Insurance Claims & Reimbursement Specialist

TwelveStone Health Partners Inc; Central City (KY); Remoto; USD 42.000 - 52.000; Tempo pieno

Descrizione del lavoro

TwelveStone Health Partners Inc is seeking a full-time Account Reimbursement Specialist to resolve insurance and patient account balances. The role involves following up on unpaid claims, contacting payers, and researching denials to ensure timely resolutions.

Minimum three years of healthcare collections experience and a high school diploma are required. Strong attention to detail and solid communication skills are essential for success in this role.

Competenze

• Minimum of three (3) years’ experience in a healthcare setting following up and/or resolving outstanding insurance balances required.
• Three years of medical insurance collections related experience required. Experience and/or knowledge of insurance denials process, health care claims processing/follow-ups required.
• 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.).

Mansioni

• 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.
• 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.

Conoscenze

Insurance collections

Denials resolution

Verbal & written communication

Analytical skills

Multi-tasking

Formazione

High school diploma or GED

Strumenti

Outlook

Excel

Word

Descrizione del lavoro

TwelveStone Health Partners Inc is seeking a full-time Account Reimbursement Specialist to resolve insurance and patient account balances. The role involves following up on unpaid claims, contacting payers, and researching denials to ensure timely resolutions.

Minimum three years of healthcare collections experience and a high school diploma are required. Strong attention to detail and solid communication skills are essential for success in this role.