Analyst, Claims

Lifepoint Health • Louisville, KY

4h • 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 technical and professional support to staff and collaborates with internal departments to ensure timely, accurate reimbursement activities. It also supports staff in following financial processes.

Requirements

• High school diploma or equivalent required.
• Working knowledge of Medicare/Medicaid guidelines and Institutional (UB04) billing requirements.
• Three to five years of computerized medical billing experience.
• Authorization to work in the United States without employer sponsorship.

Nice To Haves

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

Responsibilities

• Perform billing and collections accurately for multiple facilities and all payors.
• Provide professional and technical support to staff and respond to insurance carriers, family members, and patients about account balance issues.
• Administer payor website and login access.
• Ensure financial activity is accurately captured and posted, and maintain accounts receivable at amounts appropriate for each facility’s payor and acuity mix.
• Work with Utilization departments at all facilities 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 to ensure 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 accounts receivable 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 insurance.
• 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