Accounts Receivable Resolution Specialist

Our partner is looking for an Accounts Receivable Resolution Specialist based in the United States. In this fully remote, full-time role, you will help maintain the financial health of a behavioral healthcare organization by ensuring insurance claims are accurately processed, reimbursed, and resolved. You will manage complex accounts receivable cases, investigate claim denials, and coordinate appeals to accelerate payments from insurance companies and third-party payers. Working closely with billing teams, healthcare providers, patients, and insurers, you will help resolve payment discrepancies and improve collections outcomes. Your expertise will support efficient revenue cycle operations while contributing to the organization’s ability to deliver essential crisis care services. This position offers an opportunity to apply your insurance billing knowledge, analytical skills, and customer service experience in a mission-driven healthcare environment. As an Accounts Receivable Resolution Specialist, you will oversee complex claims resolution activities, strengthen collection processes, and support effective communication across departments.

Responsibilities

Follow up on assigned accounts daily to reduce outstanding accounts receivable and accelerate reimbursement.

Review denied claims promptly and accurately, identifying appropriate resolution strategies, including authorization, retroactive authorization, and precertification.

Prepare and submit appeal letters and payer-required documentation through WAYSTAR for unpaid or underpaid claims.

Prioritize account resolution activities to improve efficiency and maximize collection outcomes.

Document all actions and progress using standardized note formats in Avatar and WAYSTAR.

Meet established departmental productivity and performance requirements.

Follow established reporting lines and participate in departmental initiatives designed to reduce outstanding accounts receivable.

Assist billing teams in determining appropriate responses to incoming mail and other correspondence.

Qualifications

The ideal candidate has hands-on experience in insurance claims follow-up, denial management, and healthcare billing, along with the judgment and communication skills needed to resolve complex accounts.

High school diploma, GED, or international equivalent.

At least 2 years of experience in insurance claims follow-up.

At least 2 years of experience in claims denial management.

At least 5 years of experience working in a physician and/or healthcare facility business office.

At least 1 year of experience working in a remote environment.

Strong knowledge of insurance billing, claims follow-up, appeals, reimbursement processes, and denial resolution.

Excellent analytical, organizational, and prioritization skills, with the ability to manage multiple complex accounts.

Compliance with the organization’s mandatory vaccination policy, including providing proof of full vaccination or qualifying for an approved exemption before the start date.

Compliance with seasonal flu vaccination requirements or the applicable exemption process, which may require masking during the designated flu season.

A bachelor’s degree in healthcare or a related field.

At least 5 years of experience in physician and/or facility billing or auditing within a behavioral health environment.

Benefits & Perks

Comprehensive healthcare coverage: Medical, dental, and vision insurance, along with accident, critical illness, and hospital indemnity coverage for employees and their families.

Basic life insurance, accidental death and dismemberment (AD&D), short-term disability, and long-term disability coverage.

Voluntary life insurance: Health Savings Account (HSA): Employer contributions ranging from $1,000 to $2,000, depending on the selected plan.

Flexible Spending Accounts (FSA): Options for healthcare and dependent care expenses.

Retirement savings: Generous PTO, starting at 160 accrued hours annually, plus 12 recognized company holidays.

Employee Assistance Program (EAP): Confidential emotional support, work-life resources, financial guidance, legal assistance, and online support.

Remote work: Fully remote position for candidates residing in eligible states.

#J-18808-Ljbffr