Account Reimbursement Specialist - Full time - Remote Work Available

TwelveStone Health Partners; Virginia (MN); Remote; USD 45,000 - 60,000; Full time

Job summary

A leading healthcare company is hiring a full-time Account Reimbursement Specialist with remote work options. This role focuses on resolving insurance and patient account balances, requiring expertise in healthcare claims processing and denials management. Ideal candidates will have strong communication, analytical skills, and at least three years of relevant experience.

Qualifications

• Minimum three years experience in healthcare.
• Medical insurance collections experience required.
• Preferred: Pharmacy/Infusion experience.

Responsibilities

• Identify, investigate, and resolve unpaid claims.
• Collaborate with Billing and other teams on account resolution.
• Follow up with patients on outstanding balances.

Skills

Denials processing

Claims management

Attention to detail

Communication

Analytical skills

Computer skills

Education

High School Diploma or GED

Tools

Outlook

Excel

Word

Job description

Career Opportunities with TwelveStone Health Partners

Account Reimbursement Specialist - Full time - Remote Work Available

TwelveStone Health Partners is focused on the medication needs of patients with chronic, complex and rare conditions. For more than 35 years, TwelveStone Health has been dedicated to finding new ways to deliver care designed around the patient.

For patients, we provide access to the most advanced medications, along with the personal and financial support patients need to live with chronic conditions. For providers, we simplify treatment for complex conditions by eliminating the administrative and clinical burdens placed on your practice when patients need innovative specialty medications.

Summary:

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

TwelveStone Health Partners supports the transition from acute to post-acute care environments and the journey from sickness to health.

Identify, investigate, and resolve unpaid claims. Utilizing Payor portals to follow up on submitted claims.

Calling insurance companies when claims are denied. Working with commercial/government payers.

Researching denials and rejections as well as payor policies.

Submit claims’ reconsiderations and appeals. Documenting account activity. Managing medical records requests.

Tracking and trending 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.

Minimum Qualifications: Minimum of three (3) years experience in a healthcare setting following up and/or resolving outstanding insurance balances required.

Education: High School Diploma or GED required.

Experience: 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.

Functional Competencies: Denials processing, claims, ability to handle multiple priority and tasks, strong attention to detail, strong verbal and written communication skills, analytical skills, computer skills (Outlook, Excel, Word, etc.).