Analyst, Claims

Lifepoint Health•Louisville, KY

23h

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’s 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
3–5 years medical billing experience
Supervisory experience in healthcare setting

Nice To Haves

Behavioral healthcare experience preferred

Responsibilities

Accurately perform billing and collections for multiple facilities and all payors
Maintain accounts receivable at appropriate levels based on payor and acuity mix
Respond to inquiries from insurance carriers, patients, and families regarding account balances
Serve as administrator for payor websites and access credentials
Ensure accurate posting and tracking of financial activity
Collaborate with Utilization departments to ensure timely pre-certifications, certifications, and appeals
Assign and manage staff tasks within billing software
Review and approve adjustments and refunds
Participate in A/R month-end close processes
Attend and prepare for weekly A/R meetings
Develop, implement, and monitor quality assurance activities
Ensure compliance with laws, regulations, and internal procedures
Recommend and update policies and procedures as needed
Provide technical and professional support to staff
Assist in hiring, supervising, and evaluating staff