Account Resolution Specialist

Job Summary

A company is looking for an Account Resolution Specialist II to manage insurance claims and ensure timely payment processing for clients.

Key Responsibilities

• Submit and review medical claims to ensure accurate processing and payment
• Investigate claim errors and follow up with payers to resolve issues
• Prepare and submit appeals with supporting documentation in accordance with payer guidelines

Required Qualifications

• High school diploma or equivalent
• Minimum 2 years of experience in medical claim payments and follow-up
• Experience with EMR/EHR systems such as Meditech, Epic, or similar
• Strong knowledge of ICD-10, CPT/HCPCS, and revenue cycle processes
• Proficiency in Microsoft Office Suite and desktop applications