Accounts Receivable Resolution Specialist - Remote (Virginia Region)

Connections Health Solutions

113d

About The Position

We’re not just behavioral health people—we’re crisis people. Connections Health Solutions is a leading provider of immediate-access behavioral health crisis care. Our team combines medical and recovery-oriented treatment to stabilize individuals in crisis and connect them to community-based resources for ongoing recovery. Founded by emergency room psychiatrists Dr. Chris Carson and Dr. Robert Williamson, our model is physician-led and data-driven, drawing upon more than 15 years of crisis care expertise. Recognized by SAMHSA and the National Council for Mental Wellbeing as a national best practice, we’ve delivered invaluable treatment to hundreds of thousands of individuals facing crises. Our commitment remains consistent, to improve access, inspire hope, and provide the right support. Our values shape our decisions, define our culture, and foster continuous learning and growth. We accept people as they are, creating safe spaces where they feel valued and respected. We inspire hope by walking with people side-by-side, showing them grace and compassion. We act with intention, holding ourselves and each other accountable, and doing the right thing. We work as one team, trusting and supporting each other. We embrace change and innovation, striving to find better ways to fulfill our mission. We are on a mission to change the face of behavioral health. Help us save lives and make a difference.

Requirements

• High School diploma, GED, or international equivalent.
• 2 years of insurance claims follow-up.
• 2 years of claim denial management.
• 5 years of experience within a physician and/or facility business office.
• 1 year of experience working in a remote environment.

Nice To Haves

• Bachelor’s degree in health care or related field.
• 5 years of experience with physician and/or facility billing/auditing within a behavioral health environment.

Responsibilities

• The AR Resolution Specialist contributes to the financial viability of the organization by assuring that accounts have been properly billed and reimbursed.
• Contact the appropriate insurance company to secure and expedite payments through the follow-up and appeals resolution processes.
• Act as a functional leader or reference source.
• Follow up on required daily accounts based on leadership assignments to reduce the A/R.
• Perform timely and accurate validation of denied claims and determine appropriate denial resolution.
• Utilize WAYSTAR to submit appeal letters and payer-required documentation on unpaid and underpaid claims.
• Prioritize work to increase efficiency in the collections process.
• Document action taken toward account resolution within Avatar and WAYSTAR using standardized note format.
• Meet productivity requirements as set within the department.
• Effectively communicate identified opportunities with leadership utilizing SBAR format.
• Follow chain of command as defined through CHS leadership.
• Participate in coordinated departmental initiatives related to AR reduction.
• Take initiative to troubleshoot technological issues and communicate to leadership according to department guidelines.
• Assist billing with determining the proper disposition of or composing replies to incoming mail and other correspondence.
• Perform all other duties as assigned.

Benefits

• Comprehensive health insurance, including Medical, Dental, Vision, Accident, Critical Illness, and Hospital Indemnity.
• CHS pays for Basic Life, AD&D, Short and Long-Term Disability.
• Voluntary Life insurance option for employees and their families.
• Health Savings Accounts (with $1,000 to $2,000 employer contribution depending on plan).
• Flexible Spending Accounts (health care and dependent care).
• 401k company match after 6 months (50% of deferrals up to 6% of compensation).
• Generous PTO starting at 160 hours accrued annually and 12 recognized company holidays.
• Employee Assistance Program to help with confidential emotional support, work life solutions, financial solutions, legal assistance, or online support.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED
• Number of Employees: 501-1,000 employees