Insurance Claims & Reimbursement Specialist

TwelveStone Health Partners Inc; Kentucky; Remote; USD 38,000 - 62,000; Full time

Job summary

TwelveStone Health Partners, Inc. is seeking a full-time Account Reimbursement Specialist to resolve insurance and patient balances, identify unpaid claims, and follow up with payors to ensure timely reimbursement.

You will work closely with Billing, Cash Posting, Contracting and Intake to streamline processes and improve cash flow. The position requires at least three years in healthcare collections, knowledge of denials processing and claims follow-up, and strong attention to detail,

Qualifications

• Minimum of three (3) years’ experience in a healthcare setting following up and/or resolving outstanding insurance balances required.
• Experience with insurance denials process and health care claims processing/follow-ups required.
• Strong attention to detail and excellent verbal and written communication skills.

Responsibilities

• Identify, investigate, and resolve unpaid claims using payor portals.
• Call insurance companies when claims are denied; work with commercial/government payers.
• Research denials and rejections and 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

Healthcare billing

Accounts receivable

Claims follow-up

Denials management

Payor portals

Communication

Analytical skills

Education

High school diploma or GED

Tools

Outlook

Excel

Word

Job description

TwelveStone Health Partners, Inc. is seeking a full-time Account Reimbursement Specialist to resolve insurance and patient balances, identify unpaid claims, and follow up with payors to ensure timely reimbursement.

You will work closely with Billing, Cash Posting, Contracting and Intake to streamline processes and improve cash flow. The position requires at least three years in healthcare collections, knowledge of denials processing and claims follow-up, and strong attention to detail,