Insurance Claims & Reimbursement Specialist

TwelveStone Health Partners Inc; Lexington (KY); Remoto; USD 40.000 - 56.000; Tempo pieno

Descrizione del lavoro

TwelveStone Health Partners Inc. is hiring for a full-time Account Reimbursement Specialist. The role focuses on resolving insurance and patient account balances and coordinating with payors to resolve outstanding claims.

Responsibilities include following up on claims, appealing denials, documenting activity, and collaborating with Billing, Cash Posting, Contracting and Intake to ensure timely resolution. High school diploma required with healthcare experience.

Competenze

• Minimum 3 years in a healthcare setting following up or resolving outstanding insurance balances.
• 3 years of medical insurance collections experience and knowledge of insurance denials process and claims follow-ups.
• Strong attention to detail, communication skills, analytical ability, and proficiency with common software tools.

Mansioni

• Identify, investigate, and resolve unpaid claims.
• Follow up on submitted claims using payor portals.
• Call insurance companies when claims are denied.
• Work with commercial and government payers.
• Research denials and payor policies to determine next steps.
• Submit claims reconsiderations and appeals when appropriate.
• Document account activity and maintain accurate records.
• Manage requests for medical records as needed.
• Collaborate with Billing, Cash Posting, Contracting and Intake on issues affecting resolution.
• Follow up with patients on outstanding balances including unapplied cash acts.

Conoscenze

Healthcare claims follow-up

Insurance collections

Denials handling

Attention to detail

Verbal and written communication

Formazione

High school diploma or GED

Strumenti

Outlook

Excel

Word

Descrizione del lavoro

TwelveStone Health Partners Inc. is hiring for a full-time Account Reimbursement Specialist. The role focuses on resolving insurance and patient account balances and coordinating with payors to resolve outstanding claims.

Responsibilities include following up on claims, appealing denials, documenting activity, and collaborating with Billing, Cash Posting, Contracting and Intake to ensure timely resolution. High school diploma required with healthcare experience.