledge of ICD-10 and CPT codes • Ability to work independently and as an effective team contributor • Ability to pay close attention to detail • Ability to identify, research, and solve problems and discrepancies • Ability to communicate courteously and professionally • Ability to maintain confidentiality • Ability to process assigned duties in an organized manner • Ability to perform basic mathematical calculations such as adding, subtracting, multiplying, and dividing • Ability to effectively perform in a multi-task work environment • Ability to work overtime when needed • Ability to work effectively in remote settings • Experience in medical insurance, billing experience, or equivalent training or education is helpful, but not required

🏖️ Benefits

• Medical, dental, and vision insurance options • Health savings accounts (HSA) and flexible spending accounts (FSA) • 401(k) employee and employer contributions • Paid time off, including vacation, sick leave, and company holidays • Paid parental leave & family support benefits • Short-term and long-term disability insurance • Life and accidental death & dismemberment (AD&D) insurance • Employee assistance programs & wellness resources • Bonus eligibility, equity, or other incentive programs, depending on the role