CrawlJobs Logo

Denials & Accounts Resolution Specialist

ONESTAFF MEDICAL

Location Icon

Location:
United States , Omaha

Category Icon
Category:
Finance

Job Type Icon

Contract Type:
Not provided

Salary Icon

Salary:

17.00 - 24.00 USD / Hour
Save Job
Save Icon
Apply Position

Job Description:

We are seeking a detail‑oriented and motivated Accounts Receivable Specialist with a strong background in insurance and finance. This role is responsible for managing incoming payments, reconciling accounts, resolving discrepancies, and ensuring timely and accurate collection of outstanding receivables. The ideal candidate understands financial workflows and has experience working with insurance carriers, claim processing, or reimbursement posting.

Job Responsibility:

  • Process, post, and reconcile payments from customers, insurance carriers, and third‑party payers
  • Review accounts for accuracy and ensure payments are applied correctly
  • Monitor aging reports and follow up on past‑due accounts
  • Contact customers, insurers, or internal departments to resolve payment discrepancies or missing information
  • Research and reconcile claim denials, short‑pays, or misapplied payments
  • Prepare daily, weekly, or monthly AR reports as required
  • Maintain accurate financial records and documentation
  • Assist with month‑end closing processes and account reconciliations
  • Collaborate with billing and finance teams to improve AR workflows and reduce outstanding balances
  • Ensure compliance with company policies, insurance regulations, and financial guidelines

Requirements:

  • High school diploma required, Associate’s or Bachelor’s degree in Accounting, Finance, Business, or related field preferred
  • 1–3 years of experience in Accounts Receivable, billing, or finance
  • Background working with insurance payments, claims, explanations of benefits (EOBs), or reimbursement posting is strongly preferred
  • Solid understanding of financial processes, accounting basics, and AR workflows
  • Proficiency with billing or accounting systems
  • experience with ERP systems is a plus
  • Strong Excel skills (sorting, filtering, formulas, pivot tables preferred)
  • Exceptional attention to detail and accuracy
  • Strong communication and problem‑solving abilities
  • Ability to manage multiple tasks and meet deadlines

Nice to have:

  • Associate’s or Bachelor’s degree in Accounting, Finance, Business, or related field
  • Experience with ERP systems
What we offer:
  • 401K
  • Car Allowance
  • Eat Well
  • Employee Assistance Program
  • Flex Hours
  • Free Direct Deposit / Weekly Pay
  • Game Rooms
  • Gym Privileges
  • HealthJoy
  • In-House Chiropractor
  • In-House Massage Therapist
  • Life Insurance
  • Long/Short Term Disability
  • Pet Insurance
  • Stay Optimized

Additional Information:

Job Posted:
March 13, 2026

Employment Type:
Fulltime
Work Type:
On-site work
Icon
ONESTAFF MEDICAL - All Job Offers
Job Link Share:
Copy Link Icon
Facebook Icon Twitter Icon LinkedIn Icon

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Denials & Accounts Resolution Specialist

Medical Accounts Receivable Specialist

This role is within the healthcare industry, where you will be crucial in assist...
Location
Location
United States , Jeffersontown, Kentucky
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Proficient in Accounting Software Systems
  • Experience with ADP - Financial Services
  • Familiarity with CRM
  • Proficiency in Epic Software
  • Knowledge of ERP - Enterprise Resource Planning
  • Ability to handle Accounting Functions
  • Experience with Accounts Receivable (AR)
  • Proficient in Billing Functions
  • Capable of managing Cash Activity
  • Experience in Cash Handling
Job Responsibility
Job Responsibility
  • Oversee the processing of appeals by collecting necessary information and resubmitting claims
  • Manage the initiation of collection follow-ups for unpaid or rejected claims with the relevant Payer
  • Maintain a robust and positive relationship with team members and Payer representatives
  • Handle communication of payment or denial trending issues that impact revenue, to leadership
  • Take responsibility for reviewing unpaid claims and investigating reasons for payment delays
  • Handle the resolution of claim partial payments and denials with Payers
  • Engage insurance companies and attorneys to resolve any discrepancies and ascertain the status of bills to secure proper reimbursement
  • Review outstanding accounts receivables for assigned Payers and maintain the aging report
  • Ensure any necessary adjustments in accounts are processed accurately and promptly
  • Keep accurate customer credit records and process customer credit applications efficiently
What we offer
What we offer
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan
  • Fulltime
Read More
Arrow Right

Patient Financial Specialist

The associate is responsible for the duties and services that are of a support n...
Location
Location
United States , Irving
Salary
Salary:
Not provided
christushealth.org Logo
CHRISTUS Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • HS Diploma or equivalent years of experience required
  • Post HS education preferred
  • 1-3 years of experience preferred
  • Experience working within a multi-facility hospital business office environment preferred
  • College education, previous Insurance Company claims experience, and/or health care billing trade school education may be considered in lieu of formal hospital experience
  • Experience working with inpatient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms preferred
  • Experience with Medicare & Medicaid billing processes and regulations preferred
  • Understanding of Medicare language
  • Knowledge in locating and referencing CMS and/or Medicare Regulations preferred
Job Responsibility
Job Responsibility
  • Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
  • Performs Revenue Cycle functions in a manner that meets or exceeds CHRISTUS Health's key performance metrics
  • Ensures PFS departmental quality and productivity standards are met
  • Collects and provides patient and payor information to facilitate account resolution
  • Maintains an active working knowledge of all Government Mandated Regulations as it pertains to claims submission
  • Responsible to perform the necessary research in order to determine proper governmental requirements prior to claims submission
  • Responds to all types of account inquires through written, verbal, or electronic correspondence
  • Maintains payor-specific knowledge of insurance and self-pay billing and follow-up guidelines and regulations for third-party payers
  • Maintains working knowledge of all functions within the Revenue Cycle
  • Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution
  • Fulltime
Read More
Arrow Right

Medical Billing Specialist

We are seeking a dedicated and detail-oriented Medical Billing Specialist to joi...
Location
Location
United States , Hagerstown
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High school diploma or equivalent
  • Associate’s degree in Health Information Technology, Business Administration, or a related field is preferred
  • 1+ years of experience in medical billing and accounts receivable, preferably within a healthcare setting
  • Strong knowledge of medical terminology, coding systems (CPT, ICD-10, HCPCS), and insurance regulations
  • Experience with medical billing software and electronic health records (EHR) systems
  • Excellent communication skills, both verbal and written
  • Detail-oriented with strong organizational and analytical skills
  • Ability to manage multiple priorities and meet deadlines in a fast-paced environment
  • Knowledge of HIPAA regulations and confidentiality requirements
Job Responsibility
Job Responsibility
  • Billing & Coding: Accurately review and submit medical claims to insurance companies, government programs (e.g., Medicare, Medicaid), and patients based on services provided
  • Accounts Receivable Management: Monitor and follow up on unpaid claims and accounts, ensuring timely resolution and payment collection
  • Claim Denial Management: Investigate and resolve denied or rejected claims, working with insurance providers to rectify issues and ensure proper reimbursement
  • Payment Posting: Post payments, adjustments, and denials to patient accounts accurately
  • Patient Communication: Communicate with patients and insurance companies to resolve billing inquiries, provide payment information, and answer any questions related to their accounts
  • Account Reconciliation: Ensure all accounts are reconciled and balanced, identifying discrepancies and making necessary adjustments
  • Compliance: Maintain up-to-date knowledge of relevant billing codes, insurance policies, and regulations to ensure compliance with industry standards and government regulations
  • Reporting: Generate and review accounts receivable reports, aging reports, and other billing data to ensure financial goals are met and identify areas for improvement
  • Collaboration: Work closely with the clinical and administrative teams to resolve any billing issues, discrepancies, or concerns
What we offer
What we offer
  • Medical, vision, dental, and life and disability insurance
  • Company 401(k) plan
  • Access to top jobs
  • Competitive compensation
  • Fulltime
Read More
Arrow Right

Medical Billing Specialist

We are looking for a detail-oriented Medical Billing Specialist to join a team i...
Location
Location
United States , King of Prussia
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • At least 1 year of experience in medical billing, claims, or collections
  • Proficiency in accounting software systems and electronic health record (EHR) systems
  • Familiarity with Medicaid processes and commercial insurance claims
  • Strong understanding of accounts receivable, denial management, and appeals
  • Experience working with billing and authorization functions
  • Ability to accurately input and manage billing data
  • Excellent communication skills to collaborate with team members and external payors
  • Knowledge of compliance policies related to medical billing and collections
Job Responsibility
Job Responsibility
  • Process and submit primary and secondary claims for both commercial insurance and Medicaid
  • Investigate and resolve claim denials, performing appeals as necessary to ensure proper reimbursement
  • Manage accounts receivable by following up on claims through resolution, including correcting billing errors and addressing rejections
  • Input and review billing data for accuracy, ensuring compliance with company policies and procedures
  • Collaborate with the Billing Manager and clinic teams to ensure accurate and timely billing
  • Track and verify Medicaid status for clients while maintaining relationships with payors to facilitate successful claims processing
  • Assist intake teams with Medicaid documentation for new clients and those requiring reassessment
  • Utilize various insurance portals and systems, including Waystar, to handle denial responses and claims follow-ups
  • Ensure adherence to compliance standards in all billing and collections activities
  • Perform other tasks as assigned by the Billing Manager or Director
What we offer
What we offer
  • Medical insurance
  • Vision insurance
  • Dental insurance
  • Life insurance
  • Disability insurance
  • 401(k) plan
  • Fulltime
Read More
Arrow Right
New

Insurance Follow-Up Specialist

We are looking for an Insurance Follow-Up Specialist to join a healthcare revenu...
Location
Location
United States , Danville
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Experience handling insurance follow-up within a medical billing, revenue cycle, or healthcare accounts receivable environment
  • Working knowledge of accounts receivable processes, claim status review, denial resolution, and payer reimbursement workflows
  • Ability to interpret payer requirements and apply billing corrections with a high degree of accuracy
  • Comfortable navigating payer websites, clearinghouse tools, and other online resources used for eligibility and claim research
  • Strong attention to detail with the ability to identify registration, charge, or billing discrepancies before they affect payment
  • Effective time management skills and the ability to maintain productivity while working a high-volume follow-up queue
  • Clear written and verbal communication skills for coordinating claim issues and payment resolution
  • Familiarity with healthcare billing standards, remittance review, and insurance payment adjustment practices
Job Responsibility
Job Responsibility
  • Prepare and submit initial insurance claims through both electronic platforms and paper processes, ensuring bills are sent out accurately and on schedule
  • Examine claim details before submission to confirm charges, coding-related edits, and billing data align with payer expectations
  • Apply current knowledge of payer-specific billing rules to identify issues, make needed corrections, and reduce avoidable denials or delays
  • Use payer portals and online resources to verify coverage, monitor claim progress, and stay informed on updates that may affect reimbursement
  • Manage daily accounts receivable work queues to pursue unpaid insurance balances and support prompt collection of outstanding amounts
  • Investigate payer denials, rejections, and clearinghouse responses, coordinate corrections, and resubmit claims or route balances appropriately when needed
  • Review patient registration and account information for completeness and accuracy to help prevent downstream billing errors
  • Process insurance credit balances correctly and support departmental expectations for quality, productivity, and follow-up performance
What we offer
What we offer
  • medical
  • vision
  • dental
  • life and disability insurance
  • 401(k) plan
Read More
Arrow Right
New

Medical Denials Specialist

We are seeking a detail-oriented Medical Denials Specialist to join our healthca...
Location
Location
United States , Carmel
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High school diploma or equivalent required
  • associate or bachelor’s degree preferred
  • 2+ years of experience in medical billing, claims denial management or revenue cycle operations
  • Strong knowledge of EOBs, ERAs, CPT, ICD-10 and HCPCS codes
  • Experience with appeals, claim edits and insurance follow-up
  • Familiarity with Medicare, Medicaid and commercial payer regulations
  • Proficiency with electronic medical records and billing systems
  • Strong analytical, organizational and problem-solving skills
  • Excellent written and verbal communication skills
  • Ability to manage multiple priorities in a fast-paced environment
Job Responsibility
Job Responsibility
  • Review and investigate denied or underpaid medical claims
  • Identify denial trends and root causes to support process improvement
  • Prepare and submit claim corrections, reconsiderations and appeals
  • Follow up with insurance companies regarding claim status and payment resolution
  • Verify coding, billing and documentation accuracy to ensure compliance with payer requirements
  • Collaborate with billing, coding, collections and clinical teams to resolve claim issues
  • Maintain accurate records of denial activity, appeal outcomes and account updates
  • Monitor payer policy changes and reimbursement guidelines
  • Meet productivity and quality goals related to denial resolution and accounts receivable follow-up
What we offer
What we offer
  • Medical insurance
  • Vision insurance
  • Dental insurance
  • Life insurance
  • Disability insurance
  • 401(k) plan
  • Fulltime
Read More
Arrow Right
New

Patient Financial Specialist

The associate is responsible for the duties and services that are of a support n...
Location
Location
United States , Irving
Salary
Salary:
Not provided
christushealth.org Logo
CHRISTUS Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • HS Diploma or equivalent years of experience required
  • 1-3 years of experience preferred
  • Experience working within a multi-facility hospital business office environment preferred
  • College education, previous Insurance Company claims experience, and/or health care billing trade school education may be considered in lieu of formal hospital experience
  • Experience working with inpatient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms preferred
  • Experience with Medicare & Medicaid billing processes and regulations preferred
  • Understanding of Medicare language
  • Knowledge in locating and referencing CMS and/or Medicare Regulations preferred
Job Responsibility
Job Responsibility
  • Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
  • Performs Revenue Cycle functions in a manner that meets or exceeds CHRISTUS Health's key performance metrics
  • Ensures PFS departmental quality and productivity standards are met
  • Collects and provides patient and payor information to facilitate account resolution
  • Maintains an active working knowledge of all Government Mandated Regulations as it pertains to claims submission
  • Responds to all types of account inquires through written, verbal, or electronic correspondence
  • Maintains payor-specific knowledge of insurance and self-pay billing and follow-up guidelines and regulations for third-party payers
  • Maintains working knowledge of all functions within the Revenue Cycle
  • Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution
  • Meets or exceeds customer expectations and requirements, and gains customer trust and respect
  • Fulltime
Read More
Arrow Right
New

Patient Financial Specialist - Patient Financial Services

Location
Location
United States , Irving
Salary
Salary:
Not provided
christushealth.org Logo
CHRISTUS Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • HS Diploma or equivalent years of experience required
  • Post HS education preferred
  • 1-3 years of experience preferred
  • Experience working within a multi-facility hospital business office environment preferred
  • College education, previous Insurance Company claims experience, and/or health care billing trade school education may be considered in lieu of formal hospital experience
  • Experience working with inpatient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms preferred
  • Experience with Medicare & Medicaid billing processes and regulations preferred
  • Understanding of Medicare language
  • Knowledge in locating and referencing CMS and/or Medicare Regulations preferred
  • None required
Job Responsibility
Job Responsibility
  • Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
  • Performs Revenue Cycle functions in a manner that meets or exceeds CHRISTUS Health's key performance metrics
  • Ensures PFS departmental quality and productivity standards are met
  • Collects and provides patient and payor information to facilitate account resolution
  • Maintains an active working knowledge of all Government Mandated Regulations as it pertains to claims submission
  • Responsible to perform the necessary research in order to determine proper governmental requirements prior to claims submission
  • Responds to all types of account inquires through written, verbal, or electronic correspondence
  • Maintains payor-specific knowledge of insurance and self-pay billing and follow-up guidelines and regulations for third-party payers
  • Maintains working knowledge of all functions within the Revenue Cycle
  • Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution
  • Fulltime
Read More
Arrow Right