Account Resolution Specialist II

Job Summary

Managing insurance claims for clients, the fully remote Account Resolution Specialist II will ensure timely payment processing, handle claim denials and appeals, and follow up on accounts to maintain financial stability for healthcare organizations.

Key responsibilities:

• Submit and review medical claims to ensure compliance with federal, state, and payer-specific requirements
• Investigate claim errors and denials, taking appropriate actions to resolve issues and collect outstanding receivables
• Prepare and submit appeals with supporting documentation while staying informed about payer updates and process changes

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 revenue cycle processes
• Proficiency in Microsoft Office Suite and various desktop applications