AR Research & Resolution Representative

US Acute Care Solutions

. Research and resolve claims to maximize cash collections and minimize denials and lost revenue .

Posted 10/14/2026full-timeRemote • Ohio • United StatesMid-LevelSenior💰 $15 - $27 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medical insurance terminology, ICD-10 and CPT coding, and effective claims resolution strategies. Proficient in maintaining performance targets and quality scores while collaborating with internal and external partners.

Highest-signal resume keywords

Medical Insurance KnowledgeICD-10 CodingCPT CodingClaims ResolutionData Entry Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Claims ResearchDenial ManagementBasic Mathematical CalculationsData EntryWindows Environment Proficiency

Soft Skills

Attention to DetailProblem SolvingEffective CommunicationOrganizational SkillsTeam Collaboration

Tools & Technologies

Web-Based ToolsSpreadsheet Programs

Industry Keywords

Payer MatricesStandard Operating ProceduresGovernment RegulationsRevenue Cycle Management

About the role

Key responsibilities & impact

Research and resolve claims to maximize cash collections and minimize denials and lost revenue
Work on individual and project denial and claim assignments
Work outstanding insurance or contract claims and resolve claim edits and denials
Maintain worklists and assignments at acceptable levels based on performance targets, KPI, and quality scores
Conduct insurance or contract follow-up, including interfacing with payers and communicating with internal and external business partners by phone and web-based tools
Escalate items promptly
Identify opportunities to improve department workflows and cross-functional processes
Contribute to the development and maintenance of company-wide payer matrices and updates to Standard Operating Procedures
Actively contribute in team meetings
Maintain knowledge of current government and carrier regulations relevant to the industry
Model the organization's core values
Perform and assist with other department duties as needed

Requirements

What you’ll need

High school diploma or equivalent
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
Experience in medical insurance, billing experience, or equivalent training or education is helpful, but not required

Benefits

Comp & perks

Medical, dental, and vision insurance options
Health savings accounts (HSA) and flexible spending accounts (FSA)
401(k) employee and employer contributions
Paid time off, including vacation, sick leave, and company holidays
Paid parental leave & family support benefits
Short-term and long-term disability insurance
Life and accidental death & dismemberment (AD&D) insurance
Employee assistance programs & wellness resources
Bonus eligibility, equity, or other incentive programs, depending on the role