Overview

BrightSpring Health Services is seeking a highly skilled and detail-oriented Accounts Receivable Process Analyst to join our team. As an A/R Process Analyst you will play an important part of our team with managing and analyzing financial transactions within our billing and collections department. If you like to problem solve, love numbers, and have great analytical skills this is the position for you!

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.