Accounts Receivable Resolution Specialist

Accountabilities:: As an Accounts Receivable Resolution Specialist, you will oversee complex claims resolution activities, strengthen collection processes, and support effective communication across departments. Your responsibilities will include: 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. Communicate identified issues, improvement opportunities, and recommendations to leadership using the SBAR communication format. Follow established reporting lines and participate in departmental initiatives designed to reduce outstanding accounts receivable. Troubleshoot technology-related issues proactively and escalate them according to departmental guidelines. Assist billing teams in determining appropriate responses to incoming mail and other correspondence. Perform additional duties as assigned to support the department's operational objectives. Requirements: 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. Required qualifications include: 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. Strong written and verbal communication skills, including the ability to work effectively with insurers, patients, providers, and internal teams. Good judgment, discretion, accountability, and a proactive approach to problem-solving. Ability to meet productivity expectations and follow established procedures and documentation standards. 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. Preferred qualifications include: 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: Comprehensive healthcare coverage: Medical, dental, and vision insurance, along with accident, critical illness, and hospital indemnity coverage for employees and their families. Employer-paid protection: Basic life insurance, accidental death and dismemberment (AD&D), short-term disability, and long-term disability coverage. Voluntary life insurance: Additional coverage options for employees and their families. 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: A 401(k) plan with automatic enrollment after 90 days and an employer match after six months, matching 50% of employee contributions up to 6% of compensation. Paid time off: Generous PTO, starting at 160 accrued hours annually, plus 12 recognized company holidays. Paid parental leave: Available to eligible employees. 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: Alabama, Arkansas, Arizona, California, Colorado, Connecticut, Washington, D.C., Florida, Georgia, Illinois, Indiana, Kansas, Kentucky, Louisiana, Maryland, Maine, Michigan, Minnesota, Montana, North Carolina, New Jersey, New York, Ohio, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Washington, and Wisconsin.