Claims Analyst- Remote

Lifepoint Health, Inc.; United States; Remote; USD 52.000 - 72.000; Vollzeit

Benefits dieser Stelle

Comprehensive Benefits

Financial Protection & PTO

Financial & Career Growth

Employee Well-being

Professional Development

Zusammenfassung

Lifepoint Health is seeking a remote Claims Analyst to support billing and collections across multiple facilities. You will ensure accurate accounts receivable, comply with payer requirements, and collaborate with internal departments to optimize reimbursement.

You will respond to inquiries from insurance carriers and patients, review explanations of benefits, monitor revenue recognition, and assist with pre-certifications, authorizations, and appeals to secure timely payments.

Qualifikationen

• Experience in healthcare billing and collections across multiple facilities.
• Ability to interpret explanations of benefits (EOBs) and denials.
• Strong collaboration and communication with internal departments.

Aufgaben

• 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 AR levels.
• Collaborate with Utilization Management to ensure pre-certifications, authorizations, and appeals are completed on time.
• Perform effective and timely follow-up on insurance claims to secure 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.

Jobbeschreibung

Remote

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

• 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

• 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.