Accounts Receivable Process Analyst

BrightSpring Health Services Corporation; Valdosta (GA); On-site; USD 42,000 - 54,000; Full time

Job summary

BrightSpring Health Services Corporation seeks a Finance/Accounting professional focused on maximizing cost recovery and minimizing expenses within healthcare billing. You will analyze aging, rebill outstanding AR, and process revenue adjustments across operations and grants.

Responsibilities include month-end revenue processing, balancing, and reporting, plus ongoing liaison with billing and operations to resolve reimbursement issues. Strong Excel and state billing portal experience are valued.

Qualifications

• Minimum high school diploma; associate degree preferred.
• 2+ years healthcare billing/private insurance experience.
• Experience reading remits and denial reasons; familiarity with state billing portals preferred.
• Experience filing claim appeals to maximize reimbursement.

Responsibilities

• Analyze aging for assigned operations and follow up on all outstanding accounts with proper coding and comments.
• Rebill claims for outstanding AR and provide detailed aging comments with payment dates.
• Process revenue adjustments and balance, review, and gain approvals for month-end close.
• Upload or key revenue for operations, grants, etc., and complete revenue balancing and reporting.
• Coordinate with Billing Specialist, Cash Application Analyst and Operations to resolve reimbursement issues.

Skills

Healthcare billing

Accounts receivable

Remits interpretation

Customer communication

Data analysis

Education

High School diploma

Associate degree or higher preferred

Tools

Excel

State Billing Portals

Billing software

Job description

Overview

Are you a numbers aficionado, skillful in maximizing costs and minimizing expenses? Finance and Accounting focuses on the organization's financial management strategies and execution.

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.
• Provide any additional research for accounts designated on the critical accounts list, code and comment prior to monthly Critical Account call.
• Rebill claims for any outstanding AR that is collectible. Provide detail comment in aging with payment date. Field questions throughout the month regarding revenue and aging issues.
• Process revenue adjustments throughout the month for assigned Operations.
• Balance, review and gain approvals for revenue adjustments.
• Process revenue for month end close.
• Upload or key revenue for operations, grants, etc.
• Complete revenue balancing and reporting.
• Maintain open communication with Billing Specialist, Cash Application Analyst and Operations.
• Send cash transfer & check requests to the cash team
• Conduct monthly calls with business managers at the operations
• Prepare and document all allowances and/or revenue adjustments for future month to assist in forecasting. according to policy and within the designated timeframe.
• Timely follow up on insurance claim denials, exceptions or exclusions.
• Reading and interpreting insurance explanation of benefits.
• Respond to inquiries from insurance companies, patients and providers.
• Regularly meet with Business Office Manager in Operations to discuss and resolve reimbursement issues or billing obstacles.
• Regularly attend monthly staff meetings and continuing educational sessions as requested.
• Perform additional duties as requested by Supervisor or Management team. Measurement: DSO, accounts worked per month, AR>90 days
• Other duties as assigned

Qualifications

• Minimum High School diploma or equivalent, associates degree or higher preferred.
• At least 2 years healthcare billing, private insurance and/or federally funded programs, researching agings 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 be able to read. Must have strong/professional communication skills (email and phone).
• Must understand conditions of payment. Must have strong excel skills. Experience with State billing portals preferred.

About Our Line Of Business

BrightSpring Health Services provides complementary home- and community-based health solutions for medically 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 approximately 500,000 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 .