account resolution specialist

Kiavi

<div>Kiavi is one of the nation's largest private lenders to residential real estate investors (REIs). We harness the power of data &amp; technology to offer our customers a simpler, more reliable, and faster way to access the capital they need to scale their businesses.

Formerly known as LendingHome, we're committed to helping REIs revitalize the approximately $25 trillion worth of aged U.S. housing stock to provide move-in ready homes and rental housing for millions of Americans across the country.

Combining our technology and industry expertise, Kiavi has grown to a team of over 500 and has won many awards over the years including Forbes Fintech 50, Finovate Awards, Best Digital Mortgage Platform, Fast Company's Most Innovative Companies, and many more.
<ul>
<li>Loans Funded: $30 billion in loans funded</li>
<li>Homes financed: 100,000+ projects funded for our customers across the country</li>
<li>Geography: 49 states + D.C. where we lend to REIs so they can revitalize neighborhoods</li>
<li>Employees: Over 500 employees with competitive benefits and perks</li>
</ul>
This position can be based remotely in any of our approved hiring regions. Our hybrid distributed workforce philosophy allows us to find the best talent in the country and build diverse teams, while allowing our colleagues to work from the location that works best for them.

Identity Verification Notice: To ensure the security and integrity of our hiring process, all candidates are required to complete a secure identity verification. This process uses biometric and device validation to confirm identity and liveness. All data is handled securely in accordance with our privacy policy.

The Role

The Kiavi Special Servicing Team is the primary point of contact for our customers after a loan is approved. Our goal is to provide the best mortgage experience for our customers and keep them coming back. As an Asset Resolution Specialist (ARS) with Kiavi you will be the point of contact for customers who need workout assistance on their loan(s). You'll use strong negotiation and customer service skills to assist customers through workout plans to bring loans current and/or avoid default. You are also able to understand investor guidelines for mortgage modifications and explain these guidelines in a clear manner with customers.

Responsibilities
<ul>
<li>The ARS manages a portfolio of loans in default and implements loss mitigation strategies, reviews and validates documents, and answers technical foreclosure questions from borrowers</li>
<li>Analyzes work-out options based on financial impact for delinquent loans, including foreclosure, short sale, reinstatement, deed in lieu and delivers a proposal for the option that yields the best return for the investor</li>
<li>Works closely with our investors to negotiate loss mitigation strategies</li>
<li>Sets clear expectations with borrowers and other involved parties about loan status and communicating possible difficult decisions up to the final resolution</li>
<li>Manage relationships with internal departments and with business partners</li>
<li>Ensures all updates, analyses, and decisions are administered/tracked in the appropriate systems</li>
<li>Generates ideas for improvement or increased efficiency and supports the implementation of new ideas and initiatives</li>
<li>Responsible for periodic and ad-hoc reporting</li>
</ul>
Qualifications
<ul>
<li>Minimum of 2 years of mortgage experience</li>
<li>Bachelor's degree</li>
<li>Exemplary communication skills, both written and spoken</li>
<li>Must have the ability to guide customers and investors through the retention and/or liquidation process and navigate on their behalf</li>
<li>General knowledge about the entire loss mitigation process</li>
<li>Self-starter with the ability to independently work a pipeline effectively</li>
</ul>
Kiavi takes a market-based approach to pay, and pay may vary depending on your location. The expected annualized base pay range for this full-time role to be performed remotely is $45,000 to $67,000 plus $6,000 bonus plus benefits. The range displayed on each job posting reflects the minimum and maximum target for new hire salaries. Within the range, the successful candidate's starting pay will be determined based on job-related skills, experience, qualifications, work location, and market conditions. Your recruiter can share more about the specific base pay range for your preferred location during the hiring process. Please note that the pay range listed above reflects the base salary only, and does not include the target value of bonus or benefits. 


Benefits and Perks
<ul>
<li>Medical, Dental, and Vision Insurance: Kiavi offers free employee-only coverage for medical, dental, and vision plans. Dependents receive a heavily discounted premium, competitively placed in the 90th percentile for cost.</li>
<li>Health Savings Account (HSA): For those enrolled in a High Deductible Health Plan (HDHP), Kiavi provides an annual employer contribution to HSAs: $1,000 for individual coverage and $2,000 for dependents.</li>
<li>Disability and Life Insurance: Immediate access to short-term and long-term disability insurance, as well as group life and AD&amp;D insurance, with coverage at 1x annual salary.</li>
<li>Remote Work Policy: Kiavi supports working remotely for day to day activities for most roles and occasionally may ask employees to gather in person for key meetings, training, team building etc. For remote workers, Kiavi offers a one-time office setup reimbursement of up to $500 and a monthly $85 stipend for internet and phone expenses. For in-office workers, Kiavi offers employer contributions to commuter benefits account, either for parking or public transportation.</li>
<li>Flexible Time Off: Employees are empowered to manage their own time off, with no strict limits, as long as it's approved by their manager.</li>
<li>Paid Leaves: Up to 8 weeks of paid leave for medical or caregiver purposes, and 12 weeks of paid maternity/paternity leave. Short-term disability leave is also available for birthing mothers.</li>
<li>401(k) &amp; Company Match: A 401(k) plan managed by Fidelity, with Kiavi matching 100% of contributions up to 3% of compensation or $8,000 (whichever is less). All employer contributions are immediately vested.</li>
</ul>
Protect yourself from recruitment scams:
<ul>
<li>If you are offered an interview or a role with Kiavi, this will be communicated with you through email, via an official email address ending in @kiavi.com or @lendinghome.com.</li>
<li>You will never be asked for payments of any kind during the process.</li>
<li>We also never communicate with candidates via Whatsapp at any point during the recruitment process.</li>
<li>We won't ask for personal information or data via text message. If you have any concerns regarding how genuine a text message is, please contact your recruiter.</li>
<li>You can find our official Kiavi careers page here. We advise you to check that the page details and website addresses match if you have any concerns.</li>
</ul><h5 class="jobSectionHeader">Kiavi is an Equal Opportunity Employer 
San Francisco Fair Chance Ordinance Police Code, Article 49
</h5><h5 class="jobSectionHeader">We use E-Verify to confirm the identity and employment eligibility of all new hires.</h5></div>

Asset 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

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

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

Risas Dental and Braces

<div>Employment Status: Full-time 
 
✓ Dental Insurance ✓ Health Insurance ✓ Life Insurance
✓ 12hr ✓ Rotating
At Risas Dental and Braces, our focus is providing quality and affordable dental care and braces for families everywhere. Our goal is to think and speak a language that patients understand. For this reason, our Company Statement is We Speak Patient&trade;. The result is happier, healthier Patients, and better opportunities for our doctors and team members. 


We are seeking a friendly and professional bilingual Account Specialist to join our Risas family. The Account Specialist must have excellent customer service skills, a dynamic personality, be highly motivated, and detail-oriented. The Account Specialist works with patients to discuss payment options, insurance benefits and eligibility, financial account accuracy, and account balance resolution. We value good communication skills, reliability, a positive attitude, and organizational talents. 

Responsibilities 
<ul>
<li>Present and explain financial arrangements, monthly billing and collecting with patients</li>
<li>Post payments, charge new accounts, and close out for the deposit</li>
<li>Verify insurance benefits prior to all new patient exams</li>
</ul><ul><li>Educate and encourage patient's commitment to long-term treatment</li>
<li>Identify, address, and resolve any patient concerns</li>
<li>Validate and/or obtain authorization for payment from patients</li>
<li>Follow up with insurance companies regarding eligibility and payments</li>
<li>Bill insurance within 24 hours of the start of treatment</li>
</ul><ul><li>Close out the month and complete month-end reports</li>
<li>Additional duties and responsibilities as assigned</li></ul> 
 
Qualifications 
<ul>
<li>Bilingual in English and Spanish</li>
</ul><ul><li>High School Diploma or GED equivalent</li>
<li>Customer service experience over the phone a plus</li>
<li>Knowledgeable of dental and medical terminology preferred</li>
<li>Exceptional written and verbal communication abilities</li>
<li>Excellent organizational skills and ability to multitask</li>
</ul><ul><li>Ability to utilize de-escalation skills being an empathetic, active listener, who has strong follow through skills when speaking with patients</li>
<li>Ability to think creatively, problem solve, and work independently</li>
<li>Must have a growth mindset and the ability to adapt to change</li>
<li>Ability to work within a team environment and lend support, as a team player, to team members as needed</li></ul> 


Benefits

Risas Dental and Braces offers a comprehensive benefits package including
<ul>
<li>12-hour shifts, 3 days a week</li>
<li>Medical and vision benefits</li>
<li>Free dental services</li>
</ul><ul><li>401(k) with employer match</li>
<li>Tuition reimbursement opportunities</li>
<li>And many other ancillary benefits</li></ul> 


The working environment is fun, fast paced, challenging, and rewarding with opportunities for professional development and career advancement. Join us in this work. Begin a career that is full of meaning and value.</div>

Patient Accounts Specialist

Search 5127+ Account resolution specialist jobs near you this June. New roles added regularly across leading industries. Apply today.