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 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 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.
How you’ll contribute
A Claims Analyst who excels in this role:
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.
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
Applicants should have a high school diploma required; Associate degree
preferred with 3–5 years of computerized medical billing experience required
with behavioral healthcare experience preferred and working knowledge of
Medicare/Medicaid and institutional billing requirements.
Additional requirements include:
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
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.