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 manage medical claims, ensuring compliance with federal, state, and payer-specific requirements
• Investigate claim errors and follow up with payers to resolve denials and collect accounts receivable
• Prepare and submit appeals with supporting documentation while maintaining accurate client account balances

Required Qualifications

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