Unpaid Claims Account Representative

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 escalate recurring payer issues or trends.
• Perform additional assigned duties to support overall departmental operations.

Requirements

• 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.
• Strong attention to detail, problem-solving skills, and a positive, team-oriented mindset.
• Proficiency with Microsoft Windows, Excel, Word, and Outlook.
• A high school diploma or equivalent, with strong organizational and multitasking abilities.

Pay

This is a non-exempt position. Total earnings for this position will range from $18.50 - $20.00 hourly. Actual compensation may be determined by various factors such as licensure, experience, skillset, internal equity, schedule and/or location. Estimates are factored on a 1.0 FTE. Employees in these positions are W2.

Schedule

Remote Employee Type: 1.0 Full time

Benefits

• Full Time Benefits
• Medical and dental insurance, plus optional supplemental coverage (short-term disability, cancer, accident).
• Health Savings Account (HSA) and Flexible Spending Account (FSA) options for medical and dependent care expenses.
• Paid Time Off (PTO) and paid holidays to support work–life balance.
• 401(k) retirement plan with a generous employer match.
• Opportunities for professional growth and career advancement within the organization.