Client Services Specialist

Aquent has partnered with a leading healthcare solutions organization to find a dedicated professional who will play a pivotal role in maximizing healthcare reimbursement and ensuring patients receive the support they deserve. In this essential position, you will serve as a vital bridge between patients and insurance carriers, directly impacting the financial health of the organization and the peace of mind of the patients served. If you are passionate about problem-solving, advocacy, and making a tangible difference in the healthcare journey, this collaborative opportunity is the perfect place to grow your career.

The Opportunity

In this dynamic role, you will dive into the heart of the healthcare revenue cycle, investigating complex billing issues and resolving claim denials. Your analytical skills and proactive approach will directly drive successful claim resolutions and optimize reimbursement processes. Working alongside a collaborative team, you will have the opportunity to troubleshoot roadblocks, streamline workflows, and ensure a seamless financial experience for both patients and providers.

Key Responsibilities

• Manage Inquiries: Communicate directly with patients and insurance carriers to address billing questions, check claim statuses, and resolve payment discrepancies.
• Resolve Denials: Investigate denied, rejected, or underpaid medical claims to determine root causes and coordinate resolution.
• Submit Appeals: Prepare and submit claim corrections, formal appeals, and required clinical or administrative documentation.
• Drive Collections: Follow up consistently on outstanding accounts receivable to ensure prompt reimbursement.
• Maintain Accurate Records: Document all account activity, payer outreach, and claim adjustments within billing systems in compliance with industry regulations.
• Collaborate Cross-Functionally: Partner with internal revenue cycle teams to troubleshoot and resolve complex billing roadblocks.

Requirements & Qualifications

• Education: High school diploma or equivalent.
• Experience: 1-3 years of revenue cycle experience, specifically in healthcare billing, claims follow-up, or denial management.
• Technical Knowledge: Solid understanding of medical claims workflows, payer processes, denial recovery, and revenue cycle management.
• Software Proficiency: Hands-on experience with medical billing systems and Microsoft Office applications.
• Core Competencies: Proven analytical thinking, proactive problem-solving, and professional customer service skills.
• Availability: Ability to work a set schedule of 9:00 AM - 5:30 PM CST.

Preferred Qualifications

• Prior experience managing commercial, Medicare, or Medicaid payer appeals.
• Demonstrated history of meeting or exceeding strict accounts receivable resolution and denial recovery metrics.