Accounts Receivable Resolution Specialist

<div><span style="font-family: verdana, geneva; font-size: 14pt;"><strong data-olk-copy-source="MessageBody">We’re not just behavioral health people—we’re crisis people.</strong></span></div>
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<div><span style="font-family: verdana, geneva; font-size: 12pt;">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.  </span></div>
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<div><span style="font-family: verdana, geneva; font-size: 12pt;">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.  </span></div>
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<div><span style="font-family: verdana, geneva; font-size: 12pt;">Our values shape our decisions, define our culture, and foster continuous learning and growth.  </span></div>
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<div><span style="font-family: verdana, geneva; font-size: 12pt;">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. </span></div>
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<div><span style="font-family: verdana, geneva; font-size: 12pt;">We are on a mission to change the face of behavioral health. Help us save lives and make a difference. </span></div>
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<p style="margin: 0px;"><span style="font-family: verdana, geneva; font-size: 14pt;"><strong>What You'll Do:</strong></span></p>
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<p style="margin: 0px;"><span style="font-family: verdana, geneva; font-size: 12pt;">The<strong> Accounts Resolution Specialist </strong>contributes to the financial viability of the organization by assuring that accounts have been properly billed and reimbursed. Responsibilities include contacting the appropriate insurance company to secure and expedite payments through the follow-up and appeals resolution processes and acting as a functional leader or reference source. This position requires discretion and good judgment in decision-making and representation of Connections Healthcare Solutions. Work situations are varied and require extensive insurance billing, follow-up and appeal knowledge, and strong customer service skills. This position provides the link in communication between Connections Healthcare Solutions and the patient, insurance companies/third-party payers, and the provider of service or departmental staff. The AR Resolution Specialist performs these functions at a complex level of implementation, analysis, and resolution.</span></p>
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<li><span style="font-size: 12pt; font-family: verdana, geneva;">Follows up on required daily accounts based on leadership assignments to reduce the A/R. </span></li>
<li><span style="font-size: 12pt; font-family: verdana, geneva;">Performs timely and accurate validation of denied claims and determines appropriate denial resolution, including but not limited to; authorization/retro authorization/precertification.</span></li>
<li><span style="font-size: 12pt; font-family: verdana, geneva;">Utilizes WAYSTAR to submit appeal letters and payer-required documentation on unpaid and underpaid claims.</span></li>
<li><span style="font-size: 12pt; font-family: verdana, geneva;">Prioritizes work to increase efficiency in the collections process.</span></li>
<li><span style="font-size: 12pt; font-family: verdana, geneva;">Documents action taken toward account resolution within Avatar and WAYSTAR using standardized note format.</span></li>
<li><span style="font-size: 12pt; font-family: verdana, geneva;">Meets productivity requirements as set within the department. </span></li>
<li><span style="font-size: 12pt; font-family: verdana, geneva;">Effectively communicates identified opportunities with leadership utilizing SBAR format.</span></li>
<li><span style="font-size: 12pt; font-family: verdana, geneva;">Follows chain of command as defined through CHS leadership. Participates in coordinated departmental initiatives related to AR reduction.</span></li>
<li><span style="font-size: 12pt; font-family: verdana, geneva;">Takes initiative to troubleshoot technological issues and communicates to leadership according to department guidelines. Assists billing with determining the proper disposition of or composing replies to incoming mail and other correspondence.</span></li>
<li><span style="font-size: 12pt; font-family: verdana, geneva;">Performs all other duties as assigned.</span></li>
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<p style="margin: 0px;"><span style="font-size: 12pt; font-family: verdana, geneva;"><span style="font-size: 12pt; font-family: verdana, geneva, sans-serif;"><strong>This is a fully remote position in these states:</strong> <strong>AL, AR, AZ, CA, CO, CT, DC, FL, GA, IL, IN, KS, KY, LA, MD, ME, MI, MN, MT, NC, NJ, NY, OH, OR, PA, SC, TN, TX, VA, WA, WI</strong></span></span></p>
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<p style="margin: 0px;"><span style="font-size: 14pt; font-family: verdana, geneva;"><strong>What You'll Bring:</strong></span></p>
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<li><span style="font-size: 12pt; font-family: verdana, geneva;">High School diploma, GED, or international equivalent</span></li>
<li><span style="font-size: 12pt; font-family: verdana, geneva;">2 years of insurance claims follow-up</span></li>
<li><span style="font-size: 12pt; font-family: verdana, geneva;">2 years of claim denial management</span></li>
<li><span style="font-size: 12pt; font-family: verdana, geneva;">5 years of experience within a physician and/or facility business office</span></li>
<li><span style="font-size: 12pt; font-family: verdana, geneva;">1 year of experience working in a remote environment</span></li>
<li><span style="font-size: 12pt; font-family: verdana, geneva;"><strong>The Company has a mandatory vaccination policy. All successful applicants must be fully vaccinated, including showing proper documentation, or otherwise be exempt pursuant to the Company’s exemption process prior to their start date as a condition of employment</strong> </span></li>
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<p style="margin: 0px;"><span style="font-family: verdana, geneva; font-size: 14pt;"><strong>It would be great if you had:</strong></span></p>
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<li><span style="font-family: verdana, geneva; font-size: 12pt;">Bachelor’s degree in health care or related field</span></li>
<li><span style="font-size: 12pt; font-family: verdana, geneva;">5 years of experience with physician and/or facility billing/auditing within a behavioral health environment</span></li>
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<p style="margin: 0px;"><span style="font-size: 14pt; font-family: verdana, geneva;"><strong>What We Offer:</strong></span></p>
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<p style="margin: 0px;"><span style="font-size: 12pt; font-family: verdana, geneva;">Full-time only:</span></p>
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<li><span style="font-size: 12pt; font-family: verdana, geneva;">Employees (and their families) are offered comprehensive health insurance, including Medical, Dental, Vision, Accident, Critical Illness, and Hospital Indemnity</span></li>
<li><span style="font-size: 12pt; font-family: verdana, geneva;">CHS pays for Basic Life, AD&D, Short and Long-Term Disability</span></li>
<li><span style="font-size: 12pt; font-family: verdana, geneva;">Voluntary Life insurance option for employees and their families</span></li>
<li><span style="font-size: 12pt; font-family: verdana, geneva;">Health Savings Accounts (with $1,000 to $2,000 employer contribution depending on plan)</span></li>
<li><span style="font-size: 12pt; font-family: verdana, geneva;">Flexible Spending Accounts (health care and dependent care)</span></li>
<li><span style="font-size: 12pt; font-family: verdana, geneva;">401k company match after 6 months (50% of deferrals up to 6% of compensation)</span></li>
<li><span style="font-size: 12pt; font-family: verdana, geneva;">Generous PTO starting at 160 hours accrued annually and 12 recognized company holidays</span></li>
<li><span style="font-size: 12pt; font-family: verdana, geneva;"><span data-olk-copy-source="MessageBody">Company‑paid parental leave available to eligible employees</span></span></li>
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<p style="margin: 0px;"><span style="font-size: 12pt; font-family: verdana, geneva;">All employees (Pool, Part-time and Full-time):</span></p>
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<li><span style="font-size: 12pt; font-family: verdana, geneva;">Employee Assistance Program to help with confidential emotional support, work life solutions, financial solutions, legal assistance, or online support</span></li>
<li><span style="font-size: 12pt; font-family: verdana, geneva;">After 90 days, you are auto enrolled in the 401k Plan </span></li>
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<h2><strong>EEO Statement</strong></h2>
<p>Connections Health Solutions is an equal opportunity employer. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by law. We are committed to creating an inclusive and welcoming environment for all employees and applicants.</p>
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<p><strong>Recruitment Fraud Warning</strong></p>
<p>Connections Health Solutions has been made aware of individuals impersonating our recruiters and issuing fraudulent interview invitations and job offers.</p>
<p>Please note:</p>
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<li><span>Official communications come only from an email address ending in <strong>@connectionshs.com</strong>.</span></li>
<li><span>We will never extend an offer without completing our formal interview process.</span></li>
<li><span>We will never ask candidates to pay fees, purchase equipment, or send money as part of the hiring process.</span></li>
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<p>If you receive a suspicious communication claiming to represent Connections Health Solutions, please contact <a id="OWAbf5009fe-0921-6774-1eac-9516c353fff4" class="OWAAutoLink" href="mailto:[email hidden]"><u>[email hidden]</u></a>  to verify its authenticity before responding.</p>
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