Insurance Credit Specialist - Remote

Lifepoint Health; United States; Remote; USD 25,000 - 30,000; Full time

Benefits offered by this job

Comprehensive benefits

Paid time off

Education and certification support

Job summary

Lifepoint Health is seeking an Insurance Credit Specialist for a remote role, supporting our Health Support Center team. The position focuses on reviewing and analyzing insurance accounts and credit balances, communicating with payers to obtain information, and ensuring timely refund processing.

Ideal candidates will understand EOBs, insurance contracts, and have experience with CPT/ICD-10 coding. This full-time remote position offers comprehensive benefits and opportunities to contribute to

Qualifications

• Experience analyzing explanation of benefits (EOBs) from various payers.
• One year of experience in insurance billing/follow up for Medicare, Medicaid and commercial payers.
• Medical terminology knowledge preferred.
• Knowledge of CPT/ICD-10 codes.

Responsibilities

• Resolves patient and insurance credit balance refunds.
• Researches and resolves unapplied cash activity accounts.
• Documents requests or concerns on the patient’s account via mail, email, phone or in person.
• Responds to insurance companies and patients for refunds within 30 days of receipt.
• Identifies the root causes of refund needs and reports recurring issues to management.
• Corrects errors in insurance contractual adjustments calculations and postings.
• Maintains confidentiality of PHI and adheres to policies and procedures.

Skills

EOB analysis

Insurance billing

Education

GED

Job description

Insurance Credit Specialist

Schedule: Monday-Friday, 40hrs a week. 8am-5pm in your time zone.

Job Location Type: Remote

Your experience matters

At Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. As a member of the Health Support Center (HSC) team, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier®.

More about our team

The Medical Group Revenue Integrity team at Lifepoint Health is a nationwide revenue cycle management services provider that has been offering high quality medical billing services since 2004. We offer a rewarding work environment with career advancement opportunities while maintaining a small company, employee-focused atmosphere.

How you'll contribute

The Insurance Credit Specialist must have the ability to review and analyze accounts and/or credit balance reports from insurance carriers and patients to include reviewing explanation of benefits, contacting insurance carriers for additional information, and communicating with insurance carriers to gather information. This position requires fundamental knowledge of how insurance companies pay accordingly to contracts, how to read and interrupt an insurance explanation of benefits (EOB), and do precise follow-up with the insurance company via, phone, email, insurance web sites, etc. at an acceptable volume per day.

ASpecialist, Insurance Credit who excels in this role:

• Resolves both patient & insurance credit balance refunds.
• Research and resolve unapplied cash activity accounts.
• Documents any request or concern received via mail, e-mail, telephone, written correspondence, or in person on the patient's account.
• Responsible for responding to insurance companies & patient requests for refunds in a timely manner (within 30 days of receipt in credit balance work list)
• Identifies the originating cause of the need for a refund and compiles a report of recurring issues to management.
• Responsible for correcting errors in the calculation and posting of insurance contractual adjustments.
• Maintains confidentiality of all protected health information (PHI)
• Performs all job functions in a manner consistent with MGRI expectations as defined in the mission statement and values.
• Adheres to policies and procedures as required by MGRI

Why join us

We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:

• Comprehensive Benefits:Multiple levels of medical, dental and vision coverage for full-time andpart-time employees.
• Financial Protection & PTO:Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
• Financial & Career Growth:Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
• Employee Well-being:Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
• Professional Development:Ongoing learning and career advancement opportunities.

What we're looking for

• Education: High school graduate or equivalent (GED) required.
• Experience: Experience with analyzing explanation of benefits (EOBs) from various insurance companies/payers.
• One year of experience in insurance billing/insurance follow up for Medicare, Medicaid, commercial payers required.
• Medical terminology knowledge preferred.
• Knowledge of CPT / ICD-10 coding

Pay Range:$18-$22 per hour depending on experience. The final agreed upon compensation is based on individual education, qualifications, experience, and work location.