Managing insurance claims for clients, the full-time remote Account Resolution Specialist II will ensure timely payment processing, handle claim denials and appeals, and perform account follow-up with commercial payers. Key responsibilities Submit and manage medical claims, ensuring compliance with all payer-specific requirements Investigate claim errors and denials, taking appropriate actions to resolve issues and collect payments Prepare and submit appeals with necessary documentation while maintaining accurate account records Required qualifications High school diploma or equivalent Minimum 2 years of experience in securing medical claim payments and managing claim follow-up Experience with EMR/EHR systems such as Epic or similar platforms Strong knowledge of ICD-10, CPT/HCPCS codes, and revenue cycle processes Proficiency in Microsoft Office Suite and collaboration tools