Account Resolution Specialist

Job Summary

Managing insurance claims for clients, the full-time remote Account Resolution Specialist II will ensure timely payment processing, handle claim denials and appeals, and perform account follow-up with commercial payers.

Key responsibilities

• Submit and manage medical claims, ensuring compliance with all payer-specific requirements
• Investigate claim errors and denials, taking appropriate actions to resolve issues and collect payments
• Prepare and submit appeals with necessary documentation while maintaining accurate account records

Required qualifications

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