Currance

Operations

• Provide direct leadership to Account Resolution Specialists levels I–IV and the Operations Team Lead
• Oversee daily claim resolution activities, including edits, denials, and appeals
• Manage team productivity, accuracy, quality, and compliance with payer and organizational standards
• Conduct one-on-one sessions, coaching, mentoring, onboarding, and training
• Lead interviews and hiring for Account Resolution Specialists and Team Leads
• Monitor productivity standards and quality metrics
• Review weekly quality audits and deliver targeted coaching
• Escalate employee deficiencies and administer disciplinary actions or Employee Success Plans as needed
• Communicate team and individual progress with the Operations Manager
• Review and approve team payroll
• Complete performance evaluations for direct reports
• Analyze claim errors and rejections to identify trends and process improvements
• Monitor payer updates and communicate changes to the team
• Ensure accurate adjustments and compliance with client policies
• Investigate problem accounts and escalate unresolved client IPO issues
• Lead daily shift briefings
• Collaborate with management to develop policies
• Attend client payer or internal meetings
• Complete assigned projects and additional duties as needed
• Promote compliance through routine huddles, meetings, communications, and decision-making

Operations Supervisor

Account Specialist

• Submit medical claims according to federal, state, and payer-specific requirements
• Review and correct claim edits, errors, and denials to ensure accurate payment
• Investigate and analyze claim errors and rejections
• Follow up with payers and collect assigned insurance accounts receivable
• Monitor payer updates and process changes
• Evaluate non-payment reasons and resolve client claims
• Prepare and submit first- and second-level appeals with supporting documentation
• Identify and document coding, clinical, and registration issues for referral and correction
• Escalate stalled claims to payers or Currance leadership
• Verify and adjust claims so client accounts reflect correct liability and balances
• Identify payer-specific issues and communicate them to the team and manager
• Perform other duties assigned to support business needs
• Achieve 100% of the project daily goal
• Achieve a 90% monthly quality assurance score
• Manage accounts receivable from claim billing through final resolution across government and commercial payer portfolios

Account Resolution Specialist II

Biller

• Submit hospital medical claims in accordance with federal, state and payer mandated guidelines
• Research, analyze, and review hospital claim errors and rejections and make applicable corrections
• Ensure proper hospital claim submission and payment through review and correction of claim edits, errors, and denials
• Maintain required knowledge of payer updates and process modifications to ensure accurate claims
• Investigate, follow up with payers, and work claims as assigned
• Determine reason for non-covered charges and take appropriate action
• Perform posting billing adjustments
• Ensure billing reroutes are worked timely and comply with company procedures
• Escalate stalled hospital claims to manager
• Identify and communicate payer specific issues to the team and leadership
• Participate and contribute to daily shift briefings
• Comply with productivity standards while maintaining quality levels
• Work claims for multiple clients and systems
• Perform other job duties as assigned

Biller III

• Submit medical claims according to federal, state, and payer-specific requirements
• Review and correct claim edits, errors, and denials to ensure accurate payment
• Investigate and analyze claim errors and rejections
• Follow up with payers and collect assigned insurance accounts receivable
• Monitor payer updates and process changes
• Evaluate non-payment reasons and resolve client claims
• Prepare and submit first- and second-level appeals with supporting documentation
• Identify and document coding, clinical, and registration issues for referral and correction
• Escalate stalled claims to payers or Currance leadership
• Verify and adjust claims so client accounts reflect correct liability and balances
• Identify payer-specific issues and communicate them to the team and manager
• Perform other duties assigned to support business needs
• Achieve 100% of the project daily productivity goal
• Achieve a 90% monthly quality assurance score

• Manage high-volume inpatient and outpatient accounts for a large pediatric hospital system and affiliated physician practices
• Resolve insurance denials and process first- and second-level appeals with supporting documentation
• Follow up on claims and collect assigned insurance accounts receivable
• Submit medical claims according to federal, state, and payer-specific requirements
• Review and correct claim edits, errors, and denials
• Investigate claim errors and rejections and apply necessary corrections
• Stay informed about payer updates and process changes
• Evaluate non-payment reasons and resolve claims for clients
• Identify and document coding, clinical, and registration issues for referral to appropriate teams
• Escalate stalled claims to payers or Currance leadership
• Verify and adjust claims so client accounts reflect correct liability and balances
• Identify payer-specific issues and communicate them to the team and manager
• Achieve 100% of the project daily goal and a 90% monthly quality assurance score
• Perform other duties assigned to support business needs