Accounts Receivable Specialist

Lifepoint Health • St Louis, MO

4d • Remote

About The Position

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 you’ll contribute An Accounts Receivable Specialist who 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 care. In addition to your base compensation, this position also offers: Comprehensive Benefits : Multiple levels of medical, dental and vision coverage for full-time and part-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.

Requirements

• Minimum Education: High School diploma or equivalent required, Associate’s degree or higher preferred
• Minimum of 4 years in Insurance Billing/ Follow up required
• Excellent oral and written communication skills
• Ability to problem-solve effectively and handle stress in a positive manner

Nice To Haves

• 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 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

Benefits

• Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
• Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
• Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
• Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
• Ongoing learning and career advancement opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED