Insurance Credit Specialist

🔥 0 minutes ago

🎸 Tennessee – Remote

🎸 Tennessee – Remote

💵 $18 - $22 / hour

⏰ Full Time

🟢 Junior

🔒 Insurance

🚫👨‍🎓 No degree required

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Lifepoint Health®

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1999

🏥 Healthcare

🧬 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 credit balance reports from insurance carriers and patients • Review explanations of benefits (EOBs) • Contact insurance carriers and communicate with them to gather additional information • Perform precise follow-up with insurance companies by phone, email and insurance websites at an acceptable daily volume • Resolve patient and insurance credit balance refunds • Research and resolve unapplied cash activity accounts • Document requests and concerns received by mail, email, telephone, written correspondence or in person on patient accounts • Respond to insurance company and patient refund requests within 30 days of receipt in the credit balance work list • Identify the originating cause of refund needs and compile recurring-issue reports for management • Correct errors in the calculation and posting of insurance contractual adjustments • Maintain confidentiality of protected health information (PHI) • Perform job functions consistently with MGRI mission, values, policies and procedures

🎯 Requirements

• High school graduate or equivalent (GED) required • Associate degree or bachelor’s degree in healthcare administration or a related field preferred • Experience analyzing explanations of benefits (EOBs) from various insurance companies/payers • One year of experience in insurance billing or insurance follow-up for Medicare, Medicaid and commercial payers required • Medical terminology knowledge preferred • Knowledge of CPT / ICD-10 coding • Fundamental knowledge of how insurance companies pay according to contracts • Ability to read and interpret insurance explanations of benefits (EOBs) • Ability to perform precise insurance-company follow-up via phone, email and insurance websites at an acceptable daily volume • Ability to maintain confidentiality of protected health information (PHI) • Must be authorized to work in the United States without employer sponsorship • Availability Monday-Friday, 40 hours per week, 8am-5pm in the employee’s time zone

🏖️ Benefits

• Comprehensive medical, dental and vision coverage • Life, accident, critical illness and hospital indemnity insurance • Short- and long-term disability insurance • Paid family leave • Paid time off • Higher education and certification tuition assistance • Loan assistance • 401(k) retirement package and company match • Mental, physical and financial wellness programs • Free gym memberships • Virtual care appointments • Mental health services • Discount programs • Ongoing learning and career advancement opportunities