Payer Account Resolution Specialist

Western Missouri Medical Center

. Ensure claims successfully transfer from the clearing house to the payer for adjudication .

Posted 9/22/2026full-timeUnited StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in healthcare billing and revenue cycle management, with a strong understanding of CPT, HCPCS, and ICD-10 coding. Proven ability to manage accounts receivable effectively while ensuring timely adjudication and compliance with insurance billing processes.

Highest-signal resume keywords

Healthcare Billing ExperienceRevenue Cycle ManagementEHR System ProficiencyCPT, HCPCS, ICD-10 Coding KnowledgeAttention to Detail

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Healthcare BillingRevenue Cycle ManagementCPT CodingHCPCS CodingICD-10 CodingEHR System (MEDITECH)Claims AdjudicationDocumentation ManagementProcess ImprovementAging Bucket Monitoring

Soft Skills

Attention to DetailTime ManagementOrganizational SkillsEffective CommunicationTeamwork

Tools & Technologies

EHR SystemPayer PortalsStandard Office Equipment

Industry Keywords

Claims ProcessingInsurance BillingExplanation of BenefitsAccounts ReceivableTimely Filing Limits

About the role

Key responsibilities & impact

Ensure claims successfully transfer from the clearing house to the payer for adjudication
Provide documentation requested by payers to complete adjudication timely
Monitor aging buckets over 30 days for transmitted but unadjudicated claims
Contact insurance companies through payer portals, payer chat, or phone
Monitor timely filing limits
Document all account activities
Locate missing remits and/or payments
Resolve payer issues
Submit requested documentation
Coordinate claim corrections with the appropriate department
Escalate complex issues
Update identified registration errors
Identify process improvement opportunities
Research unpaid claims
Communicate identified trends to leadership
Keep AR Days under 40 days
Meet or exceed the organization’s cash goal
Keep AR over 90 days below 25%
Perform other essential duties as assigned

Requirements

What you’ll need

High school diploma or equivalent
2+ years of healthcare billing or revenue cycle experience
Residency in Missouri or Kansas is required
Experience working in an EHR system (MEDITECH preferred)
Basic understanding of CPT, HCPCS, and ICD-10 coding
Understanding of insurance billing processes
Understanding of Explanation of Benefits
Attention to detail and accuracy
Time management and ability to meet deadlines
Strong organizational skills
Effective communication and teamwork
Ability to follow standardized workflows
Maintain regular and predictable attendance
Ability to sit and stand intermittently for 8 to 10 hours a day
Ability to use standard office equipment, telephone, and computer keyboard
Ability to work under pressure while meeting near 100% accuracy and inflexible deadlines
Manual/bi-manual dexterity, near vision, speech, and hearing
Ability to frequently stand, walk, sit, and use eye/hand coordination and color definition
Ability to occasionally reach above shoulder and lift/carry up to 40 lbs
Ability to occasionally walk on uneven surfaces