Analyst, Claims

Lifepoint Health; Louisville (KY); Remote; USD 55,000 - 85,000; Full time

Benefits offered by this job

Comprehensive benefits

Paid time off (PTO)

Tuition assistance

401(k) with company match

Well-being programs

Job summary

Lifepoint Health is seeking an Analyst, Claims for a remote position. The role supports billing and collections across facilities, ensuring payor compliance and accurate accounts receivable.

You will collaborate with internal teams to enable timely reimbursement and maintain financial integrity. The ideal candidate has 3–5 years in medical billing, familiarity with Medicare/Medicaid guidelines, and experience with UB04 billing.

Qualifications

• High school diploma or equivalent required.
• Associates degree preferred.
• Experience with Medicare/Medicaid guidelines and UB04 Billing Requirements is necessary.
• 3-5 years of computerized medical billing experience.
• 1 year experience in behavioral healthcare preferred.

Responsibilities

• Accurately performs billing and collections for multiple facilities for all payors.
• Provides professional support to staff; responds to requests from insurance carriers, families, and patients regarding balances.
• Acts as administrator for payor websites and login access.
• Maintains accounts receivable appropriate for payor and acuity mix.
• Coordinates with Utilization departments to ensure pre-certifications, certifications, and appeals are completed timely.
• Leads weekly AR calls and supports month-end close processes.
• Participates in hiring, supervision, and evaluation of assigned staff.

Skills

Medical billing

Medicare/Medicaid guidelines

Behavioral healthcare knowledge

Billing software

Education

High school diploma

Associates degree preferred

Tools

UB04

Job description

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 andpart-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 Healthis an Equal Opportunity Employer.Lifepoint Healthis 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.