Account Resolution Specialist III

Description: We are hiring in the following states:
AR, AZ, CA, CO, FL, GA, IA, IL, MO, NC, NE, NJ, NV, OK, PA, SD, TN, TX, VA, WA, and WI
This is a remote position
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At Currance, we believe in recognizing the unique skills and experiences that each candidate brings to our team. Our overall compensation package is competitive and is determined by a combination of your experience in the industry and your knowledge of revenue cycle operations. We are committed to offering a rewarding environment that aligns with both individual contributions and our company goals.

Benefits include paid time off, 401(k) plan, health insurance (medical, dental, and vision), life insurance, paid holidays, training and development opportunities, a focus on wellness and support for work‑life balance, and more.

Please note that we are looking for people who have hospital billing experience in collections and have some HB billing experience, in high dollar collections, adjustments and denials management.

As a healthcare revenue cycle business, we manage insurance claims and oversee timely claim resolution and payment processing for our clients. The Accounts Receivable Specialist III is a senior‑level role responsible for resolving the more complex, high‑dollar, or escalated insurance accounts. ARSIIIs are recognized for their payer knowledge, accuracy, and ability to consistently deliver exceptional results. ARSIIIs are expected to set the standard for quality, productivity, and professionalism, serving as an example for the rest of the team.

This role requires strong analytical skills, expert understanding of payer rules, and the ability to work independently while meeting productivity and quality goals.

• Independently manage high‑dollar, high volume, and complex accounts with significant financial impact.
• Submit accurate medical claims in compliance with federal, state, and payer‑specific requirements.
• Resolve multi‑level denials that require advanced research, payer escalation, and detailed follow‑up.
• Investigate and follow up with payers to collect insurance accounts receivables.
• Prepare and submit first‑ and second‑level appeals with complete supporting documentation, ensuring thorough tracking and follow‑up to maximize reimbursement.
• Execute and oversee EHR workflows in systems such as Epic, Cerner, Meditech, and Allscripts, including reroutes, denial closures, and account adjustments.
• Review Explanation of Benefits (EOBs) to resolve payment discrepancies, claim denials, and contractual underpayments.
• Complete rebills and corrections to maximize reimbursement.
• Transforming revenue cycle differently.
• Improving healthcare together.
• Analyze discrepancies in payments and take corrective actions as needed.
• Meet productivity benchmarks while maintaining high‑quality standards.
• Research, analyze, and correct errors and rejections, identify root causes, and implement preventive solutions.
• Verify and adjust claims to ensure accurate client liability and account balance.
• Stay informed about changes in payer guidelines and processes for accurate claim submissions.
• Identify payer trends impacting reimbursement and bring findings to management for review.
• Participate in daily shift briefings and contribute as needed.
• Productivity:
  Achieve 115% of the project daily goal.
• Quality:
  Achieve 95% monthly quality assurance score.
• Other expectations:
  As outlined by the department.

• High school diploma or equivalent required;
  Associate’s degree preferred
• CRCR certification or completion of certification required within 90 days of hire.
• Minimum 3 years of experience in securing medical claim payments, managing follow‑up, and appealing denials, with proven success resolving complex, high‑value claims.
• Advanced knowledge of ICD‑10, CPT/HCPCS, payer policies, and reimbursement regulations.
• Strong negotiation, research, and problem‑solving abilities.
• Experience using EHR/EMR systems such as Meditech, Epic, Cerner, Allscripts, Nextgen, or similar platforms to support billing and account resolution.
• Proficiency in Microsoft Office Suite, Teams, and various desktop applications.