Schedule: Days: M-F
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.
More about our team
An Accounts Receivable Specialist is responsible for completing insurance claims for patient services follow-up on the claims to ensure payment is made promptly and accurately.
How youll contribute
An Accounts Receivable Specialistwho excels in this role:
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 venders to ensure cash flow is maximized
Inquires and seeks explanations for all denials and/or rejections
Adhere to standards set forth by Health Insurance Portability and Accountability Act (HIPAA) of 1996
Ensures Medicare rejections from IVANS are worked daily and rekeyed via DDE system
Maintains knowledge of CMS billing rules and regulations
Responsible for complex billing issues
Manages Medicare Bad Debt Log for Monthly submission: Review Medicaid remits daily for Medicare qualifying accounts and PFSD will give agency returns for account review of accounts > 120 for logging
Manages Patient Financial Services Denial Log
Responsible for primary Medicare First Level Appeal Submission after approval from PFSD
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
Minimum Education: High School diploma or equivalent required Associates degree or higher preferred
Minimum of 4 years in Insurance Billing/ Follow up required
Coding experience preferred
Excellent oral and written communication skills
Ability to problem-solve effectively and handle stress in a positive manner
EEOC Statement
Lifepoint Healthis an Equal Opportunity Employer.Lifepoint Healthis 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