Billing Readiness & Revenue Integrity Specialist

BrightSpring Health Services; Phoenix (AZ); On-site; USD 52,000 - 78,000; Full time

Job summary

BrightSpring Health Services seeks a Billing Readiness Specialist to bridge intake, authorization workflows, and the billing department. You will validate insurance setup, verify payer plans, confirm patient financial responsibility, and ensure authorization readiness prior to billing to minimize denials and delays.

You will collaborate across departments to maintain accurate accounts, improve reimbursement workflows, and support clean claim submission by proactive account review and issue

Qualifications

• 3+ years of experience in medical billing, insurance verification, authorizations, or healthcare revenue cycle.
• Experience with Medicare, commercial insurance, and managed care preferred.
• Familiarity with outpatient therapy billing workflows preferred.

Responsibilities

• Validate insurance setup, benefit verification, payer configuration, and patient responsibility.
• Review authorization readiness and CPT code alignment to ensure proper billing.
• Perform pre-billing audits to identify issues impacting reimbursement.
• Communicate discrepancies to clinics, front office staff, and billing personnel.

Skills

Attention to detail

Communication skills

Problem solving

EMR familiarity

Billing experience

Education

High School Diploma

Associate degree

Tools

EMR software

Practice management system

Job description

BrightSpring Health Services seeks a Billing Readiness Specialist to bridge intake, authorization workflows, and the billing department. You will validate insurance setup, verify payer plans, confirm patient financial responsibility, and ensure authorization readiness prior to billing to minimize denials and delays.

You will collaborate across departments to maintain accurate accounts, improve reimbursement workflows, and support clean claim submission by proactive account review and issue