Billing Specialist

Lifepoint Health•Somerset, KY

About The Position

The Billing Specialist is responsible for accounts receivable follow-up, posting payments, reviewing accounts for refunds and collections, and handling appeals and disputes. The role includes reviewing SIS and Waystar daily and resolving claim errors until claims are accepted by payers. The specialist communicates with patients and physician offices about outstanding claims, errors, and required information. The position serves internal coworkers and external customers, clients, patients, contractors, and vendors, and involves access to sensitive and confidential information. The role requires a comprehensive understanding of healthcare regulations and compliance, including HIPAA, and the ability to apply policies and procedures and follow Business Office Standards and Recommended Practices.

Requirements

  • High school diploma or equivalent.
  • Critical thinking skills.
  • Decisive judgment.
  • Ability to work with minimal supervision.
  • Comprehensive understanding of healthcare regulatory and compliance requirements, such as HIPAA.
  • Skill in applying policies and procedures.
  • Knowledge of Business Office Standards and Recommended Practices.

Responsibilities

  • Follow up on accounts receivable.
  • Post all monies received.
  • Review accounts for refunds and collections.
  • Perform appeals and disputes.
  • Review SIS and Waystar daily and work claims with errors until accepted by the payer.
  • Communicate with patients and physician offices regarding outstanding claims, errors, and required information.
  • Serve internal coworkers and external customers, clients, patients, contractors, and vendors.
  • Handle sensitive and confidential information in accordance with healthcare regulatory and compliance requirements.

Benefits

  • Medical, dental, and vision coverage options for full-time and part-time employees.
  • Life, accident, critical illness, and hospital indemnity insurance.
  • Short- and long-term disability insurance.
  • Paid family leave and paid time off.
  • Higher education and certification tuition assistance.
  • Loan assistance.
  • 401(k) retirement package with company match.
  • Wellness programs, including gym memberships, virtual care appointments, mental health services, and discount programs.
  • Ongoing learning and career advancement opportunities.
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