Remote Patient Billing & Claims Specialist

Lifepoint Health®; St. Louis (MO); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Medical, dental & vision coverage

Paid time off & leave

401(k) with company match

Tuition assistance

Well-being programs

Career development

Job summary

Lifepoint Health is seeking a remote Patient Financial Services Representative to support insurance claims and follow up on payments for hospital services. You will work to resolve Medicare rejections, rekey data in the DDE system, and maintain knowledge of CMS billing rules.

Ideal candidates have at least 4 years in Insurance Billing/Follow up, a HS diploma, and may have coding experience. The role includes comprehensive benefits and opportunities for professional growth with Lifepoint Health.

Qualifications

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

Responsibilities

• Ensures the collection of funds for all hospital billable services so that goals are met in Bad Debts, AR Days and Cash collections.
• Supports the Director of Patient Accounting to maximize the income earned through cash management.
• Maintains accuracy in claims processing paper and electronic claims.
• Maintains follow-up on accounts to ensure claims are paid promptly and correctly.
• Explains patient inquiries regarding hospital charges, insurance payments or insurance coverage.
• Develops a relationship with third party payers, and vendors to ensure cash flow is maximized.
• Inquires and seeks explanations for all denials and/or rejections.
• Be responsible for complex billing issues.
• Be responsible for primary Medicare First Level Appeal Submission after approval from PFSD.

Skills

Insurance Billing

Follow-up

Communication

Education

High School diploma or equivalent

Associate's degree or higher preferred

Job description

Lifepoint Health is seeking a remote Patient Financial Services Representative to support insurance claims and follow up on payments for hospital services. You will work to resolve Medicare rejections, rekey data in the DDE system, and maintain knowledge of CMS billing rules.

Ideal candidates have at least 4 years in Insurance Billing/Follow up, a HS diploma, and may have coding experience. The role includes comprehensive benefits and opportunities for professional growth with Lifepoint Health.