Insurance Claims & Denial Resolution Specialist

TwelveStone Health Partners Inc; Fulton (MS); Remote; USD 36,000 - 54,000; Full time

Job summary

TwelveStone Health Partners is seeking a full-time Account Reimbursement Specialist to join its billing team in Mississippi. You will resolve unpaid claims, follow up with insurers on denials, and submit reconsiderations and appeals to achieve timely payment.

Collaborating with Billing, Cash Posting, Contracting and Intake, you will manage patient account balances with attention to detail and strong analytical and communication skills.

Qualifications

• Minimum of three years’ experience in a healthcare setting resolving outstanding insurance balances.
• Education: High school diploma or GED required.
• Three years of medical insurance collections experience required.
• Experience and/or knowledge of insurance denials process, health care claims processing/follow-ups required.
• Proficient in Outlook, Excel, Word; strong attention to detail and communication skills.

Responsibilities

• Identify, investigate, and resolve unpaid claims using payor portals.
• Calling insurance companies for denied claims and 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.
• Collaborate with Billing, Cash Posting, Contracting and Intake on issues affecting account resolution.
• Follow up with patients on outstanding account balances including unapplied cash.

Skills

Attention to detail

Verbal communication

Written communication

Analytical skills

Multi-tasking

Education

High school diploma or GED

Tools

Outlook

Excel

Word

Job description

TwelveStone Health Partners is seeking a full-time Account Reimbursement Specialist to join its billing team in Mississippi. You will resolve unpaid claims, follow up with insurers on denials, and submit reconsiderations and appeals to achieve timely payment.

Collaborating with Billing, Cash Posting, Contracting and Intake, you will manage patient account balances with attention to detail and strong analytical and communication skills.