Account Resolution Specialist I in the Anesthesia and Critical Care Deaprtment.
The Account Resolution Specialist I reports to the Supervisor of Billing; primary responsibilities are to facilitate activities
necessary to a successful resolution of accounts. This position will work out of assigned work queues handling claim edit work
queue resolution as well as follow up work queue denials transferred from Professional Billing Office that require department
intervention. Individuals will be responsible for investigating claim denials and underpayments by insurance carriers and appeal
for payment or make appropriate adjustment. Exercising good judgement in escalating identified denial trends or root cause of
denials to mitigate future denials, expedite the reprocessing of claims and maximize opportunities to enhance front end claim
edits to facilitate a first pass resolution.
H.S. Diploma/GED and 3+ years working in health care (professional) billing, health insurance or equivalent required.
We are an Equal Opportunity and Affirmative Action employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.