account resolution specialist

Allstate Insurance

<div>At Allstate, great things happen when our people work together to protect families and their belongings from life&rsquo;s uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers&rsquo; evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.
Job Description
As a Claims Resolution Adjuster, your main focus will be investigating automobile accidents involving bodily injury. You will have the convenience of working remotely from your home while efficiently handling your responsibilities. You will assess coverage, liability, and damages while providing exceptional customer service throughout your day. Customer communication will take place through different channels, including voice calls, email, and text messages. Through the utilization of innovative platforms and tools, you will engage in negotiation processes to reach fair injury settlements with all parties involved.
The Claims Resolution Adjuster will primarily be responsible for the liability investigation and ultimate decisions, identifying injured parties beyond who is listed at FNOL (First Notice of Loss), and recognizing impactful risk potential on claim files. They will be responsible for supporting the claimant throughout the vehicle restoration process and providing feedback on the Auto process in general. The Claims Resolution Adjuster and Casualty Adjusters will work hand-in-hand throughout the claims process.
Candidates for this role must reside in either the Central (CST), Mountain (MST), or Pacific (PST) time zone. This position is not available to residents of California, Washington, Alaska, Hawaii, or Puerto Rico.
Schedule: 8-hour shift Mon-Fri | 8:00am - 4:30pm or 9:00am - 5:30pm with potential Saturday duty rotation.
You&rsquo;ll wear a few hats to fill a few roles throughout your day that all require a level of experience:
The Customer Service Expert &ndash; you&rsquo;ll live into Allstate&rsquo;s Claims Culture by caring, empowering, and restoring, and you will accomplish that by being compassionate, clear, and a committed partner in each Casualty claim. You lead with empathy, always.
The Investigator &ndash; you&rsquo;ll confidently and independently investigate casualty (and applicable LOB (line of business)) claims by performing detailed reviews of damage and interpreting policies to determine coverage.
The Effective Communicator &ndash; you&rsquo;ll use phone, emails and sometimes even video chat with customers to help them through a fast, fair, and easy claims process. You&rsquo;ll also incorporate a specific approach to claim handling to offer the customer their preference of communication to efficiently discuss their claim needs and keep them updated on the claim progress.
The Negotiator &ndash; you will evaluate and negotiate claims settlements with customers, vendors, third party carriers and claimants, in accordance with all legal and business standard methodologies. With negotiations, you will incorporate tactics in handling challenging and complex situations.
The Problem Solver &ndash; you&rsquo;ll utilize multiple tools to get the job done in a fast-paced environment, including estimate tools, job aids, and additional settlement platforms, all while using your sharp critical thinking skills.
The Recorder &ndash; you&rsquo;ll protect the company financially by executing policies along policy agreements, and you keep a clear record of your work in a claims system that you will be trained on. You&rsquo;ll accomplish this by ensuring timely and accurate documentation is completed as you work on each claim.
Qualifications:<ul><li>
2+ years Claims experience, specifically Casualty Bodily Injury claims background.</li><li>
Claims investigation and negotiation experience is preferred.</li><li>
Experience with liability investigations, investigating coverage, PD coverage, set MOI, rental and resolving liability a plus.</li><li>
Proficient communication skills, especially over the phone, to establish rapport and assess claims accurately.</li><li>
Strong critical thinking and problem-solving skills to evaluate and negotiate injury claims successfully.</li></ul>
Remote Work: 
This position is a permanent remote home-based role. Your home office does not need to be near an Allstate office, but it does need to be in the United States within one of the listed time zones above.
When you work from home full time, you&rsquo;ll need:<ul><li>
A dedicated workspace in your residence that is private and free from distractions.</li><li>
A minimum internet bandwidth of 50 MB down/5 MB up.</li><li>
Appropriate work surface and seating.</li></ul> 
What will Allstate provide?<ul><li>
A technology bundle that includes all equipment needed to perform your work from home (laptop, monitors, headset, keyboard, mouse).</li><li>
Connectivity reimbursement of $80 per month to offset some of the cost of internet.</li></ul> 
Notice of Licensing Requirement<ul><li>
As a condition of employment, your office/area may require you to obtain an adjuster and/or an appraiser license which includes passing an additional background check with the Department of Labor. If applicable, you will be required to secure license(s) within 60 days of hire.</li><li>
If required, the Hiring Manager will work with you along with the Centralized Licensing team to ensure that you are properly licensed.</li></ul>
Sign-On Bonus:
You may be eligible for a $1,000 Licensing Sign-On Bonus if you have the applicable active licenses needed for this role. This could include Home Resident Property &amp; Casualty License, Designate Home State (DHS) Florida or Texas License, and/or applicable Appraiser License.
*Candidates who have previously worked for and are seeking to be rehired at Allstate and its family of companies are not eligible for this sign-on bonus.*
Allstate Benefits
Being a part of Allstate means you receive a benefits package from Day 1 of employment. This includes time off, healthcare, retirement, and more. That is why as an Allstater, you&rsquo;ll enjoy a Total Rewards package that includes:<ul><li>
Competitive pay with needed support for continuous development and career advancement.</li><li>
Flexibility in scheduling and a time off policy that helps support your work/life balance.</li><li>
Initial and ongoing training to get you proficient in your new role</li><li>
Comprehensive benefits like a 401K/pension, education reimbursement, and programs to help you balance work with the rest of your life. Visit www.allstategoodlife.com to learn more.</li></ul>
Please Note:<ul><li>
In our virtual environment, employees are required to engage and participate on camera during online meetings and trainings</li><li>
The preceding description is not designed to be a complete list of all duties and responsibilities. May be required to perform other related duties as assigned. Regular, predictable attendance is an essential function of this job.</li></ul>
#LI-BC1
Skills
Compensation
Compensation offered for this role is 20.77 - 32.67 per hour and is based on experience and qualifications.
The candidate(s) offered this position will be required to submit to a background investigation.
Joining our team isn&rsquo;t just a job &mdash; it&rsquo;s an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger &ndash; a winning team making a meaningful impact.
Allstate generally does not sponsor individuals for employment-based visas for this position.
Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component.
For jobs in San Francisco, please click &ldquo;here&rdquo; for information regarding the San Francisco Fair Chance Ordinance. 
For jobs in Los Angeles, please click &ldquo;here&rdquo; for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance.
To view the &ldquo;EEO Know Your Rights&rdquo; poster click &ldquo;here&rdquo;. This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs.
To view the FMLA poster, click &ldquo;here&rdquo;. This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint.
It is the Company&rsquo;s policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee&rsquo;s ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment.</div>

Claims Resolution Adjuster - Remote (PST/MST/CST)

Jordan Young Institute

<div>Title: AR Follow-up and Denial Specialist
Location: Onsite &ndash; Virginia Beach, VA (Hybrid)
Who we are:
Aligned Orthopedic Partners is a well-respected private orthopedic team comprised of highly trained, board-certified orthopedic surgeons devoted to delivering patients with the highest orthopedic care possible. Our commitment to finding the best solutions for individual needs sets us apart from the competition. We take pride in providing exceptional care while remaining friendly, courteous, and efficient.
Aligned Orthopedic Partners is recruiting an experienced AR Follow-up and Denial Specialist. The ideal candidate is experienced with analyzing and resolving insurance claim denials, correcting errors, and securing accurate reimbursement from payers. This role requires strong analytical, coding, and communication skills, with a focus on denial prevention, timely appeals, and collaboration across the revenue cycle team.
What you will do:
Claims Review &amp; Correction<ul><li>
Review denied and unpaid claims to verify coding and billing accuracy.</li><li>
Correct errors and submit revised claims when necessary.</li><li>
Investigate claims with no payer response to confirm receipt and follow up.</li></ul>
Denial Management &amp; Appeals<ul><li>
Analyze denials and generate effective, well-researched written appeals.</li><li>
Appeal denials through coding review, contract interpretation, medical record review, and direct payer interaction.</li><li>
Maintain detailed knowledge of payer websites and appeal processes for commercial and government payers.</li><li>
Ensure appeals and reconsideration requests are completed accurately and on time.</li></ul>
Trend Analysis &amp; Communication<ul><li>
Identify recurring denial trends or payer policy changes affecting reimbursement.</li><li>
Communicate trends to management and recommend process improvements to prevent reoccurrence.</li><li>
Support and participate in process and quality improvement initiatives.</li></ul>
Collaboration &amp; Education<ul><li>
Confer with coders, billing staff, and revenue cycle managers on coding or claim issues.</li><li>
Provide education to team members on payer policies and denial prevention.</li><li>
Collaborate on special projects and assist management with additional tasks as assigned.</li></ul>
Account Reconciliation<ul><li>
Work assigned follow-up queues, including identification of missing payments, overpayments, and credits on accounts.</li><li>
Document all actions taken in the practice management system.</li></ul>
What you bring to the table:
You are a detail-oriented and dependable professional with a strong grasp of accounts receivable and denial processes. You take ownership of your work, communicate clearly, and consistently meet deadlines in a fast-paced environment. You bring:<ul><li>
Minimum of 3 years&rsquo; experience in a medical billing department (orthopedic or surgical experience strongly preferred).</li><li>
In-depth knowledge of healthcare billing, claims processing, payer follow-up, and appeals.</li><li>
Proficiency with payer websites, Microsoft Outlook, Word, and Excel.</li><li>
Coding knowledge sufficient to process denied claims and support appeals.</li><li>
Strong reasoning, critical thinking, analytical, and mathematical skills.</li><li>
Ability to work independently with high productivity and attention to detail.</li><li>
CPC certification preferred but not required.</li><li>
High School Diploma or GED required.</li></ul>
Equal Opportunity Employer
Aligned Orthopedic Partners is an equal opportunity employer. We promote diversity of thought, culture, and background. We celebrate what makes us different and committed to building a team that represents a variety of experiences. All employment is decided on the basis of qualifications, merit, and business need.</div>

AR Follow-up and Denial Specialist

Radius Global Solutions LLC

<div><div><div><div><div><div>Summary
 
The Financial Care Agent is responsible for effectively negotiating the resolution of early stage past due accounts on behalf of clients while maintaining a high level of customer satisfaction, by providing a professional, positive, and empathetic experience to each consumer engagement, as well as adhering to all applicable company, client, and regulatory requirements.
 
 
Essential Functions
 
<ul><li>Meet or exceed productivity goals established by the Client and Company
</li><li>Efficiently manage customer accounts and file records according to Company and Client work standards:
</li></ul>o Efficiently handle and maintain customers&rsquo; accounts
 
o Accurately and thoroughly update and document account notes
 
o Use probing questions to assess the consumer&rsquo;s situation and assist with resolving issues according to client&rsquo;s work standards
 
o Negotiate for payment arrangements on delinquent accounts
 
o Quickly make knowledge-based decisions to resolve the related issues
 
<ul><li>Stay abreast of daily and weekly Operations news and information; acknowledge receipt and understanding of policy and procedure updates
</li><li>Complete all assignments as required or requested by Operations management
</li><li>Maintain knowledge, understanding, and compliance with all federal, state, and local laws and regulations within functional area and with Client policies and procedures
</li><li>Communicate professionally and appropriately with clients, consumers, co-workers, and management
</li><li>Meet required criteria for work schedules and adhere to attendance policies as outlined in the Employee Handbook and site policies and procedures
</li><li>Keep up-to-date knowledge, understanding, and compliance with governmental laws and regulations within functional area and with Company policies and procedures
</li><li>Maintain regular attendance and timeliness which are required due to the production-based nature of the business and client requirements
</li><li>Adhere to all Company and customer confidentiality and security policies and procedures 
</li></ul> 
 
Non-Essential Functions
 
<ul><li>Perform other duties and special projects as assigned
</li></ul> 
Supervisory Responsibilities/Accountabilities
 
<ul><li>This position does not require Supervisory Responsibilities/Accountabilities
</li></ul> 
Requirements
 
<ul><li>High School Diploma or General Educational Development (GED) certificate
</li><li>Two or more years of applicable customer service or related experience
</li><li>Proficient computer skills, including utilization of computerized collections software programs. Experience with spreadsheets and automated systems
</li><li>Excellent customer service skills, including strong problem solving and negotiating skills, interpersonal, written, and oral communication skills. Ability to listen, communicate (written and verbal). Close attention to detail
</li><li>Ability to work independently, self-starter, energetic, demonstrate good common sense, ethical and sound judgment
</li><li>Must adhere to all Company, Client and Consumer confidentiality and security policies and procedures 
</li></ul> 
 
Physical Requirements
 
While performing the duties of this job, the employee is regularly required to talk, type, see, and hear while using a computer for periods of time. The employee frequently is required to multi-task (e.g., talk and type simultaneously). The typing aspect of the job requires the employee to reach with hands and arms; and use hands and fingers to handle/feel the keys. The job requires extensive use of keyboards and computers.
 
 
Working Conditions
 
Work is generally performed within an indoor office environment utilizing standard office equipment. Desk setting inbound call center/cubicle 
 
 
 
Position Type/Expected Hours of Work
 
Some flexibility in hours allowed but must be available during the department&rsquo;s scheduled hours and guidelines, which include at least one or two evening and/or weekend shifts. Full-time employees must maintain continuous full-time employment status. Because of the production-based nature of the job, employees must be able to adhere to their schedule and attendance policies.</div></div></div></div></div></div>

Financial Care Agent (Credit Acceptance)

NuStart Consulting

<div>Position: Claims Resolution Representative (DME)

Overview

The Claims Resolution Representative is responsible for identifying, correcting, and resolving DME claims that were billed inaccurately due to coding errors, payer discrepancies, or incorrect insurance information. This role ensures claims are properly corrected, rerouted to the appropriate payer, and successfully reimbursed. Complex denials requiring further review are escalated to the Appeals team.

Key Responsibilities
<ul><li>Analyze claims to determine root cause of misrouting or denial (e.g., incorrect payer, coding errors, eligibility issues)</li></ul>
<ul><li>Verify and update patient insurance information, including coordination of benefits (COB)</li></ul>
<ul><li>Review and validate coding accuracy (ICD-10, HCPCS, CPT as applicable)</li></ul>
<ul><li>Correct claim errors and ensure all required documentation is in place prior to resubmission</li></ul>
<ul><li>Resubmit corrected claims to the appropriate payer in a timely and accurate manner</li></ul>
<ul><li>Identify trends or recurring issues in claim errors and contribute to process improvement</li></ul>
<ul><li>Monitor claim status post-resubmission and follow up on pending or unresolved claims</li></ul>
<ul><li>Escalate complex denials or unresolved issues to the Appeals team as appropriate</li></ul>

Qualifications
<ul><li>Previous experience in within DME preferably with Surgical Dressings, Ostomy, Urological, Tracheostomy, etc.)</li></ul>
<ul><li>Strong understanding of Medicare guidelines, LCDs, and compliance requirements</li></ul>
<ul><li>Proficiency with medical billing systems and electronic claims submission platforms</li></ul>
<ul><li>Working knowledge of ICD-10, HCPCS, and CPT coding</li></ul>
<ul><li>Familiarity with CMS-1500 (professional claims)</li></ul>
<ul><li>Understanding of payer guidelines, claim frequency codes, and resubmission processes</li></ul>
<ul><li>High attention to detail with strong organizational and problem-solving skills</li></ul>
<ul><li>Strong communication skills and ability to work independently and within a team</li></ul>
<ul><li>Experience with Brightree is highly preferred</li></ul>
<ul><li>Minimum typing speed of 60 WPM</li></ul></div>

Claims Resolution Specialist

Liberty Mutual Insurance

<div>Description
<div>Are you looking to use your customer service skills in a role where you can see that you are making a difference in people&rsquo;s lives? Are you looking for a position that allows you to do meaningful and innovative work in a culture of continuous improvement? If so, this opportunity could be for you!
Liberty Mutual&rsquo;s Large Loss Claims Property team has an immediate opening for a Personal Property Claims Specialist. As a Claims Specialist, you will manage, investigate and resolve assigned Property Contents claims under general supervision. Responsibilities include: capturing and creating an inventory of damaged/lost contents while on site, working with various vendors and ensuring that quality customer service is provided via face to face and phone interaction. Manages, investigates and resolves assigned Property Contents claims for more complex claims under limited supervision. Compiles and values inventory of high-end damaged/lost contents associated with property claims. Provides policyholders with quality customer service. May assist Claims Representatives with in-person inspection/policyholder contact where necessary.
Training is a critical component to your success and that success starts with reliable attendance. Attendance and active engagement during training is mandatory.
To be successful in this role, the ideal candidate must be comfortable with travelling as he/she would be travelling 75% of the time, visiting homes and doing inspections/investigations.
Candidates who reside in Southern Illinois and Southwest Indiana are also welcome to apply for this role. 
Responsibilities:<ul><li>
Responsible for claims handling personal property losses to include large loss.</li><li>
Works in concert with large loss adjuster for scheduling, inventorying, adjustment and relocation assistance.</li><li>
Performs on-site inventory inspection and specific detail capture (50% minimum on-site) to provide to policyholder for pricing.</li><li>
Develops expert list/websites for various product categories.</li><li>
Utilizes internet VIA/Insurer's World/vendors for pricing and/or validation.</li><li>
Documents the file accordingly.</li><li>
Provides quality customer service.</li><li>
Provides insured with policy information to include coverage, limitations, replacement or ACV options.</li><li>
Works with and may coordinate a number of vendor services such as contractors, emergency repair, cleaning services and various replacement services.</li><li>
May assist on files handled by Claims Reps with in-person inspection/policyholder contact when needed.</li><li>
Attends product seminars/shows to build personal property expertise.</li><li>
May be called upon for catastrophe duty.</li></ul></div>
Qualifications<ul><li>
Strong written and oral communications skills required.</li><li>
Good interpersonal, analytical and negotiation skills required</li><li>
Customer service experience preferred</li><li>
Knowledge of coverages provided within various homeowner policies.</li><li>
Experience in interior design, electronics, appliances, antique-collectibles, clothing and furniture retail preferred.</li><li>
The capabilities, skills and knowledge required is normally acquired through a Bachelor&rsquo;s degree or equivalent experience and 3-5 years of directly related experience.</li><li>
Ability to obtain proper licensing as required.</li></ul>
About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. 
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. 
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: https://www.libertymutualgroup.com/about-lm/careers/benefits 
 
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. 
 
Fair Chance Notices<ul><li>
California</li><li>
Los Angeles Incorporated</li><li>
Los Angeles Unincorporated</li><li>
Philadelphia</li><li>
San Francisco</li></ul></div>

Claim Resolution Specialist, Personal Property

H2 Performance Consulting

<div>
 
 H2 Performance Consulting is subject to the Vietnam Era Veteran's Readjustment Assistance Act as a Federal Contractor and is an Equal Opportunity/Affirmative Action Employer and strives to build a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status or disability status. Additionally, as mandated under Executive order 12989, H2 is required to verify employment eligibility of selected candidates through the Department of Labor's - E-Verify.
 
 
 
 H2 Performance Consulting (H2) is seeking a Helpdesk Specialist to join our new project supporting the White Sands Missile Range in White Sands, NM. This work will be performed 100% on-client.
 
 
 
 The Help Desk Support Specialist responsibilities will include:
 
 
 
 <ul>
 <li>
 Providing user management support for processing account create and change request forms, submitting and tracking account requests, troubleshooting individual account issues, account creation, account termination
 </li>
 <li>
 Recording, analyzing, and preparing required reports regarding problem resolution occurrences and trends
 </li>
 <li>
 Developing standard operating procedures and user self-help training aids (e.g. tips and tricks, frequently asked questions) for recurring problems
 </li>
 <li>
 Ensures the timely process through which problems are controlled
 </li>
 <li>
 Problem recognition, research, isolation, resolution, and follow-up steps
 </li>
 <li>
 Supports end users on a variety of issues
 </li>
 <li>
 Identifies, researches, and resolves technical problems
 </li>
 <li>
 Responds to telephone calls, email, and personnel requests for technical support
 </li>
 <li>
 Documents, tracks, and monitors the problem to ensure a timely resolution
 </li>
 <li>
 Follows an ITIL process to resolve incidents from beginning to end and has a very mature customer service outlook
 
 
 </li>
 </ul>
 
 Requirements
 
 
 
 
 Required Qualifications:
 
 
 
 
 Direct Relative Experience Required
 
 
 
 <ul>
 <li>
 Junior Level: 1-2 Years
 </li>
 <li>
 Intermediate: 3-5 Years
 </li>
 <li>
 Senior Level: 5+ Years
 
 
 </li>
 </ul>
 High School Diploma, or related discipline
 
 
 Certifications (Must possess one of the following):
 
 
 <ul>
 <li>
 CompTIA A+ CE
 </li>
 <li>
 CompTIA Network + CE
 </li>
 <li>
 Systems Security Certified Practitioner (SSCP)
 </li>
 <li>
 CCNA-Security
 </li>
 <li>
 Clearance: At minimum Secret level clearance required to start on contract
 
 
 </li>
 </ul>
 
 Qualified candidates may submit their resume to the career section of our company website
 
 
 . All resumes will be reviewed within 5 business days and those candidates we wish to further in the application process will be contacted via email/phone to schedule initial phone screens.
 
 
 
 
 Benefits
 
 
 
 H2 Performance Consulting offers competitive benefits to include health insurance, vision/dental insurance, paid time off, holiday pay, and 401K.
</div>

Help Desk Support Specialist

Advantia health

<div>Advantia is seeking a Claims Resolution Specialist specializing in Lab Billing to join our team! As a Claims Resolution Specialist (Lab Billing), you will be essential in ensuring the accuracy and timeliness of billing and reimbursement for medical services. This important role demands a solid understanding of medical terminology, coding, and billing procedures. This role will report to the RCM Manager.
Job Responsibilities:
<ul><li>Initiating ERA (electronic remittance advice) set up with clearinghouse and/or third-party portals.</li><li>
Initiating EFT (electronic funds transfer) set up with payers &amp; third-party portals.</li><li>
Assist in vendor support of daily cash reconciliation duties.</li><li>
Clear understanding of RCM Payment Posting Processing (ERA/Manual Posting) of Line-Item Payments/Denials.</li><li>
Clear understanding of reconciling offset/recoupment payer remits.</li><li>
Call carriers and third parties to resolve unidentified payments/reconcile items.</li><li>
Responsible for maintaining payer portal admin and employee registration.</li><li>
Assist the RCM Manager with various projects.</li></ul>
Job Requirements:
<ul><li>High School/GED Education required</li><li>
Previous experience in medical billing or a related field is preferred.</li><li>
Proficiency in electronic health records and billing software preferred.</li><li>
Athena experience required.</li></ul>
Benefits &amp; Compensation: 
<ul><li>Health, Dental, and Vision Insurance</li><li>
Health Savings Account (HSA) and Flexible Savings Account (FSA) Option</li><li>
401k Retirement Plan</li><li>
Life and Disability Insurances</li><li>
Paid holidays/PTO</li></ul>
Please note: Advantia Health provides unparalleled healthcare to our customers by employing the most highly qualified individuals. If you are selected for further consideration, you will be subject to a background investigation. COVID-19 and Flu vaccination or an approved request for accommodation is required as a condition of employment.
Advantia Health is an Equal Opportunity Employer that is committed to global diversity: It is a place where good people want to work, and customers want to continue to engage EOE M/F/D/V.</div>

Claims Resolution Specialist - Lab Billing

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