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Insurance Credit Specialist
Lifepoint Health®Insurance Credit Specialist reviewing accounts and analyzing credit balances at Lifepoint Health. Responsible for communicating with insurance carriers and resolving refunds in a timely manner.
About the role
Key responsibilities & impact- 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
What you’ll need- 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
Comp & perks- 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.
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
insurance billinginsurance follow upanalyzing explanation of benefitsCPT codingICD-10 codingcredit balance resolutioncash activity account researcherror correction in insurance adjustmentsreport compilationconfidentiality maintenance
Soft Skills
communicationproblem-solvingattention to detailorganizational skillstimelinesscustomer service
Certifications
high school diplomaGEDassociate degreebachelor's degree