Account Resolution Specialist

The Account Resolution Specialist is responsible for the timely follow-up of Managed Care and Government payers. Communicates clearly and efficiently by phone with health plans. Maintains productivity standards and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts.

Essential Duties and Responsibilities: Responsible for A/R follow up to identify and resolve payer no response and denial issues. Follow up on unpaid claims to work towards resolution and collection on outstanding balances. Address and resolve denials received from payers through the review of medical records and payer contracts, while prioritizing high...