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Specialist, Insurance Credit

Brentwood, Tennessee

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Success within a company doesn’t just happen. It requires committed teams of talented people who understand and embrace an organization’s goals and work together at the highest level to achieve them. As a member of the Health Support Center (HSC) team, you’ll work collaboratively with a great group of people to serve Lifepoint’s diversified healthcare delivery network of hospitals and care sites across the nation. We know that providing high-quality care depends on our ability to find, keep and empower creative and determined people who share in our commitment to our mission: Making communities healthier.

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  • Remote: No
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Success Profile

What do you need to be successful at Lifepoint Health? Here are the top traits we’re looking for:

  • Analytical
  • Compassionate
  • Problem-solver
  • Collaborative
  • Goal-oriented
  • Thoughtful

“I have been with Lifepoint for 3 years and have been fortunate to grow within this great company. I feel valued, I work with amazing colleagues, and I enjoy coming to work every day!”

MikeManager, HITS Information Security
mike

Benefits

  • Competitive pay

    We offer competitive pay for all employees based on the market, role, skill set and experience.

  • Growth opportunities and succession planning

    Our succession planning initiatives identify an internal bench of top talent and offer development opportunities to prepare them to fill crucial roles in the organization as they become available.

  • Insurance (for eligible employees)

    We’re committed to you and your family feeling supported and secure – our benefits include medical, eye, prescription, life insurance, and more.

  • Collaborative work environment

    We know that providing high-quality care depends on our ability to find, keep and empower creative and determined people who work together to advance our mission – making communities healthier.

  • Paid time off (for eligible employees)

    At Lifepoint, we believe in a strong work-life balance and offer competitive paid time off.

  • Employee Assistance Program (EAP)

    As a Lifepoint employee, you and your family will have access to counseling and relationship support, legal services, financial services and more.

Specialist, Insurance Credit

Brentwood, Tennessee

Job ID 302298 Date posted 04/25/2025
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Who we are:

The Medical Group 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.

What you’ll do:

As an Insurance Credit Specialist, you will be responsible for researching, analyzing, and resolving outstanding credit balance claims. Excellent position for a highly detailed, quick learner who enjoys working in a fast-paced working environment and enjoys partnering with others to provide outstanding customer/patient satisfaction and ensures work is completed timely and accurately.

Responsibilities: 

  • The Insurance Credit Specialist must have the ability to review and analyze accounts and/or credit balance reports from insurance carriers and patients to include reviewing explanation of benefits, contacting insurance carriers for additional information, and communicating with insurance carriers to gather information.
  • This position requires fundamental knowledge of how insurance companies pay accordingly to contracts, how to read and interrupt an insurance explanation of benefits (EOB), and do precise follow-up with the insurance company via, phone, email, insurance web sites, etc. at an acceptable volume per day.
  • Resolves both patient & insurance credit balance refunds (WEEKLY/DAILY/OTHER)
  • Researches and resolves unapplied cash activity accounts.
  • Documents any request or concern received via mail, e-mail, telephone, written correspondence, or in person on the patient’s account.
  • Responsible for responding to insurance companies & patient requests for refunds in a timely manner (within 30 days of receipt in credit balance work list)
  • Identifies the originating cause of the need for a refund and compiles a report of recurring issues to management.
  • Responsible for correcting errors in the calculation and posting of insurance contractual adjustments.
  • Maintains confidentiality of all protected health information (PHI)
  • Performs all job functions in a manner consistent with MGRI expectations as defined in the mission statement and values.
  • Adheres to policies and procedures as required by MGRI

What you’ll need:

  • Education: High school graduate or equivalent (GED) required; Associate degree or Bachelor’s degree in healthcare administration or another related field preferred
  • Experience: Experience with analyzing explanation of benefits (EOBs) from various insurance companies/payers; 1 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

Why choose us:

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.

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