A company is looking for an Account Resolution Specialist II to manage insurance claims and ensure timely payment processing for clients.
Key Responsibilities Submit and review medical claims for accuracy and compliance with regulations Investigate claim errors and follow up with payers to resolve issues Prepare and submit appeals with necessary documentation as per payer guidelines Required Qualifications High school diploma or equivalent Minimum 2 years of experience in securing medical claim payments and managing claim follow-up Experience with EMR/EHR systems such as Meditech, Epic, or similar platforms Strong knowledge of ICD-10, CPT/HCPCS, and revenue cycle processes Proficiency in Microsoft Office Suite and various desktop applications