Remote Unpaid Claims Specialist

Sagent Behavioral Health; Arden Hills (MN); Remote; USD 25,000 - 28,000; Full time

Benefits offered by this job

Medical and dental insurance

HSA/FSA options

PTO and holidays

401(k) with employer match

Career growth opportunities

Job summary

Sagent Behavioral Health is hiring for an Unpaid Claims Account Representative to support the reimbursement process in a remote, full-time role. You will follow up on unpaid or denied claims, investigate issues, and coordinate with insurers and healthcare providers to resolve accounts.

The role requires familiarity with insurance guidelines and billing procedures, plus a high school diploma and 6+ months in a related AR/claims environment. This is a W2, non-exempt position with hourly pay.

Qualifications

• Must live in one of the following states: MN, WI, IA, ND, or MO.
• At least 6+ months of experience in the Nystrom & Associates Business Office or comparable claims/AR experience.
• Familiarity with insurance company guidelines, billing procedures, and claim adjudication processes.
• Proficiency with Microsoft Windows, Excel, Word, and Outlook.
• High school diploma or equivalent, with strong organizational and multitasking abilities.

Responsibilities

• Follow up on unpaid, denied, or rejected insurance claims to ensure timely and accurate reimbursement.
• Investigate claim issues, determine corrective actions, and resubmit or appeal claims as needed.
• Communicate with insurance companies to clarify denials, obtain information, and resolve claim issues.
• Collaborate with providers, Patient Financial Services, and the Insurance Team to respond to inquiries and support resolution.
• Maintain knowledge of insurance guidelines, billing rules, and EOB interpretation; identify and escalation recurring payer issues or trends.
• Perform additional assigned duties to support overall departmental operations.

Skills

Attention to detail

Problem solving

Team oriented

Education

High school diploma or equivalent

Tools

Microsoft Windows

Excel

Word

Outlook

Job description

Sagent Behavioral Health is hiring for an Unpaid Claims Account Representative to support the reimbursement process in a remote, full-time role. You will follow up on unpaid or denied claims, investigate issues, and coordinate with insurers and healthcare providers to resolve accounts.

The role requires familiarity with insurance guidelines and billing procedures, plus a high school diploma and 6+ months in a related AR/claims environment. This is a W2, non-exempt position with hourly pay.