Focused on resolving complex accounts for government payers, the full-time remote Account Resolution Specialist III will manage high-dollar insurance claims, submit accurate medical claims, and handle multi-level denials while achieving productivity and quality goals. Key responsibilities Independently manage high-volume, complex accounts with significant financial impact Submit accurate medical claims and resolve multi-level denials through advanced research and follow-up Prepare and submit appeals with complete documentation to maximize reimbursement Required qualifications 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 and resolving complex claims Advanced knowledge of ICD-10, CPT/HCPCS, and payer policies Experience using EHR/EMR systems such as Epic, Cerner, or Meditech
Account Resolution Specialist III in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.