Analyst, Claims

Lifepoint Health•Louisville, KY

About The Position

The Claims Analyst is responsible for managing billing and collections across multiple facilities, ensuring compliance with payor requirements, and maintaining accurate accounts receivable. This role also supports staff, oversees financial processes, and collaborates with internal departments to ensure timely and accurate reimbursement activities.

Requirements

Strong knowledge of Medicare/Medicaid guidelines and UB04 billing requirements
Proficiency in computerized medical billing systems
Ability to manage multiple facilities and payor types simultaneously
Strong analytical and problem-solving skills
Effective communication with internal teams and external stakeholders
Ability to lead, supervise, and support staff
Detail-oriented with strong organizational skills
Ability to work in a fast-paced, high-volume environment
High school diploma or equivalent required; Associate degree preferred
3–5 years of computerized medical billing experience
Minimum of 1 year experience in behavioral healthcare
3–5 years of supervision/management experience in a healthcare setting
Working knowledge of Medicare/Medicaid and institutional billing requirements
Strong knowledge of Medicare/Medicaid guidelines and UB04 billing
3–5 years medical billing experience
Supervisory experience in healthcare setting
May be required to work flexible hours and overtime
Ability to sit and stand (at least two-thirds of the shift) and walk (possibly one-third of the shift).
Ability to reach above, or below waist height, kneel, bend, stoop, turn, and twist (occasionally to frequently).
Visual ability to read charts, treatment plans, financial documents, computer screen and typewritten materials.
Ability to frequently push/pull wheeled carts to 100 pounds.
Ability to frequently lift and carry 10 lbs.; occasionally 20 to 50 lbs.
Ability to work in an environment where chemicals are frequently used for cleaning, where medical and electrical hazards may be present and where dust, mist and steam are frequently generated in housekeeping tasks.
Ability to work at a rapid pace and perform a variety of repetitive duties.

Nice To Haves

Behavioral healthcare experience preferred

Responsibilities

Accurately performs billing and collections for multiple facilities for all payors.
Provides professional and technical support to staff.
Responds to requests from insurance carriers, family members and patients regarding account balance issues.
Act as administrator for payor website/log in access.
Ensures accurate capturing and posting of financial activity and maintains accounts receivable at amounts appropriate for payor and acuity mix for all facilities
Actively works with the Utilization departments in all facilities to ensure pre-certifications, certifications, and appeals are completed accurately and in a timely manner.
Complete Effective follow up on claims
Review and understand Payor Contracts and Reimbursement
Review and understand Payor EOBs/Remits/EOPs
Research and resolve claim issues
Review denials - Write and submit appeals
Attends and prepares for weekly AR Calls.
Assists with A/R Month End close process.
Accurately perform billing and collections for multiple facilities for all payors