Account Reimbursement Specialist - Remote; TN, KY, GA, MS, VA

Who We Are

Twelve Stone Health Partners is focused on the medication needs of patients with chronic, complex and rare conditions. For more than 35 years, Twelve Stone 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.

We are currently hiring for the position of full-time Account Reimbursement Specialist. Remote work is available (TN, GA, VA, MS, KY). This position is responsible for the resolution of insurance and/or patient account balances.

• Identify, investigate, and resolve unpaid claims. Utilizing payor portals to follow up on submitted claims.
• Call insurance companies when claims are denied and work with commercial/government payers.
• Research denials and rejections as well as payor policies.
• Submit claims reconsiderations and appeals; document account activity and 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.
• Other duties as assigned.

• Minimum of three (3) years experience in a healthcare setting following up and/or resolving outstanding insurance balances.
• High School Diploma or GED required.