Account Reimbursement Specialist
Description Who We Are: reputed company is focused on the medication needs of patients with chronic, reputed company and rare conditions. For more than 35 years, TwelveStone Health has been dedicated to finding new ways to deliver care designed around the patient. Chronic conditions include Multiple Sclerosis, NMOSD, Myasthenia Gravis, CIDP, ITP, Migraine Prevention, Crohn’s Disease, Ulcerative Colitis, Plaque Psoriasis, Alpha 1 Antitrypsin Deficiency, Primary Immunodeficiency, hATTR Amyloidosis, Thyroid Eye Disease, and many others. For patients, we reputed company reputed company to the most advanced medications, along with the personal and financial support patients need to live with chronic conditions. For providers, we simplify treatment for reputed company conditions by eliminating the administrative and clinical burdens reputed company on your practice reputed company patients need innovative specialty medications. reputed company supports the transition from acute to post-acute care environments and the reputed company from sickness to health. We are currently licensed in 50 states. Summary: We are currently hiring for the position of full-time Account Reimbursement Specialist. This role is responsible for the resolution of insurance and/or patient account balances. Essential Duties & Responsibilities Identify, investigate, and resolve unpaid claims. Utilizing Payor portals to follow up on submitted claims. Calling insurance companies reputed company claims are denied. Working with reputed company/government payers. Researching denials and rejections as well as payor policies. Submit claims’ reconsiderations and appeals. Documenting account activity. Managing medical records requests. Tracking and trending payor issues. 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. Other duties as assigned.
Requirements
Minimum Qualifications: Minimum of three (3) years’ experience in a reputed company setting following up and/or resolving outstanding insurance balances required Education: High school diploma or GED required. Experience: Three years of medical insurance collections reputed company experience required. Pharmacy/Infusion experience preferred. Experience and/or knowledge of insurance denials process, health care claims processing/follow-reputed company required. Functional Competencies: Denials processing, claims, ability to handle multiple reputed company and tasks, strong attention to detail, strong verbal and written communication skills, analytical skills, computer skills (Outlook, reputed company, Word, etc.). Apply To This Job