Account Resolution Specialist IV

Company: VirtualVocations
Location: Mission Viejo
Posted on: November 10, 2024

Job Description:

A company is looking for an Account Resolution Specialist IV - HB/PB to resolve complex medical claims and mentor account resolution specialists.

Key Responsibilities

Resolve high-level escalated claims and analyze high-dollar, complex claims for compliance
Mentor account resolution specialists and lead continuous improvement initiatives
Research and resolve outstanding insurance accounts receivables to maximize revenue collection

Required Qualifications

Bachelor's degree in healthcare management or related field preferred
3+ years of supervising, mentoring, or coaching experience required
Minimum 3-5 years of experience with health insurance companies in securing payment for complex claims
CRCR certification or completion of certification required within 90 days of hire
Experience with EMR systems such as Epic, Cerner, Allscripts, or comparable platforms required

Keywords: VirtualVocations, Oxnard , Account Resolution Specialist IV, Other , Mission Viejo, California

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