Analyst, Claims

Lifepoint Health • Louisville, KY

18h • Remote

About The Position

The Analyst, Claims manages billing and collections across multiple facilities, ensuring compliance with payor requirements and maintaining accurate accounts receivable. The role provides financial-process support to staff and collaborates with internal departments to ensure timely and accurate reimbursement activities. It also includes participation in the hiring, supervision, and evaluation of assigned staff.

Requirements

• High school diploma or equivalent required.
• Working knowledge of Medicare/Medicaid guidelines and institutional (UB04) billing requirements.
• 3–5 years of computerized medical billing experience.
• Must be authorized to work in the United States without employer sponsorship.

Nice To Haves

• Associate degree preferred.
• One year of behavioral healthcare experience preferred.

Responsibilities

• Perform billing and collections for multiple facilities and all payors.
• Provide professional and technical support to staff.
• Respond to insurance carriers, family members, and patients regarding account balance issues.
• Administer payor website and login access.
• Ensure accurate capture and posting of financial activity and maintain accounts receivable at amounts appropriate for payor and acuity mix across facilities.
• Work with Utilization departments to ensure pre-certifications, certifications, and appeals are completed accurately and on time.
• Assign tasks to staff through billing software as needed.
• Develop, implement, monitor, and evaluate quality assurance activities, ensuring compliance with standards, laws, regulations, and procedures.
• Recommend new or revised policies and procedures as needed.
• Review and approve adjustments and refunds for all facilities.
• Attend and prepare for weekly AR calls.
• Assist with the accounts receivable month-end close process.
• Participate in hiring, supervision, and evaluation of assigned staff.

Benefits

• Multiple levels of medical, dental, and vision coverage for full-time and part-time employees.
• Life, accident, critical illness, and hospital indemnity insurance.
• Short- and long-term disability coverage.
• Paid family leave and paid time off.
• Higher education and certification tuition assistance.
• Loan assistance.
• 401(k) retirement package with company match.
• Wellness programs, including free gym memberships, virtual care appointments, mental health services, and discount programs.
• Ongoing learning and career advancement opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED