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The Billing Readiness Specialist ensures patient accounts are accurately configured and financially cleared to support clean claim submission. This involves validating insurance eligibility, benefit coverage, and authorization status to minimize reimbursement delays and denials.
A High School Diploma is required, with an Associate degree preferred and at least 3 years of experience in medical billing or healthcare revenue cycle. Candidates should have knowledge of Medicare, commercial insurance, and outpatient therapy billing workflows.
BrightSpring Health Services
The Billing Readiness Specialist serves as a critical bridge between front office operations, authorization workflows, and the billing department by ensuring patient accounts are accurately configured and financially ready to support timely clean claim submission and continuity of care.
This role is responsible for validating insurance setup, payer plan selection, benefit verification, patient financial responsibility, and authorization readiness to ensure claims are routed correctly and reimbursement delays are minimized. The Billing Readiness Specialist proactively identifies account discrepancies that could result in claim denials, incorrect patient balances, delayed reimbursement, or billing errors.
In addition to traditional benefit verification responsibilities, this position plays a key role in revenue protection by validating discipline-specific payer requirements, payer crossover configurations, and claim routing logic prior to billing activity.
The Billing Readiness Specialist supports clean claim submission, improves point-of-service collection accuracy, and reduces downstream rework by ensuring accounts are properly configured before treatment and billing occur.
The Billing Readiness Specialist is responsible for ensuring patient accounts are accurately configured and financially cleared prior to claim submission and ongoing treatment. This role serves as a critical operational support function between intake, authorization workflows, and billing by validating insurance setup, benefit coverage, payer configuration, patient responsibility, and billing readiness requirements.
The Billing Readiness Specialist plays a key role in preventing avoidable denials, improving claim accuracy, reducing patient balance discrepancies, and supporting efficient reimbursement workflows through proactive account review and issue resolution.
Benefit Verification
Payer Configuration & Billing Readiness Review
Authorization Readiness Oversight
Revenue Integrity & Denial Prevention
Communication & Collaboration
Preferred Skills
Key Performance Indicators (KPIs)
BrightSpring is the parent company of a family of services and brands that provides clinical, nonclinical, pharmacy and ancillary care services for people of all ages, health and skill levels across home and community settings. The company is a leading provider of diversified home and community-based health and pharmacy services to medically complex and high-need populations. Its primary businesses include: behavioral health (including autism services), home health care (including personal care, home health, and hospice), neuro therapy, and job placement and vocational training, supported by pharmacy and telecare ancillary technologies and services. These businesses employ over 37,000 dedicated full-time equivalent team members in 50 states and provide services for over 350,000 people every day. BrightSpring is focused on providing quality outcomes and solutions through best-in-class services and investments in people, process and technology innovation, including the development of its Connected Home model of care. Founded and headquartered in Louisville, Kentucky, the company has been making a difference in communities since 1974 – helping people live their best life.
Offices: 805 N Whittington Pkwy, Louisville, Kentucky 40222, US
