Unpaid Claims Account Representative (Administrative)
We are currently seeking a full-time, remote Unpaid Claims Accounts Receivable Representative to join our Arden Hills Business Office.
Nystrom & Associates, Ltd. is a team of mental health professionals that specialize in psychiatric evaluations, clinical social work, and family therapy. We are committed to helping patients in our community who are experiencing personal, emotional, marriage, family, or psychological problems. Founded in 1991, we offer an intensive outpatient chemical dependency program, psychological testing, and behavioral health and medication management services.
In this role, you would be responsible for facilitating the timely billing and collections process of claims through follow-up insurance companies, providers, and the billing and insurance team.
Hours:
Monday - Friday 7:00 AM - 3:30 PM
Job Duties:
Follow up on unpaid claims for each insurance assigned.
Must investigate each claim thoroughly and resolve any issues relating to the denied claim.
Resubmit claims to insurance companies and/or appeal when necessary.
Communicate with insurance companies for unpaid, denied, or rejected claims.
Resolve inquiries from Providers, Patient Financial Services, Insurance Team, etc.in a timely manner.
Maintain an excellent understanding of insurance guidelines, billing rules, and how to read an EOB.
Perform other duties as assigned by management.
Job Expectations
Recognize trends and patterns with insurance companies.
Excellent verbal and written communication skills.
Must be flexible and able to multi-task throughout the day.
Ability to work in a team environment and/or independently.
Qualifications:
6+ months working in Nystrom & Associates Business Office.
Familiarity with insurance company guidelines and/or billing rules.
Detail oriented, strong problem solver; maintains a positive attitude.
Computer Experience required, Microsoft Windows, Excel, Word, Outlook.
Excellent Organizational skills.
High school graduate or equivalent.
Benefits:
Nystrom & Associates, Ltd. prides itself on the benefits and compensation offered to staff, including:
Medical & Dental insurance
Opportunities for professional growth and career advancement
Health Savings Account (HSA)
Flexible Spending Account (FSA) for applicable medical and dependent care expenses
Paid Time Off (PTO)
Paid Holidays
401(K) Retirement Plan with a generous employer matching program
Supplemental insurances, such as short term disability, cancer insurance, and accident insurance
* Actual compensation may be determined by various factors such as education, experience, skillset, internal equity, schedule and/or location.
