Accounts Receivable Process Analyst

Our Company: Overview: Responsibilities:

• Analyze aging for assigned operations and follow up on all outstanding accounts. Provide proper coding and comments for all outstanding balances.
• Identify payor issues and report out.
• Complete follow up process to ensure full adjudication of claims.
• Identifies adjustments throughout the month for assigned Operations.
• Timely follow up on insurance claim denials, exceptions, or exclusions.
• Maintain open communication with Billing Specialist, Cash Application Analyst and Operations.
• Send cash transfer & check requests to the cash team.
• Reading and interpreting insurance explanation of benefits.
• Respond to inquiries from insurance companies, patients, and providers.
• Works in Waystar to identify denials and timely resolution.
• Timely follow up of accounts to ensure timely filing limits are met.
• Performs general accounts receivable functions regarding revenue billing and cash processes.

Qualifications:

• High School diploma or equivalent, Associate’s degree or higher preferred.
• At least 2 years healthcare billing, private insurance and/or federally funded programs, researching aging and claims.
• 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.
• Responsible use of confidential information.
• Must have strong/professional communication skills (email and phone) as well as computer skills to include Microsoft Excel.
• Must understand conditions of payment and experience with State billing portals preferred.
• HCHB (Home Care Home Base) experience preferred.
• Home Health Hospice related experience preferred.

About our Line of Business: BrightSpring Health Services provides complementary home- and community-based pharmacy and provider health solutions for complex populations in need of specialized and/or chronic care. Through the Company’s service lines, including pharmacy, home health care and primary care, and rehabilitation and behavioral health, we provide comprehensive and more integrated care and clinical solutions in all 50 states to over 450,000 customers, clients and patients daily. BrightSpring has consistently demonstrated strong and often industry-leading quality metrics across its services lines while improving the quality of life and health for high-need individuals and reducing overall costs to the healthcare system. For more information, please visit www.brightspringhealth.com. Follow us on Facebook, LinkedIn, and X. Additional Job Information:

• Competitive Pay with Daily Pay options
• Up to 11 days of PTO during the 1st year
  • Tuition Reimbursement
• Benefits, Company Provided Life Insurance, 401k Participation
• Career Growth and advancement opportunities