Claims Analyst- Remote

Lifepoint Health • Louisville, KY

2d • Remote

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 follows financial processes, and collaborates with internal departments to ensure timely and accurate reimbursement activities.

Requirements

• High school diploma required
• 3–5 years of computerized medical billing experience required
• working knowledge of Medicare/Medicaid and institutional billing 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
• Detail-oriented with strong organizational skills
• Ability to work in a fast-paced, high-volume, production-based environment
• Understanding of Hospital Revenue Cycle processes within a multi-facility healthcare environment
• Must be authorized to work in the United States without employer sponsorship.

Nice To Haves

• Associate degree preferred
• behavioral healthcare experience preferred

Responsibilities

• Accurately performs billing and collections for multiple facilities for all payors.
• Provide professional and technical support to staff across multiple departments.
• Respond to inquiries from insurance carriers, patients, and family members regarding billing and account balance questions.
• Monitor and review financial systems to ensure accurate revenue recognition and maintain appropriate accounts receivable levels aligned with payer mix and acuity.
• Collaborate with Utilization Management departments to ensure pre-certifications, authorizations, and appeals are completed accurately and on time.
• Perform effective and timely follow-up on insurance claims to secure appropriate reimbursement.
• Analyze explanations of benefits (EOBs), remittances, and explanations of payment (EOPs) to identify discrepancies or underpayments.
• Research and resolve claim issues
• Prepare, submit, and track appeals for denied claims through resolution.
• Prepare for and actively participate in weekly Accounts Receivable (AR) meetings.

Benefits

• Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
• Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
• Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
• Mental, physical, and financial wellness programs (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