Healthcare Claims & Reimbursement Specialist

TwelveStone Health Partners Inc; Jackson (MS); Remote; USD 40,000 - 65,000; Full time

Job summary

TwelveStone Health Partners Inc is seeking a full-time Account Reimbursement Specialist to resolve insurance and patient account balances. The role requires handling unpaid claims, following up with payors, and submitting reconsiderations and appeals as needed.

Responsibilities include documenting account activity, coordinating with Billing, Cash Posting, Contracting and Intake, and maintaining clear communication with patients regarding outstanding balances.

Qualifications

• Three years of experience in a healthcare setting following up and/or resolving outstanding insurance balances required.
• 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).

Responsibilities

• Identify, investigate, and resolve unpaid claims using Payor portals.
• Call insurance companies when claims are denied and work with commercial/government payers.
• Research denials and payor policies; submit claims' reconsiderations and appeals.
• Document account activity and manage medical records requests.
• Collaborate with Billing, Cash Posting, Contracting and Intake on issues affecting resolution.
• Follow up with patients on outstanding balances including unapplied cash.

Skills

insurance collections

claims follow-up

multitasking

attention to detail

communication skills

computer skills

Education

High school diploma or GED

Medical insurance collections experience

Tools

Outlook

Excel

Word

Job description

TwelveStone Health Partners Inc is seeking a full-time Account Reimbursement Specialist to resolve insurance and patient account balances. The role requires handling unpaid claims, following up with payors, and submitting reconsiderations and appeals as needed.

Responsibilities include documenting account activity, coordinating with Billing, Cash Posting, Contracting and Intake, and maintaining clear communication with patients regarding outstanding balances.