Insurance Credit Specialist – Remote Work Opportunity

Denver, Colorado

Job ID 7410-7306 Date posted 04/10/2024

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The Physician Services 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.

This is a fully remote position! You must live in the United States.

We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.

We are always looking for people inspired to help us in our mission. If you are someone who wants to change the lives of patients, drive success for our partners and be part of a team driven to improve care, we may have your next opportunity.

We are currently searching for an Insurance Credit Specialist with professional billing expertise. Ideal candidates will be experienced and knowledgeable in the entire medical billing process. This position is eligible for remote work.

The Insurance Credit Specialist research, analyze, and resolve outstanding credit balance claims. Excellent position for a highly detailed, quick learner who enjoys working in a fast-paced working environment and enjoys partnering with others to provide outstanding customer/patient satisfaction and ensures work is completed timely and accurately.

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.

• Resolves both patient & insurance credit balance refunds (WEEKLY/DAILY/OTHER)
• Researches and resolves 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 PSRI expectations as defined in Pacific Medical Data Solutions’ Patient Accounting mission statement and values.
• Adheres to policies and procedures as required by Physician Services Revenue Integrity

Education

• High school graduate or equivalent (GED) required.
• Associate degree or bachelor’s 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

Knowledge, Skills, Abilities

• Must have an enthusiastic and positive attitude.
• Excellent customer service skills
• Data entry skills and basic knowledge of Excel, Word, and Outlook preferred
• Possesses excellent organizational and time management skills.
• Must have strong problem solving, attention to detail accuracy skills.
• Demonstrates effective communication and interpersonal skills within a diverse population.
• Possesses ability to prioritize tasks, carry out assignments independently and within a team, and to practice good judgement.
• Demonstrates a commitment to organizational values by displaying a professional attitude and appropriate conduct in all situations.

Physical and Mental Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job responsibilities.

While performing the duties of this job, the employee is occasionally required to stand; walk; sit for extended periods of time; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, bend, crouch or crawl; talk or hear; taste or smell. The employee must occasionally lift and/or move up to 20 pounds. Repetitive motion of upper body required for extended use of computer. Required specific vision abilities include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

Benefits

At LifePoint, our Mission of Making Communities Healthier extends to our employees. We offer an excellent total compensation package, including a competitive salary and benefits. Some of our benefits include 401k, flexible PTO, generous Employee illness benefit (EIB), medical, dental, vision, tuition reimbursement, and an Employee Assistance Program. We believe that happy, healthy people have a passionate engagement with life and work and have designed our package to enhance your wellbeing.

We also offer a flexible, remote work environment.

Pay Range: $18 – 20/hour The final agreed upon compensation is based on individual education, qualifications, experience, and work location. This position is bonus eligible.

Lifepoint Health is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans’ status or any other basis protected by applicable federal, state or local law.

Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran

Apply: Save Job

Job ID 7410-7306 Date posted 04/10/2024

Apply: Save Job

The Physician Services 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.

This is a fully remote position! You must live in the United States.

We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.

We are always looking for people inspired to help us in our mission. If you are someone who wants to change the lives of patients, drive success for our partners and be part of a team driven to improve care, we may have your next opportunity.

We are currently searching for an Insurance Credit Specialist with professional billing expertise. Ideal candidates will be experienced and knowledgeable in the entire medical billing process. This position is eligible for remote work.

The Insurance Credit Specialist research, analyze, and resolve outstanding credit balance claims. Excellent position for a highly detailed, quick learner who enjoys working in a fast-paced working environment and enjoys partnering with others to provide outstanding customer/patient satisfaction and ensures work is completed timely and accurately.

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.

• Resolves both patient & insurance credit balance refunds (WEEKLY/DAILY/OTHER)
• Researches and resolves 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 PSRI expectations as defined in Pacific Medical Data Solutions’ Patient Accounting mission statement and values.
• Adheres to policies and procedures as required by Physician Services Revenue Integrity

Education

• High school graduate or equivalent (GED) required.
• Associate degree or bachelor’s 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

Knowledge, Skills, Abilities

• Must have an enthusiastic and positive attitude.
• Excellent customer service skills
• Data entry skills and basic knowledge of Excel, Word, and Outlook preferred
• Possesses excellent organizational and time management skills.
• Must have strong problem solving, attention to detail accuracy skills.
• Demonstrates effective communication and interpersonal skills within a diverse population.
• Possesses ability to prioritize tasks, carry out assignments independently and within a team, and to practice good judgement.
• Demonstrates a commitment to organizational values by displaying a professional attitude and appropriate conduct in all situations.

Physical and Mental Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job responsibilities.

While performing the duties of this job, the employee is occasionally required to stand; walk; sit for extended periods of time; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, bend, crouch or crawl; talk or hear; taste or smell. The employee must occasionally lift and/or move up to 20 pounds. Repetitive motion of upper body required for extended use of computer. Required specific vision abilities include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

Benefits

At LifePoint, our Mission of Making Communities Healthier extends to our employees. We offer an excellent total compensation package, including a competitive salary and benefits. Some of our benefits include 401k, flexible PTO, generous Employee illness benefit (EIB), medical, dental, vision, tuition reimbursement, and an Employee Assistance Program. We believe that happy, healthy people have a passionate engagement with life and work and have designed our package to enhance your wellbeing.

We also offer a flexible, remote work environment.

Pay Range: $18 – 20/hour The final agreed upon compensation is based on individual education, qualifications, experience, and work location. This position is bonus eligible.

Lifepoint Health is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans’ status or any other basis protected by applicable federal, state or local law.

Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran

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