Account Reimbursement Specialist – Healthcare

🔥 4 minutes ago

🐎 Kentucky, Mississippi, +2 more states – Remote

🐎 Kentucky – Remote 🎸 Mississippi – Remote 🎸 Tennessee – Remote ⚔️ Virginia – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 15%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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TwelveStone Health Partners

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2015

⚕️ Healthcare Insurance

🏥 Healthcare

💊 Pharmaceuticals

Healthcare Insurance • Healthcare • Pharmaceuticals

TwelveStone Health Partners is a healthcare organization that specializes in providing outpatient infusion services for patients with complex and chronic conditions. With locations across Tennessee, Georgia, Kentucky, and Virginia, they offer tailored care in comfortable settings, ensuring a higher level of service and support. The organization prides itself on its commitment to patient-centric care and faith-based values, fostering a supportive environment for both patients and their families.

📋 Description

• Identify, investigate, and resolve unpaid claims • Utilize payor portals to follow up on submitted claims • Call insurance companies when claims are denied • Work with commercial/government payers • Research denials and rejections as well as payor policies • Submit claims’ reconsiderations and appeals • Document account activity • Manage medical records requests • Track and trend payor issues • Collaborate with Billing, Cash Posting, Contracting and Intake on issues affecting account resolution • Follow up with patients on outstanding account balances, including unapplied cash • Perform other duties as assigned

🎯 Requirements

• Minimum of three (3) years’ experience in a healthcare setting following up and/or resolving outstanding insurance balances required • High school diploma or GED required • Three years of medical insurance collections related experience required • Pharmacy/Infusion experience preferred • 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.)

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