Lifepoint Health® · 11 hours ago
Billing Clerk
901 Lakeshore Dr, Ishpeming, MI, 49849, US
Full-time
Onsite
New Grad, Entry LevelLifepoint Health is a leader in community-based care, and they are seeking a Billing Clerk to support the billing process for their facilities. The role involves preparing and transmitting accurate bills to Medicare, Medicaid, and other third-party payers in a timely manner while maintaining confidentiality and adhering to established policies and procedures.
Health CareHospitalMedicalRehabilitation
Responsibilities
Follows established policies and procedures. objectives, safety standards, and sensitivity to confidential information
Process 100% of accepted claims within one working day of receipt
Edit claims to completion, exhausting all resources to meet established guidelines
Enter 100% documentation immediately upon receipt, keeping account information current and accurate
Update billing system with demographic and/or insurance revisions within one working day of receipt
Submit daily to manager those claims requiring additional information from Admitting/Registration staff
Initiate follow up to third party payers no later than 15 days from final bill
Work accounts to completion to ensure adjudication within 90 days from bill
Actively follow up on all rejected and unpaid claims
Obtain and/or supply payers with necessary information and/or documentation to expedite payment in accordance with payer guidelines
Maintain current knowledge of CPT-HCPCS and ICD- 10 coding in accordance with third party payer guidelines for UB94 and HCFA 1500 claims
Review accounts for accuracy of patient balances and insurance portions due, to ensure correct statements are mailed
Maintain knowledge of payer contracts and reimbursement methodologist to insure correct payment and patient portion due
Review and follow up on any charges credited or debited on patient accounts in accordance with established guidelines
Follow up on denied, rejected and/or pending claims via remittance advice, Medicare FSS and other electronic systems within two working days or receipt
Maintain reliable comprehensive cash controls to ensure timely and accurate ash applications to patient accounts
Apply payments, calculate, process and generate adjustments not completed by the electronic remittance process within one working day or receipt
Prepare daily reconciliation of cash and adjustment posting and forward a copy to the accounting department
Review and research credit balances and resolve within five (5) working days
Resolve all incoming no payment correspondence within five (5) working days
Remain knowledgeable in the operation of the electronic remittance system to facilitate use when needed
Make referrals of accounts to appropriate department, with a high level of accuracy, for payment offsets and appeals
Keep manager appropriately informed of problems/issues or needs of the department
Guard the confidentiality of patient record and report any breach of confidentiality to the manager
Assist auditors with requested information for review of accounts and process corrected claims as necessary
Notify department manager of absence or tardy, giving sufficient notice to provide coverage for the work area
Specific duties (may vary daily) to be performed will be assigned by the manager depending upon the needs and requirements of the department and hospital to ensure all individuals are crossed trained in each area of responsibility
Interacts with Patient Account Manager and/or Benefits Advisor related to patients with limited or no insurance coverage, personal portion payment and deductibles owed; and follows up with patient regarding insurance problems via phone or mail
Demonstrates professional, courteous, caring telephone etiquette
Retains business office records in readily retrievable fashion
Maintains clean claims submission to 80% or better
Maintains confidentiality in accordance with HIPAA regulations
Performs other related duties as assigned or requested
Qualification
Required
High School diploma or equivalent
Preferred
Two years of college coursework completed or equivalent work experience
Benefits
Health (Medical, Dental, Vision) and 401K Benefits for full-time employees
Competitive Paid Time Off
Employee Assistance Program – mental, physical, and financial wellness assistance
Tuition Reimbursement/Assistance for qualified applicants
And much more...
Company
Lifepoint Health®
Lifepoint Health is a leading healthcare provider that serves patients, clinicians, communities and partner organizations across the healthcare continuum.
Founded in 1999
1001-5000 employees
Funding
Current Stage
Public CompanyTotal Funding
$1.9B2024-05-09Debt Financing· $800M
2023-09-29Debt Financing· $1.1B
2018-07-23Acquired
Leadership Team
Jason Zachariah
Chief Operating Officer/EVP
Jennifer Peters
Executive Vice President Chief Administrative and Legal Officer
Recent News
HospitalManagement.net
2026-01-09
2026-01-07
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