Healthcare Claims & Denials Resolution Specialist

TwelveStone Health Partners Inc; Virginia; Remoto; USD 52.000 - 65.000; Tempo pieno

Descrizione del lavoro

TwelveStone Health Partners is hiring a full-time Account Reimbursement Specialist in Virginia to resolve unpaid claims and balances. The role focuses on payor follow-up, denials management, and ensuring timely cash collection.

Responsibilities include researching denials, submitting appeals, documenting activity, and coordinating with billing and intake teams to optimize patient and insurer communications.

Competenze

• Minimum of three years’ experience in a healthcare setting following up and/or resolving outstanding insurance balances.
• Pharmacy/Infusion experience preferred; knowledge of insurance denials processes is a plus.
• Strong attention to detail and ability to manage multiple priorities.

Mansioni

• Identify, investigate, and resolve unpaid claims using payer portals.
• Call insurance companies when claims are denied and work with payers.
• Research denials and submit claim reconsiderations and appeals.
• Document account activity and manage medical records requests.
• Coordinate with Billing, Cash Posting, Contracting and Intake on issues.

Conoscenze

Denials processing

Claims follow-up

Attention to detail

Verbal & written communication

Formazione

High school diploma or GED

Strumenti

Outlook

Excel

Word

Descrizione del lavoro

TwelveStone Health Partners is hiring a full-time Account Reimbursement Specialist in Virginia to resolve unpaid claims and balances. The role focuses on payor follow-up, denials management, and ensuring timely cash collection.

Responsibilities include researching denials, submitting appeals, documenting activity, and coordinating with billing and intake teams to optimize patient and insurer communications.