Remote Insurance Credit Specialist
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. As a member of the Health Support Center (HSC) team, you’ll 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 ®. 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. 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.
Requirements
- High school graduate or equivalent (GED) required.
- 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.
- You must be authorized to work in the United States without employer sponsorship.
Nice To Haves
- Associate degree or bachelor’s degree in healthcare administration or another related field preferred
- Medical terminology knowledge preferred.
- Knowledge of CPT / ICD-10 coding
Responsibilities
- 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 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
Benefits
- 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.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
