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Connections Health Solutions

We provide crisis stabilization and access to care for anyone needing behavioral health services.

Accounts Receivable Resolution Specialist

Accounts ReceivableAccounts ReceivableFull TimeRemoteMid LevelTeam 501-1,000Since 2009H1B No SponsorCompany SiteLinkedIn

Location

Worldwide

Posted

80 days ago

Salary

0

Seniority

Mid Level

No structured requirement data.

Job Description

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. Specific duties 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. 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. Benefits - Full-time only: 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. - All employees (Pool, Part-time and Full-time): 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. Company Description Connections Health Solutions is a leading provider of immediate-access behavioral health crisis care. Our team combines medical and recovery-oriented treatment to stabilize individuals in crisis and connect them to community-based resources for ongoing recovery. Founded by emergency room psychiatrists Dr. Chris Carson and Dr. Robert Williamson, our model is physician-led and data-driven, drawing upon more than 15 years of crisis care expertise. Recognized by SAMHSA and the National Council for Mental Wellbeing as a national best practice, we’ve delivered invaluable treatment to hundreds of thousands of individuals facing crises. Our values shape our decisions, define our culture, and foster continuous learning and growth: - We accept people as they are, creating safe spaces where they feel valued and respected. - We inspire hope by walking with people side-by-side, showing them grace and compassion. - We act with intention, holding ourselves and each other accountable, and doing the right thing. - We work as one team, trusting and supporting each other. - We embrace change and innovation, striving to find better ways to fulfill our mission. We are on a mission to change the face of behavioral health. Help us save lives and make a difference.

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United States
$0 / year