Claims Analyst

Springstone

What we Treat - a full range of mental health and addiction care including: Depression, Anxiety, PTSD, Borderline Personality Disorder, Bipolar Disorder, Psychosis, Suicidal and Homicidal Ideations, Drug and Alcohol Addiction.

Our Programs - Full continuum of care; 24/7 crisis care and assessment; inpatient mental health treatment, inpatient drug and alcohol detox and rehab, partial hospitalization programs (PHP); intensive outpatient programs (IOP); virtual assessments, virtual outpatient care.

Populations Served - Adult, child and adolescent, military, veterans, first responders and other high-risk frontline professionals (Help for Heroes program)

Essential Functions:

Job Responsibilities:

• 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

Education & Experience:

Education:

• High School diploma or equivalent, Required
• Associates degree, Preferred

Experience:

• Working knowledge of Medicare / Medicaid guidelines and institutional (UB04) Billing Requirements, at least three to five years of computerized medical billing experience with a minimum of one year experience in behavioral healthcare and three to five years of supervision / management experience in healthcare setting.
• Additional Requirements: May be required to work flexible hours and overtime

EEOC Statement:

Springstone is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.

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.