Specialist, Billing at Lifepoint Health

Georgetown, Kentucky, United States -

Full Time

Start Date

Immediate

Expiry Date

15 Jul, 26

Salary

0.0

Posted On

16 Apr, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Accounts receivable, Billing, Claim submission, Critical thinking, Healthcare compliance, HIPAA, Medical coding, Supervisory experience, Athena system, Payer acceptance, Communication, Regulatory standards, Business office standards, Problem resolution

Industry

Hospitals and Health Care

Description

Who We Are: People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. Georgetown Community Hospital is an acute care hospital with 75-beds offering a broad range of inpatient, outpatient, intensive care, surgical, emergency and diagnostic services. From our bariatrics to women’s services to radiology, we have a wide range of services serve our community. Where We Are: Georgetown is a small town bursting with charm in the midst of Kentucky Horse Country and is the true birthplace of bourbon. We are proud to be Kentucky’s fastest growing city and home to a diverse list of adventures for all including petting a thoroughbred champion, feeling the thunder of a new engine roar to life, and strolling along a bustling Victorian-era downtown with architectural charm and locally-owned shops, restaurants, craft breweries and a bourbon distillery. Why Choose Us: * Health (Medical, Dental, Vision) and 401K Benefits for full-time employees * Competitive Paid Time Off / Extended Illness Bank package for full-time employees * Employee Assistance Program – mental, physical, and financial wellness assistance * Tuition Reimbursement/Assistance for qualified applicants * Options for accident, critical illness, long-term, short-term, and hospital indemnity insurance * Professional development opportunities * And much more… Position Summary: Responsible for accounts receivable follow-up of assigned providers. Reviews Athena daily to ensure claim submission accuracy and payer acceptance. Communicates with patients and physician offices regarding outstanding claims and works to resolve billing issues efficiently. Reports to: Director of Physician Services FLSA Status: Non-exempt Minimum Qualifications Education: High school diploma required License: N/A Certifications: N/A Required Skills: * Strong critical thinking skills and decisive judgment * Ability to work independently with minimal supervision * Ability to perform effectively in a stressful environment and take appropriate action * Knowledge of healthcare regulatory and compliance standards (including HIPAA) * Understanding of Business Office Standards and Recommended Practices * Skilled in applying policies and procedures Essential Functions: * Perform accounts receivable follow-up for assigned providers * Review Athena system daily for claim submission status and payer acceptance * Communicate with patients and physician offices regarding billing and outstanding claims * Ensure timely resolution of claim issues Non-Essential Functions: 1. Serve internal and external customers including co-workers, patients, clients, contractors, and vendors 2. Handle sensitive and confidential information appropriately 3. Demonstrate understanding of healthcare compliance and regulatory standards 4. Perform other duties as assigned Travel Requirements: Minimal to none Additional Notes: Lead coder for Central Kentucky market. Must have supervisory experience and certification across multiple coding specialties. EEOC Statement: Georgetown Community Hospital 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. Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. 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 employ and provide care to people from all walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reflective of the patients, family members, customers and team members we serve.

Responsibilities

The specialist is responsible for accounts receivable follow-up and ensuring the accuracy of claim submissions within the Athena system. They must communicate effectively with patients and physician offices to resolve outstanding billing issues.