BrightSpring Health Services

Compensation

Full Description

Note: The job is a remote job and is open to candidates in USA. BrightSpring Health Services is a provider of home- and community-based health solutions. They are seeking an A/R Process Analyst responsible for monitoring outstanding accounts, processing revenue adjustments, and ensuring effective communication regarding billing issues. Responsibilities • Analyze aging for assigned operations and follow up on all outstanding accounts. Provide proper coding and comments for all outstanding balances • Provide any additional research for accounts designated on the critical accounts list, code and comment prior to monthly Critical Account call • Rebill claims for any outstanding AR that is collectible. Provide detail comment in aging with payment date. Field questions throughout the month regarding revenue and aging issues • Process revenue adjustments throughout the month for assigned Operations • Balance, review and gain approvals for revenue adjustments • Process revenue for month end close • Upload or key revenue for operations, grants, etc • Complete revenue balancing and reporting • Maintain open communication with Billing Specialist, Cash Application Analyst and Operations • Send cash transfer & check requests to the cash team • Conduct monthly calls with business managers at the Operations • Prepare and document all allowances and/or revenue adjustments for future month to assist in forecasting according to policy and within the designated timeframe • Timely follow up on insurance claim denials, exceptions or exclusions • Reading and interpreting insurance explanation of benefits • Respond to inquiries from insurance companies, patients and providers • Regularly meet with Business Office Manager in Operations to discuss and resolve reimbursement issues or billing obstacles • Regularly attend monthly staff meetings and continuing educational sessions as requested • Perform additional duties as requested by Supervisor or Management team. Measurement: DSO, accounts worked per month, AR>90 days Skills • Minimum High School diploma or equivalent, associates degree or higher preferred • At least 2 years healthcare billing, private insurance and/or federally funded programs, researching agings and claims • Responsible use of confidential information • Must be able to read • Must have strong/professional communication skills (email and phone) • Must understand conditions of payment • Must have strong excel skills • Experience in reading and understanding remits for denial reasons and experience with State Billing Portal sites, preferred • Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement preferred Company Overview • BrightSpring Health Services provides clinical, nonclinical and pharmacy and other ancillary care services. It was founded in 1974, and is headquartered in Louisville, Kentucky, USA, with a workforce of 10001+ employees. Its website is https://www.brightspringhealth.com/.