Our Company

BrightSpring Health Services

Overview

Goal oriented individual who consistently follows up on unpaid claims utilizing AlphaCollector and filing appeals when appropriate to obtain maximum reimbursement.

Responsibilities

- Process manual billing for various DSS/CSA Localities in Virginia, verifying to Purchase Orders/Invoices received.- Analyze claims for assigned payor sources and follow up on all outstanding claims.- Good phone skills are essential, as this person will have to call the various Localities throughout each month regarding past due claims, Purchase Orders, etc., to ensure timely payments.- Provide any additional research for claims designated on the critical accounts list, input comments prior to monthly Critical Account call.- Rebill claims for any outstanding AR that is collectible. Provide detail comments in AlphaCollector, including payment date if applicable. Field questions throughout the month regarding revenue and aging issues.- Maintain open communication.- Process cash transfer & check requests to processor- Timely follow up on denied items/unpaid claims, to ensure claims are processed within the Fiscal Year for Virginia.- Reading and interpreting various Purchase Orders received, sign and return to each payor as necessary.- Respond to inquiries from various Localities regarding invoices/payments.- 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 (productivity), AR>30 days, cash collections @ 98% or higher of prior month revenue.

Qualifications

Experience: At least 2 years billing Virginia DSS/CSA Localities, private insurance and/or federally funded programs, researching agings and claims preferred. Experience in reading and understanding remits (explanation of benefits) for denial reasons. Understanding of medical terminology and ability to research various payor inquiries.- Computer experience is essential, including, but not limited to: Excel, practice management software, word processing and spreadsheet applications.- Strong Organizational skills.- Must be able to work independently or in a team environment.- Excellent customer service skills.- Strong written and verbal communication skills.- Ability to manage relationships with various Government payers.- Responsible use of confidential information and HIPAA policies.- Perform to company standards of compliance with policies and procedures.- Ability to multi-task and work courteously and respectfully with fellow employees, clients and patients.- Must have strong/professional communication skills (email and phone).- Must understand conditions of payment.- Must have strong Microsoft Excel skills.- Experience with State billing portals preferred.Education: Minimum High School diploma or equivalent, associate degree or higher preferred

About our Line of Business

BrightSpring Health Services is a leading provider of complementary home and community-based pharmacy and health services for complex populations in need of chronic and/or specialized care. Through the company's pharmacy and provider services to seniors and specialty (including behavioral) populations, we provide comprehensive care and clinical services in 50 states to over 360,000 customers, clients and patients daily. The company's services foster greater patient and family satisfaction, improve outcomes and reduce health care system costs, and are supported by industry-leading quality outcomes. For more information, visit www.brightspringhealth.com. Follow us on Facebook (https://www.facebook.com/brightspringHS/) , Twitter (https://www.twitter.com/BrightSpringHS/) and LinkedIn (https://www.linkedin.com/company/brightspringhealth/) .

ALERT: We are aware of a scam whereby imposters are posing as employees from our company. Beware of anyone requesting financial or personal information. We take pride in creating a best-in-class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card, driver's license, bank information, or payment for work equipment, etc.) from you via text or email. If you are suspicious of a job posting or job-related email mentioning our company, please contact us at TalentAcquisition@brightspringhealth.com .

Click here (https://www.brightspringhealth.com/careers/frequently-asked-questions/) for additional FAQ information.

Job LocationsUS-KY-LOUISVILLE

ID 2024-141993

Line of Business BrightSpring Health Services

Position Type Full-Time