Insurance Credit Specialist

🕒 2 dias atrás

🎸 Tennessee – Remoto

🎸 Tennessee – Remote

💵 $18 / hora

⏰ Tempo Integral

🟢 Júnior

💻 Suporte de TI

🚫👨‍🎓 Sem graduação necessária

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Lifepoint Health®

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 1999

🧬 Biotecnologia

💊 Farmacêutico

Healthcare • Biotechnology • Pharmaceuticals

Lifepoint Health® é uma empresa diversificada de prestação de serviços de saúde que possui e opera uma rede nacional de hospitais comunitários, hospitais de reabilitação e saúde comportamental, além de outros locais de atendimento. A organização faz parcerias com profissionais de saúde, comunidades e outros provedores de saúde para oferecer serviços de atendimento agudo, reabilitação, saúde comportamental e serviços ambulatoriais, com foco na qualidade clínica, segurança do paciente, acesso aos cuidados e impacto na comunidade. A Lifepoint opera como uma holding com subsidiárias que gerenciam hospitais e instalações, e enfatiza parcerias, tecnologia e programas orientados para a comunidade para aprimorar o valor e os resultados da saúde.

Descrição

• Review and analyze accounts and/or credit balance reports from insurance carriers and patients. • Contact insurance carriers for additional information. • Communicate with insurance carriers to gather information. • Resolve both patient & insurance credit balance refunds. • Research and resolve unapplied cash activity accounts. • Document any request or concern received via mail, e-mail, telephone, written correspondence, or in person on the patient’s account. • Respond to insurance companies & patient requests for refunds in a timely manner (within 30 days of receipt in credit balance work list). • Identify the originating cause of the need for a refund and compile a report of recurring issues to management. • Correct errors in the calculation and posting of insurance contractual adjustments. • Maintain confidentiality of all protected health information (PHI) and adhere to policies and procedures as required by MGRI.

🎯 Requisitos

• High school graduate or equivalent (GED) required. • Associate degree or bachelor’s degree in healthcare administration or another related field preferred. • 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.

🏖️ Benefícios

• 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.