[Hiring] Unpaid Claims Account Representative @Nystrom & Associates, Ltd.

Role Description

As an Unpaid Claims Account Representative at Sagent Behavioral Health, you will play a critical role in supporting the timely and accurate processing of insurance claims within our Business Office. You will ensure outstanding claims are followed up on, resolved, and billed appropriately, helping maintain smooth revenue cycle operations for our mental health services. This position requires strong attention to detail, effective communication, and a commitment to resolving claim issues efficiently.

Responsibilities

• Follow up on unpaid, denied, or rejected insurance claims to ensure timely and accurate reimbursement.
• Investigate claim issues, determine corrective actions, and resubmit or appeal claims as needed.
• Communicate with insurance companies to clarify denials, obtain information, and resolve claim issues.
• Collaborate with providers, Patient Financial Services, and the Insurance Team to respond to inquiries and support resolution.
• Maintain knowledge of insurance guidelines, billing rules, and EOB interpretation; identify and escalate recurring payer issues or trends.
• Perform additional assigned duties to support overall departmental operations.

Qualifications

• Must live in one of the following states: MN, WI, IA, ND, or MO.
• At least 6+ months of experience in the Nystrom & Associates Business Office or comparable claims/AR experience.
• Familiarity with insurance company guidelines, billing procedures, and claim adjudication processes.
• Strong attention to detail, problem-solving skills, and a positive, team-oriented mindset.
• Proficiency with Microsoft Windows, Excel, Word, and Outlook.
• High school diploma or equivalent, with strong organizational and multitasking abilities.

Compensation

This is a non-exempt position. Total earnings for this position will range from $18.50 - $20.00 hourly.

*Actual compensation may be determined by various factors such as licensure, experience, skillset, internal equity, schedule and/or location. Estimates are factored on a 1.0 FTE.

* Employees in these positions are W2.

Benefits

• Medical and dental insurance, plus optional supplemental coverage (short-term disability, cancer, accident).
• Health Savings Account (HSA) and Flexible Spending Account (FSA) options for medical and dependent care expenses.
• Paid Time Off (PTO) and paid holidays to support work-life balance.
• 401(k) retirement plan with a generous employer match.
• Opportunities for professional growth and career advancement within the organization.

Company Description

At Sagent Behavioral Health, we believe profound change is possible. As one of the largest behavioral health organizations in the Midwest—with 2,000+ team members across 80+ locations in five states—we offer the stability and resources to help you thrive.

Backed by more than 100 years of combined behavioral health experience, Sagent brings together the trusted legacies of Ellie Mental Health, LifeWorks, Nystrom & Associates, Psychiatric Associates, Sandhill Counseling & Consultation, and Vantage Point.

Here, you'll find a supportive, inclusive culture where you can hone your skills, collaborate with a fantastic team, and build a rewarding career focused on what matters most: helping others find hope. Guided by our HOPE values—Humility, Optimism, People-Centered, and Ethical Practice—we provide manageable caseloads, flexible schedules, and compensation options that work for you—from salary to production-based models.