Hiring: Account Resolution Specialist Company: Prime Healthcare Location: Chicago, IL Job Posted Time: 2026-09-12 15:10:46 Employment Type: Full-time Target Skills & Keywords : EHR, Electronic Health Records, Epic Systems, Medicaid, Medical Billing, Microsoft Excel, Microsoft Office, Payer Contracts About the job Experience: •4 years of experience in medical billing, with a focus on Medicaid billing and follow-up. Required Skills: •Responsible for the timely follow-up of Managed Care and Government payers. Communicates clearly and efficiently by phone with health plans. Maintains productivity standards and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. •Lead and oversee A/R follow up to identify and resolve payer no response and denial issues. •Follow up on unpaid claims to work towards resolution and collection on outstanding balances. •Address and resolve denials received from payers through the review of medical records and payer contracts, while prioritizing high dollars and aged claims •Demonstrated capacity to compose and submit appeal letters and represent a compelling case to overturn denials with payers. •Identify and escalate denial patterns to leadership in a timely manner •Partner with operational and clinic leadership to identify processes leading to payer denial •Coordinate with revenue, coding and billing departments to resolve project issues Qualifications: •Minimum of 4 years of experience in medical billing, with a focus on Medicaid billing and follow-up. •In-depth knowledge of Medicaid regulations, coding, and billing procedures. •Strong analytical and problem-solving abilities. •Attention to detail and accuracy. •Effective communication and interpersonal skills. •Demonstrated capacity to work independently and manage multiple tasks. •Proficiency in Microsoft Office Suite (Word, Excel) Compensation: •Flexible work environment (work from home / hybrid options) •Competitive benefits and rewards package Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!