Insurance Claims Resolution Specialist

TwelveStone Health Partners Inc; Mississippi; Remote; USD 32,000 - 52,000; Full time

Job summary

TwelveStone Health Partners Inc. is seeking a full-time Account Reimbursement Specialist to join our revenue cycle team in Mississippi. This role focuses on resolving insurance and patient account balances and minimizing denials while ensuring accurate claim follow-ups.

You will investigate unpaid claims, use payer portals, and collaborate with Billing and Intake to resolve issues. A minimum of three years in healthcare billing is required.

Qualifications

• Minimum of three (3) years’ experience in a healthcare setting following up and/or resolving outstanding insurance balances required
• Education: High school diploma or GED 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.).

Responsibilities

• 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.

Skills

Healthcare billing

Insurance follow-up

Denials processing

Communication skills

Analytical skills

MS Office

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 join our revenue cycle team in Mississippi. This role focuses on resolving insurance and patient account balances and minimizing denials while ensuring accurate claim follow-ups.

You will investigate unpaid claims, use payer portals, and collaborate with Billing and Intake to resolve issues. A minimum of three years in healthcare billing is required.