Top 54 Ar resolution specialist lead Jobs in Gainesville, Fl

AR Resolution Specialist Lead
The Cardiac and Vascular Institute —Gainesville, FL
- Full-time
- Hybrid work
- Research
- High school diploma or GED
- Analysis skills
Quick Apply
Accounting Team Lead
King Risk Partners, LLC —Gainesville, FL
- $70,000 - $100,000 a year
- Remote
- Senior level
- Disability insurance
- Health insurance
Quick Apply
2d
Medical Technologist Lead | Freestanding Emergency Dept | Days | Full-time
UF Health —Gainesville, FL
- $62,816 - $109,366 a year
- Full-time
- Mid-level
- Bachelor's degree
- 1 year
- Loan repayment program
- Relocation assistance
Accounts Receivable Specialist - AI Trainer
DataAnnotation —Archer, FL
- $50 - $100 an hour
- Part-time
- Remote
- Mid-level
- Master's degree
- Bachelor's degree
Quick Apply
Lead Field Engineer - Drives
GE Vernova —Florida
- $78,800 - $131,200 a year
- Extended hours
- Remote
- Construction site
- Computer literacy
- Pass drug screening
- Paid parental leave
- Paid holidays
Appliance & Maintenance Specialist
Trimark Properties —Gainesville, FL
- $22 - $25 an hour
- Weekends as needed
- Background check
- Customer service
- Pass drug screening
- Health insurance
- Dental insurance
Quick Apply
Lead Field Engineer - Power
GE Vernova —Florida
- Extended hours
- Construction site
- Computer literacy
- 8 years
Training Specialist
The Chemours Company —Starke, FL
- $73,947 - $115,542 a year
- Full-time
- Military
- Mid-level
- 3 years
- Commuter assistance
- Employee stock purchase plan
Payroll Specialist III
University of Florida —Gainesville, FL
- $61,000 - $65,000 a year
- Full-time
- Mid-level
- 3 years
- Analysis skills
Payroll Specialist II
City Of Gainesville, FL —Gainesville, FL
- $21.59 - $34.88 an hour
- Overtime
- Computer literacy
- Writing skills
- Basic math
- Wellness program
- Paid holidays
Revenue Cycle Specialist | BAR - Medicare
UF Health —Gainesville, FL
- Full-time
- Research
- Office
- High school diploma or GED
Senior Quality Specialist, Quality Operations
Ascend Advanced Therapies FL, Inc. —Alachua, FL
- Full-time
- Hybrid work
- 5 years
- Bachelor of Science
- Bachelor's degree
- Health savings account
- Health insurance
Quick Apply
11d
Lead Phlebotomist
HCA Florida North Florida Hospital —Gainesville, FL
- Full-time
- 1 year
- Senior level
- Employee stock purchase plan
- Disability insurance
Quick Apply
2d
Lab PAA/Phlebotomist Lead | Clinical Lab Support | Full-time | Days
UF Health —Gainesville, FL
- Part-time
- CPR Certification
- Mid-level
- High school diploma or GED
- Health insurance
- Tuition reimbursement
1d
IT Helpdesk Specialist (Tier 1 / Tier 2)
Oasis IAM —Gainesville, FL
- $22 - $24 an hour
- Full-time
- Hybrid work
- Background check
- Spanish
- Computer science
Quick Apply
10d
Program Implementation Specialist
THE ARC OF ALACHUA COUNTY INC —Gainesville, FL
- $15 an hour
- HIPAA
- Mid-level
- High school diploma or GED
Customer Experience Specialist
Barnes Healthcare Services —Gainesville, FL
- Full-time
- Background check
- Management
- Office
Quick Apply
Receiving Lead
Sandvik —Alachua, FL
- Online Application
- ERP systems
- Research
- Mid-level
- Paid parental leave
- Health insurance
6d
Collections & Billing Specialist
Carports Anywhere —Starke, FL
- Full-time
- Mid-level
- Health insurance
- 401(k)
Quick Apply
Billing Specialist | Gainesville
Meridian Healthcare —Gainesville, FL
- $17.65 an hour
- Full-time
- Background check
- Office
- High school diploma or GED
- 403(b) matching
- Paid holidays

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AR Resolution Specialist Lead

The Cardiac and Vascular Institute -
Gainesville, FL

Quick Apply

Job Details

Full-time

Qualifications

Vendor relationship building
Appeals
High school diploma or GED
Case appeal in utilization management
Data-driven problem-solving

Full Job Description

AR Resolution Specialist Lead

Department: Revenue Cycle Operations

Reports To: Revenue Cycle Manager/Revenue Cycle Director

FLSA Status: Non-Exempt

Location: Onsite / Hybrid / Remote

Shift: Day

Hours of Work: M-F

Employment Type: Full Time

Position Summary

The A/R Resolution Specialist Lead is a senior-level role responsible for leading the resolution of complex insurance accounts receivable while supporting overall team performance and driving timely reimbursement outcomes. This position serves as a subject matter expert in claims follow-up, denial management, appeals, and payer escalation, ensuring that high-risk, aged, and high-dollar accounts are resolved efficiently and accurately.

This role requires a deep understanding of the full revenue cycle, including front-end processes (registration, eligibility, authorization), coding, billing, and payer adjudication. The Lead Specialist is responsible for identifying root causes of denials and payment delays, resolving escalated accounts, and translating account-level findings into actionable insights that improve workflows and reduce future revenue leakage.

In addition to hands-on account resolution, the Insurance A/R Resolution Specialist Lead plays a critical role in guiding and supporting A/R team members and external vendor partners. This includes providing direction on complex accounts, reinforcing documentation standards, auditing account activity for quality and accuracy, and ensuring adherence to payer guidelines and organizational policies.

The Lead Specialist partners closely with leadership to monitor and improve key performance indicators such as A/R aging, denial rates, appeal success rates, and payer turnaround times. This role also contributes to the development and execution of targeted action plans aimed at improving collections, preventing denials, and enhancing overall revenue cycle efficiency.

Success in this role requires strong analytical skills, attention to detail, and the ability to manage multiple priorities in a fast-paced environment. The ideal candidate is proactive, solution-oriented, and capable of leading through influence while driving measurable improvements in both individual and team performance.

Key Responsibilities

Appeal Management

Review and resolve complex denied claims requiring appeals, reconsiderations, or payer escalation
Prepare and submit detailed appeal packages with supporting documentation including medical records, coding validation, and authorization details
Track appeal status, follow up on submissions, and ensure timely resolution
Identify appeal trends and recommend process improvements
Escalate high-dollar or recurring denial issues to leadership with actionable recommendations

Account Resolution and Documentation

Review account history including claim status, remittance details, payer communications, and prior follow-up activity
Determine and execute appropriate resolution actions such as corrected claims, resubmissions, adjustments, or transfers
Ensure all account activity is documented clearly and accurately in accordance with organizational standards
Maintain detailed notes including actions taken, payer responses, and next steps
Support team members with complex account research and resolution guidance

Accounts Receivable Management

Monitor assigned A/R work queues and prioritize accounts based on aging, payer, dollar value, and timely filing limits
Perform timely follow-up on outstanding insurance balances to reduce aging and improve cash collections
Track and analyze key A/R metrics including aging, denial rates, and payer turnaround times
Conduct audits of accounts including vendor-managed work to ensure quality and compliance
Identify barriers to reimbursement and escalate system, payer, or workflow issues

Denial Resolution

Analyze claim denials and rejections to determine root causes across the revenue cycle
Initiate appropriate resolution actions including corrected claims, reprocessing, reconsiderations, and appeals
Identify denial trends related to front-end, coding, billing, or payer processes
Collaborate with internal teams and vendors to resolve recurring denial issues
Assist in developing strategies to reduce denials and improve first-pass resolution rates

Leadership and Team Support

Serve as a subject matter expert and provide guidance to A/R team members
Support training and onboarding of new staff and vendor resources
Assist leadership in monitoring team performance, productivity, and quality metrics
Provide feedback and coaching to improve team performance
Reinforce best practices and standard workflows across the team

Vendor Oversight and Collaboration

Partner with RCM vendors to ensure alignment with organizational expectations and performance standards
Review vendor performance and identify gaps or improvement opportunities
Audit vendor-managed accounts to ensure appropriate follow-up and resolution
Escalate vendor performance concerns to leadership as needed

Compliance and Quality Assurance

Ensure all activities comply with payer guidelines, regulatory requirements, and internal policies
Maintain adherence to documentation standards and audit requirements
Participate in internal and external audits as required
Promote accuracy, accountability, and continuous improvement across workflows

Qualifications

High School Diploma or equivalent required
Associate’s or Bachelor’s degree in Healthcare Administration, Business, or related field preferred
4–6 years of experience in medical accounts receivable, denial management, or insurance follow-up
Strong experience with claim follow-up, appeals, and payer communication
Familiarity with clearinghouses and electronic claim submission processes
Working knowledge of CMS guidelines and commercial payer policies
Experience with practice management systems

Performance Accountability / Key Performance Indicators (KPIs)

Days in A/R
Denial Rate
Appeal Success Rate
First-Pass Resolution Rate
Timely Follow-Up Rate
Rework / Correction Rate
Productivity (Accounts Worked per Day)

Skills & Competencies

Strong analytical and problem-solving skills with attention to detail
Ability to interpret EOBs, remittance data, and payer communications
Solid understanding of revenue cycle workflows and interdependencies
Ability to manage high-volume workloads and prioritize effectively
Strong organizational and time management skills
Effective communication skills for collaboration with internal teams and vendors
Commitment to accuracy, compliance, and accountability

Working Conditions

Remote or office-based environment
Must maintain a workspace that ensures confidentiality and minimal distraction
Regular use of computer systems and standard office equipment

Physical Requirements

Prolonged periods of sitting and working on a computer
Frequent use of hands and fingers for data entry
Ability to read, analyze, and interpret information on screens and documents

Additional Information

All your information will be kept confidential according to EEO guidelines.

Quick Apply

Refine Your Search

ar resolution specialist lead jobs in gainesville, fl

AR Resolution Specialist Lead

Accounting Team Lead

Medical Technologist Lead | Freestanding Emergency Dept | Days | Full-time

Accounts Receivable Specialist - AI Trainer

Lead Field Engineer - Drives

Appliance & Maintenance Specialist

Lead Field Engineer - Power

Training Specialist

Payroll Specialist III

Payroll Specialist II

Revenue Cycle Specialist | BAR - Medicare

Senior Quality Specialist, Quality Operations

Lead Phlebotomist

Lab PAA/Phlebotomist Lead | Clinical Lab Support | Full-time | Days

IT Helpdesk Specialist (Tier 1 / Tier 2)

Program Implementation Specialist

Customer Experience Specialist

Receiving Lead

Collections & Billing Specialist

Billing Specialist | Gainesville

I want to receive the latest job alert for ar resolution specialist lead in gainesville, fl

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