Account Resolution Specialist III
Company: Currance Inc
Location: Irvine
Posted on: February 18, 2026
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Job Description:
Job Description Job Description Description: We are hiring in
the following states: AR, AZ, CA, CO, FL, GA, IA, IL, MO, NC, NE,
NJ, NV, OK, PA, SD, TN, TX, VA, WA, and WI This is a remote
position . At Currance, we believe in recognizing the unique skills
and experiences that each candidate brings to our team. Our overall
compensation package is competitive and is determined by a
combination of your experience in the industry and your knowledge
of revenue cycle operations. We are committed to offering a
rewarding environment that aligns with both individual
contributions and our company goals. Benefits include paid time
off, 401(k) plan, health insurance (medical, dental, and vision),
life insurance, paid holidays, training and development
opportunities, a focus on wellness and support for work-life
balance, and more. Please note that we are looking for people who
have hospital billing experience in collections and have some HB
billing experience, in high dollar collections, adjustments and
denials management. Job Overview As a healthcare revenue cycle
business, we manage insurance claims and oversee timely claim
resolution and payment processing for our clients. The Accounts
Receivable Specialist III is a senior-level role responsible for
resolving the more complex, high-dollar, or escalated insurance
accounts. ARSIIIs are recognized for their payer knowledge,
accuracy, and ability to consistently deliver exceptional results.
ARSIIIs are expected to set the standard for quality, productivity,
and professionalism, serving as an example for the rest of the
team. This role requires strong analytical skills, expert
understanding of payer rules, and the ability to work independently
while meeting productivity and quality goals. Job Duties and
Responsibilities Independently manage high-dollar, high volume, and
complex accounts with significant financial impact. Submit accurate
medical claims in compliance with federal, state, and
payer-specific requirements. Resolve multi-level denials that
require advanced research, payer escalation, and detailed
follow-up. Investigate and follow up with payers to collect
insurance accounts receivables. Prepare and submit first- and
second-level appeals with complete supporting documentation,
ensuring thorough tracking and follow-up to maximize reimbursement.
Execute and oversee EHR workflows in systems such as Epic, Cerner,
Meditech, and Allscripts, including reroutes, denial closures, and
account adjustments. Review Explanation of Benefits (EOBs) to
resolve payment discrepancies, claim denials, and contractual
underpayments. Complete rebills and corrections to maximize
reimbursement. Transforming revenue cycle differently. Improving
healthcare together. Analyze discrepancies in payments and take
corrective actions as needed. Meet productivity benchmarks while
maintaining high-quality standards. Research, analyze, and correct
errors and rejections, identify root causes, and implement
preventive solutions. Verify and adjust claims to ensure accurate
client liability and account balance. Stay informed about changes
in payer guidelines and processes for accurate claim submissions.
Identify payer trends impacting reimbursement and bring findings to
management for review. Participate in daily shift briefings and
contribute as needed. Productivity: Achieve 115% of the project
daily goal. Quality: Achieve 95% monthly quality assurance score.
Other expectations: As outlined by the department. Requirements:
Qualifications High school diploma or equivalent required;
Associate's degree preferred CRCR certification or completion of
certification required within 90 days of hire. Minimum 3 years of
experience in securing medical claim payments, managing follow-up,
and appealing denials, with proven success resolving complex,
high-value claims. Advanced knowledge of ICD-10, CPT/HCPCS, payer
policies, and reimbursement regulations. Strong negotiation,
research, and problem-solving abilities. Experience using EHR/EMR
systems such as Meditech, Epic, Cerner, Allscripts, Nextgen, or
similar platforms to support billing and account resolution.
Proficiency in Microsoft Office Suite, Teams, and various desktop
applications. Knowledge, Skills, and Abilities Knowledge of ICD-10
Diagnosis and procedure codes and CPT/HCPCS codes. Knowledge of
rules and regulations relative to Healthcare Revenue Cycle
administration. Skills in investigating medical accounts and
resolving claims. Ability to validate payments. Ability to make
decisions and act. Ability to learn and use collaboration tools and
messaging systems. Ability to maintain a positive outlook, a
pleasant demeanor, and act in the best interest of the organization
and the client. Ability to research healthcare revenue cycle rules
and regulations Ability to take professional responsibility for
quality and timeliness of work product. Disclosure Statement: As
part of the Currance application and hiring experience, all
candidates are subject to a criminal background check and a
government exclusion check. The government exclusion check is a
mandatory screening process that verifies whether an individual is
listed on federal or state exclusion or watchlists, including but
not limited to, the Office of Inspector General’s List of Excluded
Individuals/Entities (LEIE) and the System for Award Management
(SAM.gov). These screenings are conducted to ensure compliance with
applicable federal and state laws and regulations, to protect the
integrity of federally funded programs, the clients we support, and
to prevent participation by individuals who are excluded due to
fraud, abuse, or other misconduct. By submitting an application,
candidates acknowledge and consent to these checks as a condition
of employment or engagement.
Keywords: Currance Inc, La Habra , Account Resolution Specialist III, Accounting, Auditing , Irvine, California
