Account Resolution Representative II

Job Summary

Assisting with the planning and coordination of account receivable follow-up activities for a portfolio of approximately $375M-$500M, the full-time remote Account Resolution Representative II will manage billing, collections, and denial management while supporting team training and workflow optimization.

Key responsibilities

• Collect and resolve payments from insurance companies, researching and appealing denied claims to ensure timely reimbursement
• Provide guidance and support to follow-up staff, assisting with daily planning and evaluating account receivables for trends and recovery efforts
• Maintain effective communication with leadership regarding payment delays and assist with departmental projects and presentations as needed

Required qualifications

• High School Diploma or GED required; Certified Revenue Cycle Representative preferred within 180 days
• Minimum of 1 year experience as an Account Follow-up Representative I or 2 years in hospital patient financial services or related area
• Thorough understanding of healthcare revenue cycle functions, including Medicare and Medicaid regulations
• Proficiency in MS Office applications, particularly Excel, for data analysis and reporting
• Strong interpersonal and analytical skills with the ability to work independently and handle challenging situations effectively