Schedule: Days: M-F
Job Location Type: Remote
Your experience matters
At Lifepoint Health, we are committed to empowering and supporting a diverse and
determined workforce who can drive quality, scalability, and significant impact
across our hospitals and communities. As a member of the Springstone Behavioral
Health team, you’ll support those that are in our facilities who are interfacing
and providing care to our patients and community members to positively impact
our mission of making communities healthier ®.
More about our Team
The Analyst, Claims 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.
How you’ll contribute
An Analyst, Claims who excels in this role:
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.
Assigns tasks to staff through billing software as needed.
Develops, implements, monitors and evaluates quality assurance activities,
ensuring compliance with standards, laws, regulations and procedures.
Recommends new and /or revised policies and procedures as needed.
Reviews and approves all adjustments and refunds for all facilities.
Attends and prepares for weekly AR Calls.
Assists with A/R Month End close process.
Participates in hiring, supervision and evaluation of assigned staff.
Accurately perform billing and collections for multiple facilities for all
payors.
Why join us
We believe that investing in our employees is the first step to providing
excellent patient care. In addition to your base compensation, this position
also offers:
Comprehensive Benefits: Multiple levels of medical, dental and vision
coverage for full-time and part-time employees.
Financial Protection & PTO: Life, accident, critical illness, hospital
indemnity insurance, short- and long-term disability, paid family leave and
paid time off.
Financial & Career Growth: Higher education and certification tuition
assistance, loan assistance and 401(k) retirement package and company match.
Employee Well-being: Mental, physical, and financial wellness programs (free
gym memberships, virtual care appointments, mental health services and
discount programs).
Professional Development: Ongoing learning and career advancement
opportunities.
What we’re looking for
Education:
High school diploma or equivalent required
Associates degree preferred
Experience:
Working knowledge of Medicare/Medicaid guidelines and Institutional (UB04)
Billing Requirements
3-5 years of computerized medical billing experience
1 year experience in behavioral healthcare
preferred
EEOC Statement
“Lifepoint Health is an Equal Opportunity Employer. Lifepoint Health is
committed to Equal Employment Opportunity for all applicants and employees and
complies with all applicable laws prohibiting discrimination and harassment in
employment.”
You must be authorized to work in the United States without employer
sponsorship.
Lifepoint Health is a leader in community-based care and driven by a mission of
Making Communities Healthier. Our diversified healthcare delivery network spans
29 states and includes 63 community hospital campuses, 32 rehabilitation and
behavioral health hospitals, and more than 170 additional sites of care across
the healthcare continuum, such as acute rehabilitation units, outpatient centers
and post-acute care facilities. We believe that success is achieved through
talented people. We want to create places where employees want to work, with
opportunities to pursue meaningful and satisfying careers that truly make a
difference in communities across the country.
We employ and provide care to people from all walks of life. We are committed to
promoting healing, providing hope, preserving dignity and producing value with
an inclusive workforce in which diversity is leveraged, respected, and
reflective of the patients, family members, customers and team members we serve.