Transforming revenue cycle differently. Improving healthcare together.
Account Resolution Specialist III
Location
Arizona + 20 moreAll locations: Arizona | California | Colorado | Florida | Illinois | Iowa | Louisiana | Montana | Nebraska | Nevada | New Jersey | North Carolina | Oklahoma | Missouri | Pennsylvania | South Dakota | Tennessee | Texas | Virginia | Washington | Wisconsin
Posted
1 day ago
Salary
$21 - $23 / hour
Seniority
Senior
Job Description
Account Resolution Specialist III
Currance
• Independently manage high-dollar, high volume, and complex accounts with significant financial impact. • Submit accurate medical claims in compliance with federal, state, and payer-specific requirements. • Resolve multi-level denials that require advanced research, payer escalation, and detailed follow-up. • Investigate and follow up with payers to collect insurance accounts receivables. • Prepare and submit first- and second-level appeals with complete supporting documentation, ensuring thorough tracking and follow-up to maximize reimbursement. • Execute and oversee EHR workflows in systems such as Epic, Cerner, Meditech, and Allscripts, including reroutes, denial closures, and account adjustments. • Review Explanation of Benefits (EOBs) to resolve payment discrepancies, claim denials, and contractual underpayments. • Complete rebills and corrections to maximize reimbursement. • Transforming revenue cycle differently. • Improving healthcare together. • Analyze discrepancies in payments and take corrective actions as needed. • Meet productivity benchmarks while maintaining high-quality standards. • Research, analyze, and correct errors and rejections, identify root causes, and implement preventive solutions. • Verify and adjust claims to ensure accurate client liability and account balance. • Stay informed about changes in payer guidelines and processes for accurate claim submissions. • Identify payer trends impacting reimbursement and bring findings to management for review. • Participate in daily shift briefings and contribute as needed.
Job Requirements
- High school diploma or equivalent required; Associate's degree preferred
- CRCR certification or completion of certification required within 90 days of hire.
- Minimum 3 years of experience in securing medical claim payments, managing follow-up, and appealing denials, with proven success resolving complex, high-value claims.
- Advanced knowledge of ICD-10, CPT/HCPCS, payer policies, and reimbursement regulations.
- Strong negotiation, research, and problem-solving abilities.
- Experience using EHR/EMR systems such as Meditech, Epic, Cerner, Allscripts, Nextgen, or similar platforms to support billing and account resolution.
- Proficiency in Microsoft Office Suite, Teams, and various desktop applications.
Benefits
- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
- Professional development
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