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Claims Analyst

Louisville, Kentucky

Req ID 2024-19454 Post Date Nov. 01, 2024 CategoryAccounting and Finance
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Claims Analyst

REMOTE

(KY RESIDENTS ONLY - MUST LIVE IN OR AROUND LOUISVILLE, KY AREA)

At Lifepoint Behavioral Health, we specialize in compassionate behavioral health services, including crisis stabilization for acute mental health and substance use disorders. Our philosophy is built on a psychosocial model of care and follows the core principles of resilience, recovery and restoration. Our teams are committed to providing superior patient care that exceeds industry standards as well as patient expectations.

Benefits:

  • Affordable medical, dental and vision plans provided to meet the needs of full employees and their families
  • Up to 16 days of PTO for full time employees
  • 6 paid holidays for full time employees
  • Tuition reimbursement
  • 401(k) retirement plan
  • Flexible spending and health savings accounts
  • UKG Wallet - We've partnered with UKG Wallet, a voluntary Earned Wage Access benefit, to offer employees access to their pay on their own schedule

What you will do 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.
  • Attends and prepares for weekly AR Calls, Assists with A/R Month End close process.
  • Accurately perform billing and collections for multiple facilities for all payors.

Qualifications:

  • High school diploma or equivalent required. Associates degree preferred.
  • 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.
  • 2-3 years of DMH (Department of Mental Health Adult Services) Billing.
  • Will be required to travel to the corporate offices in Louisville, KY for 1-2 weeks of training. 
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