• Codes and abstracts diagnoses, procedures, and patient information from Outpatient encounters • Verifies abstracted hospital information fields for accuracy and completeness • Prioritizes outpatient and inpatient coding and abstracting responsibilities • Communicates with physicians when documentation is unclear

Role Description The Central Intake Coordinator contacts insurance companies, branch operations, and patients to ensure accurate patient demographic and insurance information including insurance verification/benefits/authorizations, and the status of a used/remaining benefits. - Verifies eligibility and insurance benefits including but not limited to: - Confirming the status of used/remaining benefits using electronic and telephonic resources. - Communicating identified insurance plan to billing manager for system updates. - Obtains pre-certification, authorizations, and referrals to ensure managed care compliance for necessary services. - Fulfills notification requirements. - Partners and maintains working relationship with various departments throughout the organization, including Business HUB, Clinical Coordinators, and Branch Operations. - Provides patient education as needed on various topics including patient rights, regulatory requirements, and financial policies. - Prepares oral/written communications including periodic status updates. - Maintains documentation and notes in computer system regarding all conversations with patients, insurance company representatives, and pre-certification. - Supports BrightSpring Health’s Compliance Program by adhering to policies and procedures pertaining to HIPAA, FCRA, and other laws applicable to BrightSpring Health’s business practices. - Completes all required training, maintains active working knowledge of BrightSpring health’s Code of ethics (LEGACY), and immediately follows reporting procedures related to compliance, incidents, HIPAA, and adheres to confidentiality obligations. - Maintains effective communication strategies and style with patients and insurance companies both verbally and in writing to ensure a positive overall internal/external customer service experience. Qualifications - HR Diploma/GED required; Preferred Associates Degree or BS/BA from accredited college. - 2+ years of experience in a role that interfaces with commercial or government insurance payers to verify medical coverage or to perform billing, collections or follow up activities on covered charges for patients. - Medical billing certificate/ medical insurance specialty certificate preferred. - Strong analytical skills to process admissions accurately and timely. - Demonstrated ability to navigate Web Based programs and Microsoft Office/including Excel. - Demonstrated ability to communicate effectively and to simplify complex information to all stakeholders in verbal and written form. - Ability and willingness to work cohesively in a team environment locally and across other departments and locations. - Demonstrate patience with a strong attention to detail. - Demonstrated ability to apply critical thinking skills, creativity, and a commitment to ensure that we meet the needs of stakeholders and patients. - Minimal travel, rarely or as needed. Salary Range USD $21.00 - $24.00 / Hour

Role Description The Pharmacy Billing Technician is responsible for managing and reconciling the daily census of assigned clients. In addition, the Pharmacy Billing Technician is responsible for processing timely and accurate bills to assigned clients. - Reconcile client census for assigned clients on a weekly basis. - Verify correct patient/customer set up for monthly billing including: - Validating data on patient/customer is correct; - Method of payment is included and correct; - Medicare days are entered; - Invoice group is reflected accurately. - Ascertain updates on any payer source changes are made timely and accurately. - Process unit dose rejections in coordination with Third Party Cycle Billing Specialist. - Ensure assigned clients are billed accurately and timely. - Review unbilled claims for proper payor. - Skilled nursing care clients are expected to be billed by the third (3rd) business day of each month. - Private pay patients/customers are expected to be billed by the sixth (6th) business day of each month and no later than the tenth (10th) business day of each month. - Assist Phone Triage Technician and Accounts Receivable Analyst with: - Providing customer notes and answers to questions asked by client/customer and/or family members; - Monitoring payer status of clients who are deemed to be Medicaid pending; - Once Medicaid eligibility is determined, rebilling client appropriately; - Provide Best Available Evidence (“BAE”) on Medicaid eligible patients/customers when needed. - Assist with Third Party Audits, as requested. - Assist with Hospice billing, as requested. - Any and all other duties as assigned. Qualifications - High school diploma or equivalent. - Long-term care pharmacy billing experience, minimum one (1) year preferred. - Detail oriented with effective time management skills. - Software skills: - Experience with billing and accounting software for managing accounts, processing payments, and reconciling reports; - Advanced knowledge of Microsoft products. Benefits - Competitive pay, aligned with market guidelines. - Full Benefits Package, including very generous paid time off plans. - Professional liability coverage. - 100% employer-funded ESOP retirement plan. - 401(k) and Roth(k) plans. - Continuing education. - Credit union membership.

• Assigns appropriate ICD and CPT codes for reimbursement and statistical purposes. • Follows ICD, CPT, CMS, and other regulatory coding guidelines. • Abstracts clinical information from medical records for complete and accurate statistical documentation. • Reviews and interprets medical documentation to accurately assign ICD and CPT codes for facility or professional reimbursement and statistical purposes. • Abstracts information into computer for reimbursement and statistical purposes. • Researches and stays current with trends in healthcare coding and compliance. • Keeps department manager up to date with any coding or documentation issues. • Must work independently and collaboratively to support the achievement of department People, Quality, Finance, and Service goals as well as organizational goals. • Works as a team with physicians, coding staff and other hospital personnel to ensure proper and accurate code assignment and continuous quality improvement. • Responsible for assisting with coding claim edits and reviewing claim denials for correction. • Reports to work in a timely manner and adheres to attendance policies. • Conscientious of scheduling time off in advance so as not to interfere dramatically with coding turnaround times. • Performs all Other duties as assigned.