AR Resolution Specialist

Accounts Receivable Resolution Specialist (Medical)

Location:

Lyman, SC (Hybrid - transitioning to remote)

Position Type:

Part-Time / 1099

Contract Compensation:

Hourly, based on experience (1099) Position Overview Elite Medical Center is seeking an experienced Accounts Receivable Resolution Specialist to focus on resolving outstanding insurance claims and reducing aged accounts receivable within our integrated medical and chiropractic office. This role is dedicated to accounts receivable follow-up and resolution only . It does not include claim submission or payment posting. The ideal candidate is detail-oriented, persistent, and able to work independently through aged and complex claims. This position will begin as a hybrid for training and onboarding, with the opportunity to transition into a fully remote role based on performance and demonstrated independence. Key Responsibilities Work assigned accounts receivable reports, focusing on aged and unresolved claims Follow up with insurance carriers on unpaid, delayed, or underpaid claims Research claim status and identify reasons for non-payment Resolve denied or rejected claims by correcting errors and preparing for resubmission Utilize payer portals (Medicare, Medicaid, Optum, and commercial plans) Maintain detailed and accurate account notes for all actions taken Communicate unresolved or escalated issues to management Scope of Role No claim submission responsibilities No payment posting responsibilities No front-end billing duties Focus is strictly on follow-up, denial resolution, and accounts receivable cleanup Qualifications 2-5 years of medical billing or accounts receivable experience required Experience working aged accounts receivable and denied claims Basic understanding of CPT, ICD-10, modifiers, and insurance processes Familiarity with payer portals and claim follow-up procedures Strong attention to detail and ability to work independently Preferred Experience Experience in chiropractic, integrated medical, or physical therapy billing Strong denial resolution and insurance follow-up skills Ability to identify and resolve claim issues without ongoing direction Performance Expectations Consistent reduction in aged accounts receivable Timely follow-up on assigned claims Accurate and thorough documentation Ability to resolve claims efficiently with minimal escalation Work Environment Hybrid schedule during onboarding and training Transition to remote based on performance Independent, task-focused role Collaboration with Revenue Cycle Specialist and management