US Acute Care Solutions · 2 months ago
AR Research and Resolution Representative
US Acute Care Solutions is a healthcare organization that values connection among its staff. The AR Research & Resolution Representative is responsible for maximizing cash collections, minimizing denials, and resolving claim edits and denials while maintaining performance targets and quality scores.
Health CareHospitalMedical
Responsibilities
Performs various complex duties, including, but not limited to, working outstanding insurance or contract claims and resolving claim edits and denials. Maintains worklists and assignments at acceptable levels based on performance targets, KPI, and quality scores
Conducts all insurance or contract follow-up aspects, including interfacing with payers, communicating with internal and external business partners by conducting phone calls, and utilizing web-based tools. Escalates items promptly
Identifies opportunities to improve department workflows and cross-functional processes. Contributes to the development and maintenance of company-wide payer matrices and updates to Standard Operating Procedures
Serves as an active contributor in team meetings
Maintains knowledge of current government and carrier regulations relevant to the industry
Models the core values of the organization
Performs and assists with other department duties as needed
Qualification
Required
High school diploma or equivalent
At least one year of medical insurance, billing experience, or equivalent training or education
Knowledge of and skill in using personal computers in a Windows environment, emphasizing basic word processing and data entry onto spreadsheet programs
Knowledge of medical insurance and its terminology
Basic knowledge of ICD-10 and CPT codes
Ability to work independently and as an effective team contributor
Ability to pay close attention to detail
Ability to identify, research, and solve problems and discrepancies
Ability to communicate courteously and professionally
Ability to maintain confidentiality
Ability to process assigned duties in an organized manner
Ability to perform basic mathematical calculations such as adding, subtracting, multiplying, and dividing
Ability to effectively perform in a multi-task work environment
Ability to work overtime when needed
Ability to work effectively in remote settings
Benefits
Best in class benefit programs with a wide array of options
Company
US Acute Care Solutions
US Acute Care Solutions (USACS) is committed to protecting and continually improving the quality of patient care.
H1B Sponsorship
US Acute Care Solutions has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (1)
Funding
Current Stage
Late StageTotal Funding
$470.5MKey Investors
Apollo
2021-02-09Private Equity· $470M
2016-01-24Acquired
2014-09-10Debt Financing· $0.5M
Recent News
2025-10-27
2025-10-24
2025-08-07
Company data provided by crunchbase