Accounts Receivable Process Analyst

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

• A high school diploma or equivalent, with an associate’s degree or higher preferred.
• At least 2 years of healthcare billing, private insurance, and/or federally funded programs experience, focusing on aging and claims.
• Experience in reading and understanding remits for denial reasons and familiarity with State Billing Portal sites.
• Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement.
• Strong/professional communication skills (email and phone) and proficiency in using Microsoft Excel.
• Understanding of conditions of payment and experience with State billing portals.
• Preferred experience with HCHB (Home Care Home Base) and Home Health Hospice related services.

About the Role

BrightSpring Health Services is seeking a highly skilled and detail-oriented Accounts Receivable Process Analyst to join their team. This position plays an important part in managing and analyzing financial transactions within the billing and collections department. The ideal candidate should enjoy problem solving, have a passion for numbers, and possess excellent analytical skills.

About Our Line of Business

BrightSpring Health Services offers complementary home- and community-based health solutions for complex populations in need of specialized or chronic care. The company provides comprehensive and integrated care and clinical solutions across all 50 states, serving over 475,000 customers, clients, and patients daily. BrightSpring has consistently demonstrated strong quality metrics across its services lines, enhancing the health and quality of life for high-need individuals and reducing overall healthcare system costs.

Additional Job Information

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