Remote Patient Billing & Claims Specialist

Lifepoint Health; Northern (KY); Híbrido; USD 45 000 - 65 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Comprehensive Benefits

401(k) with company match

Tuition assistance

Resumo da oferta

Lifepoint Health is seeking a remote Patient Financial Services Representative to support hospital billing operations. You will manage claims processing, follow up on insurance payments, and address denials to maximize cash flow across our Health Support Center.

Ideal candidates have 4+ years in insurance billing, familiarity with Medicare compliance, and experience with IVANS and DDE systems. Strong attention to HIPAA and CMS regulations is required.

Qualificações

• High School diploma or equivalent required.
• Minimum of 4 years in Insurance Billing/Follow up required.
• Coding experience preferred.

Responsabilidades

• Ensure collection of funds for all hospital billable services.
• Support Director of Patient Accounting to maximize income through cash management.
• Maintain accuracy in claims processing (paper and electronic).
• Follow up on accounts to ensure timely payments.
• Explain charges and insurance payments to patients.
• Develop relationships with third party payers and vendors to maximize cash flow.
• Inquire and seek explanations for denials/rejections.
• Adhere to HIPAA regulations.
• Maintain Medicare rejections via IVANS and rekey via DDE system daily.
• Maintain CMS billing rules knowledge.
• Handle complex billing issues.
• Manage Medicare Bad Debt Log for monthly submission.
• Manage Patient Financial Services Denial Log.
• Submit primary Medicare First Level Appeals after PFSD approval.

Conhecimentos

Insurance billing

Accounts receivable

HIPAA compliance

Denials management

Cash collection

CMS rules knowledge

Formação académica

High School diploma or equivalent

Associate degree preferred

Ferramentas

IVANS system

DDE system

Descrição da oferta de emprego

Lifepoint Health is seeking a remote Patient Financial Services Representative to support hospital billing operations. You will manage claims processing, follow up on insurance payments, and address denials to maximize cash flow across our Health Support Center.

Ideal candidates have 4+ years in insurance billing, familiarity with Medicare compliance, and experience with IVANS and DDE systems. Strong attention to HIPAA and CMS regulations is required.