TwelveStone Health Partners Inc

Role Description We are currently hiring for the position of Territory Sales Manager in the greater Savannah, GA area. This position is responsible for developing and maintaining customer relationships, identifying customer needs and presenting, through marketing, applicable solutions to meet those needs, including selling TwelveStone’s suite of therapy services which include: - Infusions & injections at our infusion centers - Infusions and injections at the patient’s home - Specialty pharmacy needs You will market and sell our suite of chronic care and rare disease therapy services to specialty physicians and clinics. Our complex medications include infusion, injections, and oral medications for a wide variety of therapy groups to include: - Neurology - Gastroenterology - Rheumatology - Pulmonology - Dermatology - Cardiology - Nephrology - Endocrinology - Urology Essential Duties & Responsibilities: - Generate sales through target marketing, pipeline development and maintenance, qualifying prospects, making proposals, closing deals and pre/post-delivery support, and service. - Provide customer training to acquaint them with the suite of services and products provided, deliver effective sales approaches for all markets and segments. Execute business plans to achieve established KPIs. - Provide on-time and accurate sales forecasting and reporting. Update CRM and other metrics. Qualifications - Bachelor’s degree preferred, in business, marketing or other related discipline; and/or commensurate work experience. - Clinicians (nurses, pharmacists), from specialty groups listed above, without sales experience, are strongly considered. Requirements - Three years of progressive sales experience preferred, including strong strategic/forecasting development and planning. - Healthcare and/or post-acute experience preferred. Key Competencies - Dependable - Initiative - Written/verbal communication - Teamwork - Collaboration - Cooperation - Critical Thinking - Innovative - Problem Solving - Analytical - Attention to detail - Negotiation - Influencer

Role Description 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. - Identify, investigate, and resolve unpaid claims. - Utilize Payor portals to follow up on submitted claims. - Call insurance companies when claims are denied. - Work with commercial/government payers. - Research denials and rejections as well as payor policies. - Submit claims’ reconsiderations and appeals. - Document account activity. - 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 which include unapplied cash. - Other duties as assigned. Qualifications - Minimum of three (3) years’ experience in a healthcare setting following up and/or resolving outstanding insurance balances required. - High school diploma or GED required. - Three years of medical insurance collections related experience required. - Pharmacy/Infusion experience preferred. - Experience and/or knowledge of insurance denials process, health care claims processing/follow-ups required. Requirements - Denials processing. - Claims management. - Ability to handle multiple priorities and tasks. - Strong attention to detail. - Strong verbal and written communication skills. - Analytical skills. - Computer skills (Outlook, Excel, Word, etc.).