Insurance Credit Specialist

🕒 August 7

🎸 Tennessee – Remote

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💵 $18 - $22 / hour

⏰ Full Time

🟢 Junior

🔒 Insurance

🚫👨‍🎓 No degree required

👻 Ghost score 23%

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Logo of Lifepoint Health®

Lifepoint Health®

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/or credit balance reports from insurance carriers and patients • Review explanations of benefits and contact insurance carriers for additional information • Communicate with insurance carriers via phone, email, and insurance websites • Resolve patient and insurance credit balance refunds • Research and resolve unapplied cash activity accounts • Document requests or 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 expectations, mission, and values • Adhere to MGRI policies and procedures

🎯 Requirements

• High school graduate or equivalent (GED) required • Associate degree or bachelor’s degree in healthcare administration or another related field preferred • Experience analyzing explanations of benefits (EOBs) from various insurance companies/payers • One year of experience in insurance billing/insurance follow up for Medicare, Medicaid, and commercial payers required • Medical terminology knowledge preferred • Knowledge of CPT / ICD-10 coding • Must be authorized to work in the United States without employer sponsorship • Ability to work Monday-Friday, 40 hours per week, 8am-5pm in your time zone

🏖️ Benefits

• Multiple levels of medical, dental and vision coverage for full-time and part-time employees • 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

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