Specialist, Insurance Credit

LifePoint Health; Brentwood (TN); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare organization seeks an Insurance Credit Specialist to manage credit balance claims. This fully remote role requires attention to detail, strong communication skills, and experience in insurance billing. Benefits include competitive salary, flexible PTO, and a supportive work environment.

Benefits

401k

Flexible PTO

Medical, Dental, Vision

Tuition Reimbursement

Employee Assistance Program

Qualifications

• 1 year of experience in insurance billing/insurance follow up for Medicare, Medicaid, commercial payers required.
• Knowledge of CPT / ICD-10 coding preferred.

Responsibilities

• Researching, analyzing, and resolving outstanding credit balance claims.
• Reviewing and analyzing accounts and/or credit balance reports.
• Responding to insurance companies & patient requests for refunds in a timely manner.

Skills

Attention to Detail

Customer Satisfaction

Communication

Education

High school graduate or equivalent (GED)

Associate degree or Bachelor’s degree in healthcare administration

Job description

Who we are:

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.

This is a fully remote position! You must live in the United States.

We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.

We are always looking for people inspired to help us in our mission. If you are someone who wants to change the lives of patients, drive success for our partners and be part of a team driven to improve care, we may have your next opportunity.

What you’ll do:

As an Insurance Credit Specialist, you will be responsible for researching, analyzing, and resolving outstanding credit balance claims. Excellent position for a highly detailed, quick learner who enjoys working in a fast-paced working environment and enjoys partnering with others to provide outstanding customer/patient satisfaction and ensures work is completed timely and accurately.

Responsibilities:

• The Insurance Credit Specialist m ust 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.
• Resolves both patient & insurance credit balance refunds (WEEKLY/DAILY/OTHER)
• Researches and resolves 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

What you’ll need:

• Education: High school graduate or equivalent (GED) required; Associate degree or Bachelor’s degree in healthcare administration or another related field preferred
• Experience:Experience with analyzing explanation of benefits (EOBs) from various insurance companies/payers; 1 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

Why choose us:

Benefits: At Lifepoint, our Mission of Making Communities Healthier extends to our employees. We offer an excellent total compensation package, including a competitive salary and benefits. Some of our benefits include 401k, flexible PTO, generous Employee illness benefit (EIB), medical, dental, vision, tuition reimbursement, and an Employee Assistance Program. We believe that happy, healthy people have a passionate engagement with life and work and have designed our package to enhance your wellbeing.

We also offer a flexible, remote work environment.

Pay Range: $18 – $20/hour - The final agreed upon compensation is based on individual education, qualifications, experience, and work location. This position is bonus eligible.

Lifepoint Health is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.