[Hiring] Billing Specialist @Lifepoint Health

Role Description

As a Billing Specialist, you will be responsible for:

• Maintaining Revenue Cycle Services and resolving billing issues and/or denials requiring clinical expertise.
• Researching, working, and resolving claim denials and rejections for your assigned client.
• Assuming ownership over your assigned clients for all aspects of the billing cycle, including Charges, Payments, and AR metrics and performance.
• Keeping on task to meet all required deadlines and timeframes for customer and company needs.
• Assisting in the development of processes and procedures for each assigned account.
• Monitoring and analyzing current industry trends and issues for potential organizational impact.
• Communicating regularly with your assigned clients to alert them of trends identified and recommended resolutions.
• Collaborating with all departments to ensure billing accuracy and efficiency.
• Delivering timely required reports to the management team and initiating communication regarding the resolution of issues, such as payer denial trends and collections accounts.
• Ensuring compliance with all relevant regulations, standards, and laws.
• Assisting with any other projects as assigned by the Operations leadership.

Qualifications

• High-School Graduate or Equivalent
• 1-2 Years Medical Accounts Receivable Experience

Requirements

• ICD10 and CPT knowledge
• Computer Skills: Excel, Word, Outlook, Medical Billing Software Systems
• 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
• 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
• EPIC experience preferred

Benefits

• Comprehensive Benefits: Multiple levels of medical, dental and vision coverage, with medical plans starting at just $10 per pay period.
• 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 with 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.