ACCOUNT RESOLUTION SPECIALIST
Job Summary:
• The Account Resolution Specialist is engaged in the tracking of claims through the billing process, to identify problem areas, and to determine a course of action to resolve aging claims. Follows all policies and procedures as outlined by the company and/or governmental regulations and according to HIPAA regulations.
Position reports to: Senior Manager, Account Resolution
Responsibilities:
• Responsible for identifying trends which impact revenue and determine best course of action to resolve outstanding accounts, including denials, edit analysis, rejections, billing requests.
• Interact with manager and team members regarding unreleased and A/R research results.
• Responsible for the follow up on A/R rebill research projects; review status of accounts, action taken, and further course of action if warranted.
• Provide updates to manager with findings from A/R research and status of A/R projects.
• Perform other duties as directed by manager.
• Provide training and support to onshore and global team where needed to improve processes, improve quality and reduce unreleased volume.
Qualifications:
• High School Diploma or equivalent required
• Ability to safely and successfully perform essential job functions consistent with the ADA, FMLA and other federal, state and local standards, including meeting qualitative and/or quantitative productivity standards
Skills/ Knowledge Requirements:
• Knowledge of insurance carrier payment policies, practices, and amounts.
• Medical Billing, Insurance Billing, AR experience preferred.
• Logical and efficient, with keen attention to detail.
• Highly self-motivated and directed.
• Ability to effectively prioritize and execute tasks while under pressure.
• Excellent listening, interpersonal, written, and oral communication skills.
• Knowledge of insurance carrier policies and practices.
• Experience working in a team-oriented, collaborative environment.
• Knowledge of applicable data privacy practices and laws.
• Able to manage multiple concurrent tasks
• Flexible to handle unexpected daily challenges
• Very strong written and verbal communication skills
• Able to type a minimum of 4 words per minute
• Basic computer operating skills
• Able to use a 1 key by touch.
The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.
Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a competitive benefits package.
R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.
If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.
CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent
To learn more, visit: R1RCM.com
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