Payer Account Resolution Specialist

🔥 23 hours ago

🌪️ Kansas, Missouri – Remote

🌪️ Kansas – Remote 🏰 Missouri – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 12%

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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Western Missouri Medical Center

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1963

🏥 Healthcare

🤝 Non-profit

Healthcare • Non-profit

Western Missouri Medical Center is a fully accredited, not-for-profit hospital in Warrensburg, Missouri, providing comprehensive inpatient and outpatient medical care to Johnson County and surrounding communities. WMMC operates primary care clinics and a broad range of specialty services — including emergency care, general and bariatric surgery, cancer care, cardiology, orthopedics, women’s health, diagnostic imaging, rehabilitation, and various outpatient therapies — supported by advanced technology, skilled providers, a hospital foundation, and community health initiatives. The organization emphasizes compassionate, locally focused care, financial assistance and price transparency programs, and ongoing community engagement.

📋 Description

• Monitor aging buckets over 30 days for claims that have been transmitted but not adjudicated • Contact insurance companies via payer portal, payer chat, or phone • Monitor timely filing limits • Document all account activities • Locate missing remits and/or payments • Resolve payer issues • Submit requested documentation • Coordinate claim corrections with the appropriate department • Escalate complex issues • Update identified registration errors • Identify process improvement opportunities • Research unpaid claims • Communicate identified trends to leadership • Keep AR days under 40 days • Meet or exceed the organization’s cash goal • Keep AR under 90 days below 25% • Perform other essential duties as assigned

🎯 Requirements

• High school diploma or equivalent • 2+ years of healthcare billing or revenue cycle experience • Residency in Missouri or Kansas is required • Experience working in an EHR system (MEDITECH preferred) • Basic understanding of CPT, HCPCS, and ICD-10 coding • Knowledge of insurance billing processes • Understanding of Explanation of Benefits • Attention to detail and accuracy • Time management and ability to meet deadlines • Strong organizational skills • Effective communication and teamwork • Ability to follow standardized workflows • Maintain regular and predictable attendance • Ability to sit and stand intermittently for 8 to 10 hours a day • Ability to use standard office equipment, including telephone and computer keyboard • Ability to work under pressure while meeting near-100% accuracy and inflexible deadlines • Manual/bi-manual dexterity, near vision, speech, and hearing • Ability to lift or carry up to 40 lbs.

🏖️ Benefits

• Full-time employment