[Hiring] Accounts Receivable Resolution Specialist @Connections Health Solutions

Role Description

The Accounts Resolution Specialist contributes to the financial viability of the organization by assuring that accounts have been properly billed and reimbursed. Responsibilities include:

• Contacting the appropriate insurance company to secure and expedite payments through the follow-up and appeals resolution processes.
• Acting as a functional leader or reference source.
• Exercising discretion and good judgment in decision-making and representation of Connections Healthcare Solutions.
• Providing the link in communication between Connections Healthcare Solutions and the patient, insurance companies/third-party payers, and the provider of service or departmental staff.
• Performing functions at a complex level of implementation, analysis, and resolution.

Key responsibilities include:

• Following up on required daily accounts based on leadership assignments to reduce the A/R.
• Performing timely and accurate validation of denied claims and determining appropriate denial resolution, including but not limited to; authorization/retro authorization/precertification.
• Utilizing WAYSTAR to submit appeal letters and payer-required documentation on unpaid and underpaid claims.
• Prioritizing work to increase efficiency in the collections process.
• Documenting action taken toward account resolution within Avatar and WAYSTAR using standardized note format.
• Meeting productivity requirements as set within the department.
• Effectively communicating identified opportunities with leadership utilizing SBAR format.
• Following chain of command as defined through CHS leadership.
• Participating in coordinated departmental initiatives related to AR reduction.
• Taking initiative to troubleshoot technological issues and communicating to leadership according to department guidelines.
• Assisting billing with determining the proper disposition of or composing replies to incoming mail and other correspondence.
• Performing all other duties as assigned.

This is a fully remote position in these states:

• AL, AR, AZ, CA, CO, CT, DC, FL, GA, IL, IN, KS, KY, LA, MD, ME, MI, MN, MT, NC, NJ, NY, OH, OR, PA, SC, TN, TX, VA, WA, WI

Qualifications

• High School diploma, GED, or international equivalent.
• 2 years of insurance claims follow-up.
• 2 years of claim denial management.
• 5 years of experience within a physician and/or facility business office.
• 1 year of experience working in a remote environment.

Requirements

• The Company has a mandatory vaccination policy. All successful applicants must be fully vaccinated, including showing proper documentation, or otherwise be exempt pursuant to the Company’s exemption process prior to their start date as a condition of employment.
• Must have flu shot or exemption requiring masking during company established flu season.

Benefits

• Employees (and their families) are offered comprehensive health insurance, including Medical, Dental, Vision, Accident, Critical Illness, and Hospital Indemnity.
• CHS pays for Basic Life, AD&D, Short and Long-Term Disability.
• Voluntary Life insurance option for employees and their families.
• Health Savings Accounts (with $1,000 to $2,000 employer contribution depending on plan).
• Flexible Spending Accounts (health care and dependent care).
• 401k company match after 6 months (50% of deferrals up to 6% of compensation).
• Generous PTO starting at 160 hours accrued annually and 12 recognized company holidays.
• Company‑paid parental leave available to eligible employees.
• Employee Assistance Program to help with confidential emotional support, work life solutions, financial solutions, legal assistance, or online support.
• After 90 days, you are auto enrolled in the 401k Plan.