Account Resolution Specialist II

Job Summary

Managing high-volume inpatient and outpatient accounts, the full-time Account Resolution Specialist II will resolve insurance denials and collaborate with billing, coding, and payer resolution teams in a fully remote environment.

Key responsibilities

• Submit and manage medical claims, ensuring compliance with federal, state, and payer-specific requirements
• Investigate claim errors and rejections, preparing and submitting appeals as necessary
• Follow up with payers to collect assigned insurance accounts receivable and resolve non-payment issues

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 Meditech, Epic, or Allscripts
• Strong knowledge of ICD-10, CPT/HCPCS, and revenue cycle processes
• Proficiency in Microsoft Office Suite and various desktop applications