Accounts Receivable Process Analyst

BrightSpring Health Services; Nashville (TN); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Competitive Pay with Daily Pay

Tuition Reimbursement

Benefits

401k Participation

Career Growth

Job summary

BrightSpring Health Services in Nashville is seeking an Accounts Receivable Process Analyst to manage and analyze billing transactions in our healthcare finance team. You will investigate aging, adjudication of claims, and follow up on outstanding balances with strong attention to detail.

Ideal candidates have 2+ years in healthcare billing, proficient Excel skills, and the ability to read insurance remits and denials.

Qualifications

• 2+ years healthcare billing, private insurance and/or federally funded programs.
• Experience reading remits and denial reasons; state billing portals preferred.
• Experience filing claim appeals to maximize reimbursement.
• Strong/professional communication via email and phone; proficient Excel.
• HCHB experience preferred; home health hospice experience preferred.

Responsibilities

• Analyze aging for assigned operations and follow up on all outstanding accounts.
• Provide proper coding and comments for all outstanding balances.
• Identify payor issues and report out.
• Complete follow up process to ensure full adjudication of claims.
• Identifies adjustments throughout the month for assigned Operations.
• Timely follow up on insurance claim denials, exceptions, or exclusions.
• Maintain open communication with Billing Specialist, Cash Application Analyst and Operations.
• Send cash transfer & check requests to the cash team.
• Reading and interpreting insurance explanation of benefits.
• Respond to inquiries from insurance companies, patients, and providers.
• Works in Waystar to identify denials and timely resolution.
• Timely follow up of accounts to ensure timely filing limits are met.
• Performs general accounts receivable functions regarding revenue billing and cash processes.

Skills

Healthcare billing

Excel

Communication skills

Remits & denials

Aging analysis

Education

Associate degree or higher

Tools

HCHB (Home Care Home Base)

Job description

Overview

BrightSpring Health Services is seeking a highly skilled and detail-oriented Accounts Receivable Process Analyst to join our team. As an A/R Process Analyst you will play an important part of our team with managing and analyzing financial transactions within our billing and collections department. If you like to problem solve, love numbers, and have great analytical skills this is the position for you!

Our Company

BrightSpring Health Services

Responsibilities

• Analyze aging for assigned operations and follow up on all outstanding accounts. Provide proper coding and comments for all outstanding balances.
• Identify payor issues and report out.
• Complete follow up process to ensure full adjudication of claims.
• Identifies adjustments throughout the month for assigned Operations.
• Timely follow up on insurance claim denials, exceptions, or exclusions.
• Maintain open communication with Billing Specialist, Cash Application Analyst and Operations.
• Send cash transfer & check requests to the cash team.
• Reading and interpreting insurance explanation of benefits.
• Respond to inquiries from insurance companies, patients, and providers.
• Works in Waystar to identify denials and timely resolution.
• Timely follow up of accounts to ensure timely filing limits are met.
• Performs general accounts receivable functions regarding revenue billing and cash processes.

Qualifications

• High School diploma or equivalent, Associate’s degree or higher preferred.
• At least 2 years healthcare billing, private insurance and/or federally funded programs, researching aging and claims.
• Experience in reading and understanding remits for denial reasons and experience with State Billing Portal sites, preferred.
• Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement preferred.
• Responsible use of confidential information.
• Must have strong/professional communication skills (email and phone) as well as computer skills to include Microsoft Excel.
• Must understand conditions of payment and experience with State billing portals preferred.
• HCHB (Home Care Home Base) experience preferred.
• Home Health Hospice related experience preferred.

About Our Line Of Business

BrightSpring Health Services provides complementary home- and community-based health solutions for complex populations in need of specialized and/or chronic care. Through the Company’s service lines, including pharmacy, home health care, and rehabilitation, we provide comprehensive and more integrated care and clinical solutions in all 50 states to over 475,000 customers, clients and patients daily. BrightSpring has consistently demonstrated strong and industry-leading quality metrics across its services lines, while improving the health and quality of life for high-need individuals and reducing overall healthcare system costs. For more information, please visit www.brightspringhealth.com . Follow us on Facebook , LinkedIn , and X .

Additional Job Information

• Competitive Pay with Daily Pay options
• Up to 11 days of PTO during the 1st year
• Tuition Reimbursement
• Benefits, Company Provided Life Insurance, 401k Participation
• Career Growth and advancement opportunities