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 youll 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 youll 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 patients 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 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 were looking for
Education:
High school graduate or equivalent (GED) required.
Associate degree or bachelors degree in healthcare administration or another related field preferred
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
Compensation Range: $18 $20/hr. The final agreed upon compensation is based on individual education qualifications experience and work location. This position is bonus eligible.
EEOC Statement
Lifepoint Health is an Equal Opportunity Employer.Lifepoint Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.
You must be authorized to work in the United States without employer sponsorship.
Required Experience:
IC
Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 a ... View more