Account Resolution Specialist

A company is looking for an Account Resolution Specialist II to manage insurance claims and ensure timely payment processing for clients.

Key Responsibilities

Submit and manage medical claims, ensuring compliance with federal, state, and payer-specific requirements

Investigate claim errors and follow up with payers to resolve denials and collect accounts receivable

Prepare and submit appeals with supporting documentation while maintaining accurate client account balances

Required Qualifications

High school diploma or equivalent

Minimum 2 years of experience in securing medical claim payments and managing claim follow-ups

Experience with EMR / EHR systems such as Meditech, Epic, or similar platforms

Strong knowledge of ICD-10, CPT / HCPCS, payer guidelines, and the revenue cycle process

Proficiency in Microsoft Office Suite and various desktop applications