Patient Financial Services Representative

Job Description

Schedule: Days: M-F

Job Location Type: Remote

Your experience matters

At Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. As a member of the Health Support Center (HSC) team, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier.

More about our team

A Patient Financial Services Representative is responsible for completing insurance claims for patient services, follow-up on the claims to ensure payment is made promptly and accurately. Ensure Medicare rejections from IVANS are worked daily and rekeyed via DDE system. Maintains knowledge of CMS billing rules and regulations. Responsible for complex billing issues. Manage Medicare Bad Debt Log. Manage Patient Financial Services Denial Log. Responsible for primary Medicare First Level Appeal Submission after approval from PFSD.

How you'll contribute

A Patient Financial Services Representative who excels in this role:

• Ensures the collection of funds for all hospital billable services so that goals are met in Bad Debts, AR Days and Cash collections
• Supports the Director of Patient Accounting to maximize the income earned through cash management
• Maintains accuracy in claims processing paper and electronic claims
• Maintains follow-up on accounts to ensure claims are paid promptly and correctly
• Explains patient inquiries regarding hospital charges, insurance payments or insurance coverage
• Develops a relationship with third party payers, and venders to ensure cash flow is maximized
• Inquires and seeks explanations for all denials and/or rejections
• Adheres to standards set forth by Health Insurance Portability and Accountability Act (HIPAA) of 1996
• Ensures Medicare rejections from IVANS are worked daily and rekeyed via DDE system
• Maintains knowledge of CMS billing rules and regulations
• Be responsible for complex billing issues
• Managed Medicare Bad Debt Log for Monthly submission: Reviews Medicaid remits daily for Medicare qualifying accounts and PFSD will give agency returns for account review of accounts > 120 for logging
• Manages Patient Financial Services Denial Log
• Be responsible for primary Medicare First Level Appeal Submission after approval from PFSD

Why join us

We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:

• 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.

What we're looking for

• High School diploma or equivalent required, Associate's degree or higher preferred
• Minimum of 4 years in Insurance Billing/Follow up required
• Coding experience preferred

EEOC Statement

Lifepoint Health is an Equal Opportunity Employer. Lifepoint Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.

You must be authorized to work in the United States without employer sponsorship.