Account Resolution Specialist III

Job Summary

A company is looking for an Account Resolution Specialist III - HB.

Key Responsibilities

• Oversee proper claim submission and payment by reviewing and correcting claim edits, errors, and denials
• Resolve escalated and stalled claims while ensuring compliance with productivity standards
• Research, analyze, and correct claim errors and rejections, maintaining knowledge of payer updates

Required Qualifications

• Bachelor's degree in Revenue Cycle Management or related field preferred
• 3-5 years of experience with health insurance companies in securing payment for medical claims
• 3-5 years of experience with hospital and physician claim follow-up and appeals
• MedHOST experience is required; Artiva preferred
• Proficiency in Microsoft Office Suite/Teams and virtual meeting platforms