Account Resolution Representative

Job Summary

Working virtually in a full-time capacity, the Account Resolution Representative will manage payment collections from insurance companies, execute denial appeals processes, and prepare necessary reports while ensuring compliance with policies and procedures.

Key responsibilities

• Collect and resolve payments from assigned payers, including researching and appealing denied claims
• Document and track appeals with third-party payers, ensuring timely resolutions and compliance with departmental policies
• Provide feedback for process improvements and maintain professional communication with internal and external stakeholders

Required qualifications

• High school diploma or equivalent required
• Minimum of 2 years of collection experience preferred
• Strong analytical and investigational skills with the ability to perform mathematical calculations
• Basic knowledge of PC applications and excellent organizational skills
• Ability to manage multiple priorities in a high-stress environment while demonstrating flexibility and teamwork