Insurance Credit Specialist

🔥 1 hour ago

🎸 Tennessee – Remote

🎸 Tennessee – Remote

💵 $18 / hour

⏰ Full Time

🟢 Junior

💻 IT Support

🚫👨‍🎓 No degree required

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Lifepoint Health®

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1999

🧬 Biotechnology

💊 Pharmaceuticals

Healthcare • Biotechnology • Pharmaceuticals

Lifepoint Health® is a diversified healthcare delivery network that serves patients, clinicians, communities, and partners across the healthcare continuum. With a presence that extends from coast to coast, Lifepoint operates community hospitals, rehabilitation and behavioral health hospitals, and additional care sites. The company is dedicated to improving community health through high-quality care, patient safety, clinical excellence, and innovative partnerships aimed at enhancing healthcare quality and access.

📋 Description

• 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.

🎯 Requirements

• 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.

🏖️ 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.