Unpaid Claims Representative
Nystrom & Associates, Ltd., New Brighton, Minnesota, United States
Description
Location:
1200 County Road E., Arden Hills, MN 55112, United States
Working Model:
Remote
Employee Type:
1.0 Full time
At Sagent Behavioral Health, we believe profound change is possible. As one of the largest behavioral health organizations in the Midwest-with 2,000+ team members across 80+ locations in five states-we offer the stability and resources to help you thrive.
Backed by more than 100 years of combined behavioral health experience, Sagent brings together the trusted legacies of Ellie Mental Health, LifeWorks, Nystrom \& Associates, Psychiatric Associates, Sandhill Counseling \& Consultation, and Vantage Point.
Here, you'll find a supportive, inclusive culture where you can hone your skills, collaborate with a fantastic team, and build a rewarding career focused on what matters most: helping others find hope. Guided by our HOPE values-Humility, Optimism, People-Centered, and Ethical Practice-we provide flexible schedules and competitive compensation.
As an Unpaid Claims Representative, you will play a critical role in supporting the timely and accurate processing of insurance claims within our Business Office. You will ensure outstanding claims are followed up on, resolved, and billed appropriately, helping maintain smooth revenue cycle operations for our mental health services. This position requires strong attention to detail, effective communication, and a commitment to resolving claim issues efficiently.
Schedule:
7am-3:30pm Monday- Friday
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. Responsibilities:
Follow up on unpaid insurance claims for assigned payers to ensure timely resolution. Investigate each denied or rejected claim thoroughly and determine the necessary corrective actions. Resubmit or appeal claims as needed to secure proper reimbursement. Communicate directly with insurance companies to gather information, clarify denials, and resolve issues. Respond promptly to inquiries from Providers, Patient Financial Services, and the Insurance Team. Maintain a strong understanding of insurance guidelines, billing rules, and interpretation of EOBs. Identify recurring issues or trends with specific insurance companies and escalate as appropriate. Perform additional duties as assigned by management to support departmental operations. Requirements:
At least 6+ months of experience in the Sagent Behavioral Health's 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. High school diploma or equivalent, with strong organizational and multitasking abilities.
Compensation:
19-22$/Hour
Actual compensation may be determined by various factors such as education, experience, skillset, internal equity, schedule and/or location.
* Employees in these positions are W2.
Sagent Behavioral Health is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
Location:
1200 County Road E., Arden Hills, MN 55112, United States
Working Model:
Remote
Employee Type:
1.0 Full time
At Sagent Behavioral Health, we believe profound change is possible. As one of the largest behavioral health organizations in the Midwest-with 2,000+ team members across 80+ locations in five states-we offer the stability and resources to help you thrive.
Backed by more than 100 years of combined behavioral health experience, Sagent brings together the trusted legacies of Ellie Mental Health, LifeWorks, Nystrom \& Associates, Psychiatric Associates, Sandhill Counseling \& Consultation, and Vantage Point.
Here, you'll find a supportive, inclusive culture where you can hone your skills, collaborate with a fantastic team, and build a rewarding career focused on what matters most: helping others find hope. Guided by our HOPE values-Humility, Optimism, People-Centered, and Ethical Practice-we provide flexible schedules and competitive compensation.
As an Unpaid Claims Representative, you will play a critical role in supporting the timely and accurate processing of insurance claims within our Business Office. You will ensure outstanding claims are followed up on, resolved, and billed appropriately, helping maintain smooth revenue cycle operations for our mental health services. This position requires strong attention to detail, effective communication, and a commitment to resolving claim issues efficiently.
Schedule:
7am-3:30pm Monday- Friday
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. Responsibilities:
Follow up on unpaid insurance claims for assigned payers to ensure timely resolution. Investigate each denied or rejected claim thoroughly and determine the necessary corrective actions. Resubmit or appeal claims as needed to secure proper reimbursement. Communicate directly with insurance companies to gather information, clarify denials, and resolve issues. Respond promptly to inquiries from Providers, Patient Financial Services, and the Insurance Team. Maintain a strong understanding of insurance guidelines, billing rules, and interpretation of EOBs. Identify recurring issues or trends with specific insurance companies and escalate as appropriate. Perform additional duties as assigned by management to support departmental operations. Requirements:
At least 6+ months of experience in the Sagent Behavioral Health's 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. High school diploma or equivalent, with strong organizational and multitasking abilities.
Compensation:
19-22$/Hour
Actual compensation may be determined by various factors such as education, experience, skillset, internal equity, schedule and/or location.
* Employees in these positions are W2.
Sagent Behavioral Health is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.