Account Resolution Specialist II

Job Summary

Working remotely, the full-time Account Resolution Specialist II will manage insurance claims for hospital-based portfolios, focusing on resolving complex denials and billing errors to ensure timely reimbursement while improving cash flow.

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 outstanding accounts receivable
• 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 securing medical claim payments and managing claim follow-up
• Experience with EMR/EHR systems such as Meditech, Epic, or similar platforms
• Strong knowledge of ICD-10, CPT/HCPCS, and payer guidelines
• Familiarity with UB-04 billing standards is preferred