Remote Claims Analyst: Billing & Reimbursement Specialist

Lifepoint Health, Inc.; United States; Remote; USD 52,000 - 72,000; Full time

Benefits offered by this job

Comprehensive Benefits

Financial Protection & PTO

Financial & Career Growth

Employee Well-being

Professional Development

Job summary

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.

Qualifications

• 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.

Responsibilities

• 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.

Job description

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.