[Hiring] Account Reimbursement Specialist @TwelveStone Health Partners Inc

Role Description

We are currently hiring for the position of full-time Account Reimbursement Specialist. This role is responsible for the resolution of insurance and/or patient account balances.

• Identify, investigate, and resolve unpaid claims.
• Utilize Payor portals to follow up on submitted claims.
• Call insurance companies when claims are denied.
• Work with commercial/government payers.
• Research denials and rejections as well as payor policies.
• Submit claims’ reconsiderations and appeals.
• Document account activity.
• Manage medical records requests.
• Track and trend payor issues.
• Collaborate with Billing, Cash Posting, Contracting, and Intake on issues affecting account resolution.
• Follow up with patients on outstanding account balances which include unapplied cash.
• Other duties as assigned.

Qualifications

• Minimum of three (3) years’ experience in a healthcare setting following up and/or resolving outstanding insurance balances required.
• High school diploma or GED required.
• Three years of medical insurance collections related experience required.
• Pharmacy/Infusion experience preferred.
• Experience and/or knowledge of insurance denials process, health care claims processing/follow-ups required.

Requirements

• Denials processing, claims.
• Ability to handle multiple priorities and tasks.
• Strong attention to detail.
• Strong verbal and written communication skills.
• Analytical skills.
• Computer skills (Outlook, Excel, Word, etc.).