Billing Specialist - Remote

Job Description:

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 a Medical Billing Associate with professional billing expertise. Ideal candidates will be experienced and knowledgeable in the entire medical billing process.

Reporting to the Revenue Integrity Manager, the Operations Medical Billing Associate will spend the bulk of their time making sure that the overall account is fully supported from a Full Cycle Billing perspective, and account procedures/processes are performed and maintained. Communication and facilitation of project expectations and progress between the client and Physician Services Revenue Integrity is required. Software system knowledge, full cycle billing knowledge and understanding, and process development are core to the functions of this position. This position will be assisting large physician groups with professional billing processes and follow up with emphasis in the Behavioral Health specialty. The Medical Billing Associate oversees, develops, and implements processes that relate to all revenue cycle functions. Responsible for ensuring revenue collections, days in accounts receivables, adherence to corporate compliance and adjustments are within established metrics set. Good communication and teamwork with other leaders and team members is also required to ensure proper expectations are met on the account.

ESSENTIAL FUNCTIONS: To perform this job, an individual must perform each essential function satisfactorily with or without a reasonable accommodation.

• Responsible for maintaining Revenue Cycle Services, and other departments with resolution of billing issues and/or denials requiring clinical expertise.
• Responsible for researching, working, and resolving claim denials and rejections in your assigned client.
• Assume ownership over your assigned clients for all aspects of the billing cycle, including Charges, Payments, and AR metrics and performance.
• Keep on task to meet all required deadlines and timeframes for customer and company needs.
• Assist in the development of processes and procedures for each assigned account.
• Monitors and analyzes current industry trends and issues for potential organizational impact.
• Communicate regularly with your assigned clients to alert them of trends identified and recommended resolutions.
• Collaborate with all departments to ensure billing accuracy and efficiency.
• Deliver timely required reports to the management team; initiates and communicates the resolution of issues, such as payer denial trends, collections accounts, inaccurate or incorrect charges.
• Ensure compliance with all relevant regulations, standards, and laws.
• Assist with any other projects as assigned by the Operations leadership.

Knowledge, Skills and Abilities

The requirements listed below are representative of the knowledge, skills and/or abilities required.

• Ability to work in a team environment
• 1-2 Years Medical Accounts Receivable Experience
• ICD10 and CPT Knowledge
• Strong organizational skills
• Computer Skills: Excel, Word, Outlook, Medical Billing Software Systems
• High-School Graduate or Equivalent
• Knowledge of full cycle revenue model
• Thorough knowledge of ICD and CPT application, correct practices, and tools utilized within the healthcare industry, as well as audits.
• Ability to interpret documents, medical records, and other documentation related to medical claims.
• Excellent communication skills and ability to work in a team environment.
• Strong organizational skills.
• Strong technical and computer skills (PM/EHR Software, Excel, Outlook, MS Office, Web).
• Ability to identify and resolve trends within your workflow.
• athena experience preferred.
• Behavioral Health experience preferred

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.