Account Resolution Representative II

Job Summary

Assisting with the management of a substantial accounts receivable portfolio, the full-time Account Resolution Representative II will focus on coordinating follow-up activities, resolving payment issues with insurance providers, and supporting team members in a virtual environment.

Key responsibilities

• Maintain compliance with billing and follow-up policies while resolving payment issues and responding to inquiries from third parties and patients
• Analyze denied claims, appeal decisions, and ensure timely resolution of accounts to minimize financial losses
• Provide guidance and training to staff, fostering a collaborative team environment to enhance productivity and operational efficiency

Required qualifications

• High school diploma or equivalent; Certified Advanced CPAR or equivalent strongly preferred
• Minimum of two years of experience in hospital patient financial services or a related field
• Thorough understanding of healthcare revenue cycle functions, including governmental and commercial reimbursement methodologies
• Proficiency in MS Office applications, particularly Excel, for data analysis and reporting
• Strong interpersonal and analytical skills, with the ability to work independently and manage multiple tasks effectively